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

Gregory W Kirschen; Jennifer Pollard; Kimberly Herrera

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

Gregory W Kirschen¹, Jennifer Pollard² and Kimberly Herrera²*

¹Medical Scientist Training Program (MSTP), Renaissance School of Medicine at Stony Brook University, USA

²Department of Obstetrics, Gynecology and Reproductive Medicine, Stony Brook University Hospital, Stony Brook, USA

Corresponding Author

Received Date: November 04, 2019; Published Date: November 13, 2019

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.

Keywords: Bleeding disorder; Mode of delivery; Intracranial hemorrhage; Postpartum hemorrhage

Article Details

Citation

Kimberly Herrera, Gregory W Kirschen, Jennifer Pollard. One If by Vaginal, Two If by C (Section): An Argument for Vaginal Delivery for Hemophilia A Carriers with Male Fetuses. Arch Clin Case Stud. 2(1): 2019. ACCS.MS.ID.000527.