New approach of the treatment of von Willebrand's disease during pregnancy

Arch Gynecol Obstet. 2005 Nov;273(1):35-8. doi: 10.1007/s00404-005-0739-x. Epub 2005 Oct 28.

Abstract

Aim: The aim of the study was to analyze the effectiveness of the application of DDAVP (desmopressin) and Hemate P with cryoprecipitate pre- and postpartum in patients with von Willebrand disease.

Methods: We monitored 32 patients with von Willebrand disease during the study period 1993-2003. DDAVP was applied in the 36th/37th week of gestation and cryoprecipitate and fresh frozen plasma were applied 1 day before and 3 days after delivery. DDAVP treatment continued for 4 weeks. Factor VIII (Hemate P) at the day of delivery

Results: No complications occurred in the studied population.

Conclusion: Precipitation of DDAVP, Hemate P, and cryoprecipitate may help in the treatment of pregnant women with von Willebrand disease.

MeSH terms

  • Deamino Arginine Vasopressin / administration & dosage
  • Delivery, Obstetric / methods
  • Factor VIII / administration & dosage
  • Factor VIII / analysis
  • Female
  • Fibrinogen / administration & dosage
  • Fibrinogen / analysis
  • Gestational Age
  • Hemostatics / administration & dosage
  • Humans
  • Partial Thromboplastin Time
  • Postpartum Period
  • Pregnancy
  • Pregnancy Complications, Hematologic / drug therapy
  • Pregnancy Complications, Hematologic / therapy*
  • Prothrombin Time
  • von Willebrand Diseases / blood
  • von Willebrand Diseases / drug therapy
  • von Willebrand Diseases / therapy*

Substances

  • Hemostatics
  • cryoprecipitate coagulum
  • Factor VIII
  • Fibrinogen
  • Deamino Arginine Vasopressin