دانلو پاورپوینت آماده درسی و دانشگاهی

نام فایل : حاملگی و زایمان در خانم های مبتلا به اختلالات خونریزی دهنده

فرمت : .ppt

تعداد صفحه/اسلاید : 30

حجم : 1735 کیلوبایت

IN THE NAME OF GOD
حاملگی و زایمان در خانم های مبتلا به اختلالات خونریزی دهنده
Preconception counselling
This is most important for women with severe bleeding disorders or those who could potentially carry a severely affected baby, such as carriers of hemophilia
It provides adequate information for women and their family about
- genetic implications of their disorder
- the available reproductive choices,
- and options for prenatal diagnosis.

planning for pregnancy
establishing how and where the pregnancy can best be managed.
immunization against hepatitis A and B for those likely to require blood transfusion
general advice such as folic acid supplementation.
A DDAVP test dose can also be carried out to assess response.
the opportunity to speak with a pediatric hematologist regarding the care of a potentially affected child.
Antenatal management
Normal pregnancy is accompanied by
Increased concentrations of several coagulation factors including VIII, VWF, and a pronounced increase in fibrinogen
reduced fibrinolytic activity secondary to increased levels of plasminogen activator inhibitors, especially during the third trimester
....