Coagulation problems can occur even after childbirth

A potential issue with the coagulation system is essential for prospective parents to be aware of before having children. If these problems are not recognized in time, they can lead to serious bleeding complications during or after childbirth. Coagulation is a complex process in which various proteins and factors work together to stop bleeding while minimizing the risk of thrombosis. Hemophilia occurs when any of these mechanisms do not function properly, causing bleeding to last longer than it should.

Coagulation disorders can be attributed to various causes, and we distinguish between congenital and acquired forms. Mild, moderate, or severe hemophilia can affect our lifestyle and pregnancy. The period around childbirth is particularly critical, as the female body undergoes various changes that can impact coagulation.

During childbirth, it is considered normal for the mother to lose about 300 ml of blood. However, if the bleeding exceeds 500 ml, we refer to it as postpartum hemorrhage, which can arise from various obstetric causes, such as weak uterine contractions or the detachment of placental fragments.

Causes of Postpartum Hemophilia

The causes of postpartum hemophilia can be diverse. It is natural for blood loss to occur during childbirth, but if the woman had coagulation problems before pregnancy, these may worsen after delivery. For instance, if the mother has congenital mild hemophilia, hormonal changes during pregnancy may improve coagulation due to increased activity of certain clotting factors. However, after childbirth, these factors may return to their original levels, leading to increased vaginal bleeding.

It is important to emphasize that coagulation disorders can also develop during pregnancy, with symptoms that do not appear immediately. Bleeding symptoms are often only noticeable weeks later, complicating diagnosis and treatment. Therefore, during the postpartum period, new mothers need to pay particular attention to any bleeding and its intensity.

The diagnosis and treatment of hemophilia require specialist observation. Hematologists conduct various laboratory tests to accurately determine the type and cause of hemophilia. Doctors emphasize that any unusual bleeding should be taken seriously, as hemophilia is treatable, and its non-congenital forms can be cured.

The Importance of Specialist Monitoring

Before having children, it is essential to assess the status of coagulation factors, as these tests can help prevent severe bleeding complications during childbirth. Laboratory results obtained before pregnancy provide valuable information that can assist in the quick diagnosis and treatment of potential postpartum issues. Specialist monitoring allows new mothers to receive the necessary medical care in a timely manner, which is crucial for preventing complications after childbirth.

In the postpartum period, if the mother notices vaginal bleeding, especially if it intensifies, immediate medical assistance is required. A gynecological examination should not be postponed, even if the mother has subcutaneous bleeding or hematomas, or if signs of anemia, such as paleness, increase. To avoid life-threatening conditions, it is important for the mother to pay attention to her body’s signals and seek help.

Laboratory tests conducted by a hematologist are essential for diagnosing and treating hemophilia. Different forms and causes of hemophilia require different treatment approaches, so it is crucial for the mother to receive professional medical care. Through medical intervention and appropriate treatment, hemophilia can be managed, allowing women to live safely during pregnancy and childbirth.