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The Coagulation Consult pp 249–269Cite as

Pregnancy

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Abstract

There are many potential coagulation concerns observed in women contemplating pregnancy, as well as in women who are pregnant, or in labor and delivery, and in the postpartum state. This chapter explores issues related to both bleeding and thrombotic disorders of young women, and how they impact the pregnant state. Also, complications of pregnancy that can cause changes in platelet count or changes in coagulation status are explored. These include the hypertensive disorders of late pregnancy, such as preeclampsia, eclampsia, acute fatty liver of pregnancy, the HELLP syndrome, and the devastating catastrophic complication of amniotic fluid embolism. Also, management of anticoagulation during pregnancy is discussed, especially in the light of the teratogenic potential of coumadin. Those hematologic conditions that can contribute to multiple miscarriages, such as the lupus anticoagulant, are also discussed.

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Authors and Affiliations

  1. Hematologic Oncology and Blood disorders, Cleveland Clinic, Lerner College of Medicine, 9500 Euclid Avenue, A61, Cleveland, OH, 44195, USA

    Alan Lichtin M.D., F.A.C.P.

  2. Department of Obstetrics and Gynecology, Women’s Health Institute, Hillcrest Hospital, 6770 Mayfield Road #426/ HC36, Mayfield Heights, OH, 44142, USA

    Elliot H. Philipson M.D., M.B.A.

  3. Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA

    Elliot H. Philipson M.D., M.B.A.

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  1. Alan Lichtin M.D., F.A.C.P.
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Correspondence to Alan Lichtin M.D., F.A.C.P. .

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  1. Hematologic Oncology and Blood Disorders, Cleveland Clinic, Cleveland, Ohio, USA

    Alan Lichtin

  2. Cardiovascular Medicine and Hematology, Cleveland Clinic, Cleveland, Ohio, USA

    John Bartholomew

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Lichtin, A., Philipson, E.H. (2014). Pregnancy. In: Lichtin, A., Bartholomew, J. (eds) The Coagulation Consult. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9560-4_17

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