Despite popular belief,there is a rare type of hemophilia that affects women of childbearing age.von Willebrand disease is the most common of the hereditary bleeding disorders and can affect males and females alike.It results from a factor VIII deficiency and platelet dysfunction.Although factor VIII levels increase naturally during pregnancy,there is an increased risk for after birth hemorrhage from birth until 4 weeks after delivery as levels of von Willebrand factor (vWf)and factor VIII decrease.The treatment that should be considered first for the patient with von Willebrand disease who experiences a after birth hemorrhage is:

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Desmopressin is the primary treatment of choice.This hormone can be administered orally,nasally,and intravenously.This medication promotes the release of factor VIII and vWf from storage.Cryoprecipitate may be used; however,because of the risk of possible donor viruses,other modalities are considered safer.Treatment with plasma products such as factor VIII and vWf is an acceptable option for this patient.Because of the repeated exposure to donor blood products and possible viruses,this is not the initial treatment of choice.Although the administration of this prostaglandin is known to promote contraction of the uterus during after birth hemorrhage,it is not effective for the patient who presents with a bleeding disorder.

Despite Popular Belief,there Is a Rare Type of Hemophilia That