Pregnancy and Childbirth

High-Risk Pregnancy Requires Coordinated Care

Key Topics

• Hematologic Changes in Pregnancy
  • Hemoglobin
  • Platelet count
  • Thrombosis risk
  • Vaso-occlusive crises
• Endothelial dysfunction/preeclampsia risk
• Maternal risks
  • Severe anemia
  • Thrombosis
  • Stroke
  • ACS
  • Hypertensive disorders
  • Maternal ICU admission

Clinical Considerations

• Fetal/Neonatal risks
• Growth restriction
• pre-term birth
• Fetal loss
• Neonatal complications
• Delivery Planning: transfusion strategies, anesthesia planning, anticoagulation timing, neuraxial anesthesia considerations, hemorrhage planning, thromboprophylaxis, regional anesthesia