en
Scientific article
Review
English

Management of pregnancy and delivery in congenital fibrinogen disorders: communication from the ISTH SSC Subcommittee on Factor XIII and Fibrinogen

Published inJournal of thrombosis and haemostasis, vol. 22, no. 5, p. 1516-1521
Publication date2024-05
First online date2024-01-22
Abstract

Congenital fibrinogen disorders (CFDs) are a heterogeneous group of rare congenital quantitative and/or qualitative fibrinogen deficiencies. The spectrum of molecular anomalies is broad, leading to several subtypes of fibrinogen disorders (ie, afibrinogenemia, hypofibrinogenemia, dysfibrinogenemia, and hypodysfibrinogenemia). Pregnancy in women with CFDs is a high-risk clinical situation, with an increased tendency for miscarriages, bleeding, and thrombosis. Even though it is well established that management of such pregnancies requires a multidisciplinary approach involving specialists (hematologists and maternal/fetal medicine experts with expertise in the management of inherited bleeding disorders), specific guidelines are lacking. In this International Society on Thrombosis and Haemostasis (ISTH) Scientific and Standardization Committee communication, we aim to propose an expert consensus opinion with literature evidence where available on the strategy for management of pregnancy, delivery, and puerperium in CFDs.

eng
Keywords
  • Afibrinogenemia
  • Congenital
  • Fibrinogen
  • Fibrinogen deficiency
  • Hypofibrinogenemia
  • Pregnancy
  • Afibrinogenemia / blood
  • Afibrinogenemia / diagnosis
  • Afibrinogenemia / therapy
  • Consensus
  • Delivery, Obstetric
  • Factor XIII / metabolism
  • Female
  • Fibrinogen / metabolism
  • Fibrinogen / therapeutic use
  • Humans
  • Pregnancy Complications, Hematologic / blood
  • Pregnancy Complications, Hematologic / diagnosis
  • Pregnancy Complications, Hematologic / therapy
Citation (ISO format)
CASINI, Alessandro et al. Management of pregnancy and delivery in congenital fibrinogen disorders: communication from the ISTH SSC Subcommittee on Factor XIII and Fibrinogen. In: Journal of thrombosis and haemostasis, 2024, vol. 22, n° 5, p. 1516–1521. doi: 10.1016/j.jtha.2024.01.008
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Article (Published version)
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Identifiers
ISSN of the journal1538-7836
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