Managing women-specific bleeding in inherited bleeding disorders: A multidisciplinary approach

Eveline P. Mauser-Bunschoten, Rezan A. Kadir, Ellen T.M. Laan, Petra Elfvinge, Lotte Haverman, Lorynn Teela, Manon E.L. Degenaar, Dietje E. Fransen van de Putte, Roseline D'Oiron, Karin P.M. van Galen*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Introduction: Multidisciplinary management of women-specific bleeding is important to preserve quality of life, healthy reproduction and social participation of women and girls with bleeding disorders (WBD). Aim: To support appropriate multidisciplinary care for WBD in haemophilia treatment centres. Methods: Two case examples are presented and management issues discussed from different health care perspectives, including the nurse, patient, psychologist, gynaecologist, geneticist, psychosexual therapist and haematologist. Results: Woman with bleeding disorders may experience heavy menstruation from menarche onwards. This has a physical and psychosocial impact requiring a multidisciplinary approach. If a woman with an inherited bleeding disorder desires to become pregnant, preconception counselling is essential, to discuss genetic diagnosis, state of the art treatment options for the bleeding disorder in question and possible choices to prevent having an affected child, as well as maternal bleeding risks during conception, delivery and the post-partum period. Conclusion: Adequate management and good education of WBD requires a patient-centred multidisciplinary approach with experienced specialists in a haemophilia treatment centre.

Original languageEnglish
Pages (from-to)463-469
Number of pages7
JournalHaemophilia
Volume27
Issue number3
Early online date13 Dec 2020
DOIs
Publication statusPublished - May 2021

Keywords

  • bleeding disorder
  • haemophilia
  • heavy menstrual bleeding
  • post-partum haemorrhage and reproduction
  • von willebrand disease
  • women
  • partum haemorrhage and reproduction
  • post&#8208

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