Management of a Pregnant Patient at Term with Von Willebrand Disease - III

Abstract

Von Willebrand disease (VWD) is a common inherited bleeding disorder involving a deficiency or abnormal function of a blood clotting protein called Von Willebrand factor (VWF). Women with VWD require monitoring during and after pregnancy. This case report describe management of a patient presenting with type III VWD at term and during labour. She had history of severe post- partum haemorrhage (PPH) after cesarean section in previous pregnancy and again had a risk of life- threatening PPH in the current gestation which was managed by appropriate planning and timely decision. KEY WORDS: Von Willebrand’s disease (VWD), Term, Labour, Post partum haemorrhage (PPH).