Journal
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
Volume 158, Issue 2, Pages 124-134Publisher
ELSEVIER
DOI: 10.1016/j.ejogrb.2011.04.025
Keywords
Acute menorrhagia; Bleeding disorder; Hemostasis management; Consensus; Coagulation factor
Categories
Funding
- CSL Behring
- Duramed Pharmaceuticals
- Ferring
- Wyeth
- Bayer
- Novo Nordisk
- CSL Behring (Marburg, Germany)
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Acute menorrhagia is a common gynecological disorder. Prevalence is high among women with inherited bleeding disorders and recent guidance for optimal management is lacking. Following a comprehensive review of the literature, an international expert panel in obstetrics, gynecology and hematology reached consensus on recommendations regarding the management of acute menorrhagia in women without a diagnosed bleeding disorder, as well as in patients with von Willebrand disease, platelet function disorders and other rare hemostatic disorders. The causes and predictors of acute menorrhagia are discussed and special consideration is given for the treatment of women on anticoagulation therapy. This review and accompanying recommendations will provide guidance for healthcare practitioners in the emergency management of acute menorrhagia. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
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