CO38 | Management of pregnancy, delivery, and postpartum in Italian carriers and women with hemophilia A and B

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Multidisciplinary pregnancy management is vital for women with hemophilia to reduce complications.
Safe factor VIII/IX levels above 50% in the third trimester support safe delivery and pain relief options.
Delivery mode usually follows obstetric indications, with cesarean sections preferred in specific cases.
Clinical guidelines emphasize avoiding instrumental delivery for affected male fetuses without prenatal diagnosis.

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Survey reveals hemophilia centers prioritize safe factor levels and individualized delivery methods in pregnancy management.

A 2025 study studied this question.

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