Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access |
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Case Report
Volume 12, Number 1, January 2021, pages 5-8
Impact of the Induction of Labor on Hemophilia Carriers and Their Newborn Infants
Tables
Case no. | Carrier | Type of carrier | Gestation (weeks) | MOD | IOL | Hemophilia status of fetus | Neonatal complications |
---|---|---|---|---|---|---|---|
MOD: mode of delivery; IOL: induction of labor; HA: hemophilia A; HB: hemophilia B; VD: vaginal delivery; CS: cesarean section; ICH: intracranial hemorrhage. | |||||||
1 | HA | Obligate | 37 | VD (breech) | + | HA | ICH |
2 | HB | Possible | 40 | VD | - | - | - |
3 | HB | Possible | 38 | VD | + | - | - |
4 | HB | Possible | 38 | VD | + | - | - |
5 | HA | Possible | 38 | VD | + | - | - |
6 | HA | Possible | 39 | VD | + | - | - |
7 | HA | Possible | 38 | VD | + | HA | - |
8 | HA | Obligate | 38 | VD | + | - | - |
9 | HA | Possible | 38 | VD | + | HA | ICH |
10 | HA | Possible | 38 | CS | - | HA | - |
11 | HA | Possible | 38 | VD | + | - | - |
12 | HA | Obligate | 38 | CS | - | HA | - |
13 | HA | Obligate | 36 | CS | - | - | - |
Case no. | Comments | MOD | IOL | PPH (mL) | APTT(s) | Coagulation factor activity (%) | |||
---|---|---|---|---|---|---|---|---|---|
M | F | M | F | M | F | ||||
MOD: mode of delivery; IOL: induction of labor; APTT: activated partial thromboplastin time; M: mother; F: fetus; HA: hemophilia A; HB: hemophilia B; VD: vaginal delivery; CS: cesarean section; ICH: intracranial hemorrhage; PPH: postpartum hemorrhages. | |||||||||
1 | HA, obligate | HA, ICH | VD | + | 150 | 28.8 | 104.7 | 99 | < 1 |
2 | HB, possible | VD | - | 330 | 29.8 | 85 | |||
3 | HB, possible | VD | + | 546 | 28.2 | ||||
4 | HB, possible | VD | + | 556 | |||||
5 | HA, possible | VD | + | 223 | 28.6 | 48.6 | 66 | ||
6 | HA, possible | VD | + | 130 | 25.7 | 33.1 | |||
7 | HA, possible | HA | VD | + | 342 | 36.5 | 128.3 | 67 | < 1 |
8 | HA, obligate | VD | + | 328 | 33.2 | 40.3 | 37 | 107 | |
9 | HA, possible | HA, ICH | VD | + | 279 | 27 | 125.3 | 89 | < 1 |
10 | HA, possible | HA | CS | - | 450 | 37.7 | 101.2 | 47 | < 1 |
11 | HA, possible | VD | + | 364 | 27.1 | 37.8 | 198 | 75 | |
12 | HA, obligate | HA | CS | - | 430 | 44.7 | 118.7 | 54 | < 1 |
13 | HA, obligate | CS | - | 900 | 30.7 | 54.1 | 90 | 52 |