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Evidence for/Against Administration of Fibrinogen Concentrate and Coagulation Factor Concentrate During an Obstetrical Hemorrhage

  • Michael Dombrowski
  • Michael Paidas
Chapter

Abstract

Correction of hypofibrinogenemia is increasingly being recognized as an important component of treatment of obstetric hemorrhage. Fibrinogen levels below 2 g/L are predictive of severe hemorrhage. Fibrinogen concentrate is an attractive means of fibrinogen replacement and has advantages over both fresh frozen plasma and cryoprecipitate. Data are beginning to emerge supporting the use of fibrinogen concentrate in the obstetric population, especially when guided by thromboelastometry/thromboelastography-driven protocols. Prevention of clot breakdown via use of antifibrinolytic therapy is an important component as well.

Keywords

Fibrinogen concentrate Thromboelastometry Thromboelastography Postpartum hemorrhage 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Section of Maternal Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive SciencesYale School of Medicine, Yale Women and Children’s Center for Blood Disorders and Preeclampsia AdvancementNew HavenUSA

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