Hematological problems Ayda khader Feb 2018 Bleeding Bleeding

Hematological problems Ayda khader Feb. 2018

Bleeding �Bleeding is generally rare in the newborn, �there a small number of significant conditions that can result in bleeding of which the midwife should be aware. �Blood from the gastrointestinal tract (vomiting or passed per rectum as malaena) is sometimes seen and the commonest cause is swallowed maternal blood. � This is supported if there is a clear history of maternal bleeding and bloodstained amniotic fluid. � The baby should be carefully evaluated and the possibility of bleeding from the gastrointestinal tract considered. �This could occur if there was a clottng or platelet abnormality, or occasionally with some serious gastrointestinal disorders such as NEC.

Possible causes of bleeding abnormalities �Vitamin K-deficient bleeding (VKDB) �Thrombocytopenia �Haemophilia and other inherited problems

Haemophilia �Haemophilia A is an X-linked recessive disorder, which therefore affects only boys. �Females may be carriers. �diagnosis is often known or suspected antenatally because of a family history. �investigation should occur after birth �IM injections and invasive procedures should be avoided. �The diagnosis can be made by checking a clotting profile �should always be considered in a male baby who has unexpected bleeding.

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