{
  "abstract": "We report the case of a successful caesarean delivery in a woman with von Willebrand disease (VWD) which poses significant risk of maternal bleeding during childbirth. The patient, a primigravida with known type 2 VWD, was closely monitored throughout gestation with periodic assessment of coagulation profile, von Willebrand factor activity and factor VIII levels. A multidisciplinary team—including obstetricians, haematologists, transfusion medicine specialists and anaesthesiologists—was involved and delivery was planned at 39 weeks’ gestation with preparedness for factor replacement. Prophylactic tranexamic acid was administered at induction of labour. Patient landed up in a caesarean section because of pathological cardiotocography with meconium staining. Prophylactic factor VIII replacement therapy was given at induction of anaesthesia to minimise haemorrhagic risk. A caesarean section was performed uneventfully, with no intraoperative or postoperative bleeding complications. Both mother and neonate had a favourable outcome.",
  "authors": [
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"
      ],
      "name": "Sumanjot Kaur"
    },
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"
      ],
      "name": "Amanjot Kaur"
    },
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"
      ],
      "name": "Riya Jain"
    },
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"
      ],
      "name": "Pooja Sikka"
    },
    {
      "affiliations": [
        "Department of Obstetrics and Gynecology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"
      ],
      "name": "Seema Chopra"
    }
  ],
  "title": "Peripartum management of caesarean delivery in type 2 von Willebrand disease",
  "uid": "8a88b314-89da-5bf0-b9c4-e7395a9f6c77"
}