Postępowanie okołoporodowe u noworodka matki nosicielki hemofilii

*Agnieszka Pieszchlewicz

Summary
The purpose of this work is to discuss the initial neonatal care for a newborn in whom haemophilia can be suspected before birth.
Hemophilia is the most common congenital hemorrhagic diathesis. Some children inherit this disease from their mother, so it is important to determine the genetic status of the mother before giving birth. For this purpose are used the analysis of the family pedigree of the mother's family and prenatal examinations, if the disease occurred in the family. In the case of this disease, it is debatable to use invasive methods of prenatal testing.
People with hemophilia in Poland are covered by the National Program for the Treatment of Haemophilia patients and other hemorrhagic blemishes. They receive recombinant blood clotting factors. Thanks to such substitution treatment, the survival and comfort of life of people with haemophilia has significantly improved. Female carriers are more likely to opt for offspring.
However, the determining factor for a better prognosis is the detection of the disease in the child as soon as possible. Thanks to this, serious consequences of hemophilia can be avoided. Currently, there are no consistent standards for the care of such a newborn in the Polish maternity and neonatal wards. This work mainly uses UK recommendations.

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