Bleeding disorders in obstetrics and gynaecological practice

ABSTRACT

The objective of the study was to determine the frequency, types, presenting symptoms and management options in patients with bleeding disorders in the local obstetric and gynaecological practice. This was a descriptive study of one year duration conducted at the Pakistan Atomic Energy Commission General Hospital, Islamabad. Types of bleeding disorders in decreasing order of frequency were HELLP syndrome in 27.7% [n=5], gestational thrombocytopenia in 22% [n=4], Von Willbrand disease in 16.66% [n=3], Glanzmann's thrombesthenia in 11.11% [n=2], autoimmune haemolytic anaemia in 11.11% [n=2], post-transfusion purpura in 6% [n=1] and factor V deficiency in 6% [n=1]. HELLP syndrome and gestational thrombocytopenia were the commonest bleeding disorders in pregnant patients and Von Willebrand disease is the the commonest bleeding disorder in gynaecological patients with menorrhagia