Celsing F, Ekman G, Granström L, Johnsson H, Björkholm M
Division of Hematology, Department of Medicine, Karolinska Hospital and Institute, Stockholm, Sweden.
Eur J Obstet Gynecol Reprod Biol. 2000 Jul;91(1):41-2. doi: 10.1016/s0301-2115(99)00254-7.
Acute promyelocytic leukaemia (APL) is characterised by a life-threatening hemorrhagic diathesis which is attributed to a DIC-like coagulopathy. This report describes the problems of childbirth in two patients with untreated APL. It is concluded that caesarean section can be performed without major complications. A prerequisite is an active treatment of the coagulopathy and a close collaboration between the obstetrician and the haematologist.
