Abstract | BACKGROUND: CASE PRESENTATION: A 27-year-old G2P0100 with factor V deficiency was admitted for induction of labor and requested labor epidural analgesia. Throughout her hospital course, factor V levels were managed per recommendation from her hematologist, which included transfusing fresh frozen plasma (FFP) to maintain a factor V level of 50% before any neuraxial technique and 40% for postpartum hemostasis. The parturient required multiple transfusions of FFP to stay at this level, which eventually resulted in pulmonary edema. Given the request to maintain high levels of factor V, the parturient was transfused with platelets as an alternative source of factor V. The parturient eventually delivered a healthy neonate without signs of postpartum hemorrhage or epidural hematoma. CONCLUSION:
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Authors | Dan M Drzymalski, Ali H Elsayes, Katelyn R Ward, Michael House, Virgil S Manica |
Journal | Transfusion
(Transfusion)
Vol. 59
Issue 7
Pg. 2234-2237
(07 2019)
ISSN: 1537-2995 [Electronic] United States |
PMID | 31032969
(Publication Type: Case Reports)
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Copyright | © 2019 AABB. |
Topics |
- Adult
- Cesarean Section
- Factor V Deficiency
(complications, therapy)
- Female
- Humans
- Infant, Newborn
- Labor, Induced
- Plasma
- Platelet Transfusion
- Pregnancy
- Pregnancy Complications, Hematologic
(therapy)
- Pregnancy Outcome
- Pulmonary Edema
(etiology)
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