Background and Objectives. Despite several advantages to the use of epidural analgesia for the management of labor pain in preeclamptic parturients, this procedure is withheld from many such patients owing to associated thrombocytopenia and platelet dysfunction.
Methods. A preeclamptic parturient with mild thrombocytopenia and platelet dysfunction manifested by a prolonged bleeding time received intravenous DDAVP (0.3 μg/kg) in an attempt to correct her coagulation abnormality.
Results. The patient's bleeding time was normalized with DDAVP administration, allowing her to receive epidural analgesia.
Conclusions. Preeclampsia-induced platelet dysfunction might be corrected with DDAVP. A controlled study is required before its routine use can be advocated.
- bleeding time
- epidural analgesia
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Dr. Fragneto was affiliated with Brigham and Women's Hospital at the time this case study was conducted.