American Journal of Obstetrics & Gynecology
Volume 201, Issue 1 , Pages 12.e1-12.e8 , July 2009

Von Willebrand disease and other bleeding disorders in women: consensus on diagnosis and management from an international expert panel

  • Andra H. James, MD

      Affiliations

    • Women's Hemostasis and Thrombosis Clinic, Duke University Medical Center, Durham, NC
    • Corresponding Author InformationReprints: Andra H. James, MD, Women's Hemostasis and Thrombosis Clinic, Duke University Medical Center, Durham, NC 27710
  • ,
  • Peter A. Kouides, MD

      Affiliations

    • University of Rochester General Hospital, Rochester, NY
  • ,
  • Rezan Abdul-Kadir, MD

      Affiliations

    • Department of Obstetrics and Gynaecology, Royal Free Hospital, London, UK
  • ,
  • Mans Edlund, MD, PhD

      Affiliations

    • Department of Obstetrics and Gynecology, Danderyds Sjukhus AB, Stockholm, Sweden
  • ,
  • Augusto B. Federici, MD

      Affiliations

    • Angelo Bianchi Bonomi Haemophilia Thrombosis Centre, IRCCS Maggiore Policlinico Hospital, Mangiagalli and Regina Elena Foundation and University of Milan, Milan, Italy
  • ,
  • Susan Halimeh, MD

      Affiliations

    • MVZ Labor Duisburg GmbH, Clinical Consultations for Coagulation and Haemophilia Disease, Duisburg, Germany
  • ,
  • Pieter W. Kamphuisen, MD

      Affiliations

    • Department of Vascular Medicine, Academic Medical Center, Amsterdam, The Netherlands
  • ,
  • Barbara A. Konkle, MD

      Affiliations

    • Penn Comprehensive Hemophilia and Thrombosis Program, University of Pennsylvania School of Medicine, Philadelphia, PA
  • ,
  • Oscar Martínez-Perez, MD, PhD

      Affiliations

    • Gineguirurgica S.L., Las Rozas, Madrid, Spain
  • ,
  • Claire McLintock, MD

      Affiliations

    • University of Auckland, Auckland, New Zealand
  • ,
  • Flora Peyvandi, MD, PhD

      Affiliations

    • Angelo Bianchi Bonomi Haemophilia Thrombosis Centre, IRCCS Maggiore Policlinico Hospital, Mangiagalli and Regina Elena Foundation & University of Milan, Milan, Italy
  • ,
  • Rochelle Winikoff, MD

      Affiliations

    • CHU Ste-Justine, Montreal, University of Montreal, QC, Canada

Received 14 September 2008 ,Revised 5 March 2009 ,Accepted 9 April 2009.

  • Image Result

    Algorithm for management of VWD-related menorrhagia

    Decision tree that outlines the algorithm for the determination of the best management strategy of von Willebrand disease-related menorrhagia that is

    Algorithm for management of VWD-related menorrhagia

    Decision tree that outlines the algorithm for the determination of the best management strategy of von Willebrand disease-related menorrhagia that is based on future fertility. Hemostatic agents and hormonal measures can be combined as needed.

    DDAVP, desmopressin; FVIII, coagulation factor VIII; IUS, intra-uterine system; VWD, von Willebrand disease; VWF, von Willebrand factor.

    James. VWD and other bleeding disorders in women. Am J Obstet Gynecol 2009.

 Financial support for this meeting was provided by CSL Behring, Marburg, Germany.

 Cite this article as: James AH, Kouides PA, Abdul-Kadir R, et al. Von Willebrand disease and other bleeding disorders in women: consensus on diagnosis and management from an international expert panel. Am J Obstet Gynecol 2009;201:12.e1-8.

PII: S0002-9378(09)00410-4

doi: 10.1016/j.ajog.2009.04.024

American Journal of Obstetrics & Gynecology
Volume 201, Issue 1 , Pages 12.e1-12.e8 , July 2009