One If by Vaginal, Two If by C (Section): An Argument for Vaginal Delivery for Hemophilia A Carriers with Male Fetuses

K. Herrera
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Abstract

Disorders of coagulation such as hemophilia can have profound effects on health and development beginning in the early stages of life, including pregnancy. With regard to mode of delivery planning for hemophilia A carriers bearing affected fetuses, there is little literature to guide practice and there remains little consensus regarding optimal mode of delivery. Importantly, most of the existing literature focuses solely on risk to the fetus without consideration of risk to the mother. We discuss the complex management decisions and present an argument for vaginal delivery as the “default” option, in the absence of strong maternal or fetal indications for cesarean delivery.
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一如果阴道,二如果C(部分):血友病A携带者男性胎儿阴道分娩的论证
凝血障碍,如血友病,可对生命早期(包括怀孕)的健康和发育产生深远影响。关于A型血友病携带者携带影响胎儿的分娩方式规划,很少有文献指导实践,关于最佳分娩方式仍未达成共识。重要的是,大多数现有文献只关注对胎儿的风险,而没有考虑对母亲的风险。我们讨论了复杂的管理决策,并提出了阴道分娩作为“默认”选择,在没有强烈的产妇或胎儿指征剖宫产的论点。
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