Rare blood disorder successfully managed during childbirth at Hyderabad hospital
Hyderabad, Aug 11 (TNT): Doctors at BirthRight by Rainbow Children’s Hospital, Financial District, successfully managed the delivery of a 39-week pregnant woman diagnosed with the rare blood-clotting disorder Factor V deficiency, hospital said on Tuesday.
The 39-year-old woman, who had received antenatal care at a rural healthcare facility, was referred to the hospital after routine tests at 38 weeks of pregnancy showed abnormal blood coagulation.
Further evaluation revealed that she had been diagnosed with Factor V deficiency during childhood following an unexplained skin rash. She had remained without symptoms for more than 20 years, but the condition posed a serious risk of excessive bleeding during childbirth.
Factor V deficiency is a rare bleeding disorder in which the blood’s ability to clot is impaired. The condition has no cure or standard daily treatment and requires careful management during childbirth, doctors said.
Senior Consultant Obstetrician Dr Himabindu Annamraju coordinated a multidisciplinary team comprising a clinical haematologist, transfusion medicine specialist and anaesthetist to manage the delivery.
The medical team anticipated the risk of severe postpartum haemorrhage and prepared blood products, including cryoprecipitate, in advance.
The patient and her family were counselled about the possibility of requiring multiple blood-product transfusions.
Blood products were administered as required during the delivery to support the patient’s clotting ability. The baby was delivered safely and the mother remained stable.
She was kept under close observation after delivery to monitor her coagulation status and recovery, hospital sources said.
“Factor V deficiency in pregnancy is exceptionally rare, and there is no fixed protocol to fall back on. What made the difference here was preparation — identifying the risk early, bringing every relevant specialist to the table before delivery, and having the blood products ready and available when needed,” Dr Annamraju said.
The case highlights the importance of early identification of rare bleeding disorders and coordinated multidisciplinary care during high-risk pregnancies, doctors added.
TNT TS
