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British Journal of Anaesthesia, 2003, Vol. 91, No. 3 432-435
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Management of pregnancy in a patient with severe haemophilia A

P. Dhar*, S. Abramovitz, D. DiMichele, C. B. Gibb and F. Gadalla

Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, NY, USA

Corresponding author: 525 East 68th Street, Room M-323, New York, NY 10021, USA.E-mail: panchalidhar@msn.com

Haemophilia A is a bleeding disorder that has a spectrum of manifestations ranging from persistent bleeding after minor trauma to spontaneous haemorrhage. As an X-linked disease, it has a rare occurrence in females. We report a case of a pregnant patient with severe haemophilia A, who received epidural analgesia during labour. The prepartum, intrapartum and postpartum care of a patient with such a bleeding diathesis is discussed.

Br J Anaesth 2003; 91: 432–5


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