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ID 44126
title alternative
Anesthetic Management for Hemophilia A Carrier Who Underwent Caesarean Section Procedures Twice with Subarachnoid Anesthesia
creator
Noda, Yuko
subject
血友病A保因者
帝王切開
第Ⅷ因子
区域麻酔
hemophilia A carrier
caesarean section
blood coagulation factor VIII (FVIII)
NDC
Medical sciences
abstract
Hemophilia A carriers are usually asymptomatic and their risk of bleeding when giving birth is not necessarily high, since the level of coagulation factor VIII (FVIII) increases during the perinatal period. However, for mothers whose FVIII activity remains low, bleeding risk is increased and a Caesarean section is required when the fetus is a male. We report here anesthetic management for a hemophilia A carrier who underwent a selective Caesarean section procedure on two separate occasions during birth of male infants. The level of FVIII was noted to be increased during the perinatal period, thus management by spinal subarachnoid anesthesia alone was used for the first childbirth and combined spinal-epidural anesthesia for the second. FVIII remained within a normal range throughout both procedures, and no complications occurred in either the mother or the newborns.
description
本稿の要旨は第119回日本産科麻酔学会学術集会(2015年,東京)において発表した。
journal title
Ansesthesia and Resuscitation
volume
Volume 53
issue
Issue 3
start page
55
end page
58
date of issued
2017-09-20
publisher
広島麻酔医学会
issn
0385-1664
ncid
language
jpn
nii type
Journal Article
HU type
Journal Articles
DCMI type
text
format
application/pdf
text version
publisher
department
Graduate School of Biomedical & Health Sciences
University Medical Hospital
note
当論文は著作権者の意向により非公開とする。
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