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KMID : 0358420140570040314
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Korean Journal of Obstetrics and Gynecology
2014 Volume.57 No. 4 p.314 ~ p.317
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Successful management of maternal factor VII deficiency in a cesarean section
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Lee Young-Jae
Ju Da-Hye
Yi Sang-Wook
Lee Sang-Soo
Sohn Woo-Seok
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Abstract
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Factor VII (FVII) deficiency is an infrequent hereditary bleeding disorder that can make excessive bleeding in surgical interventions, such as a postpartum hemorrhage in a cesarean section. Although a recombinant form of activated FVII has been applied for bleeding control in FVII-deficient patients, its applications in the field of obstetrics are still limited, especially in Korea. Replacement of blood products is still preferred as first-line therapy, with antifibrinolytic agents used as adjunctive therapy. We report herein the case of a successful cesarean section in an 18-year-old woman with FVII deficiency.
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KEYWORD
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Antifibrinolytic agents, Cesarean section, Factor VII deficiency, Pregnancy, Transfusion
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