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Peer-reviewedCC BY-NC-NDClinical case reports

Acute Hemorrhagic Manifestations in a Pregnant Patient With Type 1 von Willebrand Disease: Challenges in Management of Bleeding Disorders During Gestation

  1. 1Universidad Nacional de Colombia
  2. 2Subred Integrada de Servicios de Salud Sur
  3. 3Fundación Universitaria San Martín

Abstract

This case reports a primigravida with Type 1 von Willebrand disease experiencing hematuria and gingival bleeding despite prophylaxis. Although pregnancy raises factor levels, her response was insufficient. Desmopressin successfully controlled mucosal hemorrhage, avoiding antifibrinolytics due to obstructive risk. Management requires multidisciplinary surveillance to tailor peripartum hemostatic interventions.

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BibTeX
@article{rojasoviedo2026acute,
  title = {{Acute Hemorrhagic Manifestations in a Pregnant Patient With Type 1 von Willebrand Disease: Challenges in Management of Bleeding Disorders During Gestation}},
  author = {Jose Luis Rojas‐Oviedo and María Fernanda Leal Walteros and Dauris Lineth Mejía Pérez and Jorge Eliecer Castellanos Corredor and Danna Geraldinne Amaya Sánchez and Ana Sofía Lancheros Ramírez},
  journal = {Clinical case reports},
  year = {2026},
  month = oct,
  doi = {10.1002/ccr3.73728},
  url = {https://europepmc.org/article/PMC/PMC13655370},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Acute Hemorrhagic Manifestations in a Pregnant Patient With Type 1 von Willebrand Disease: Challenges in Management of Bleeding Disorders During Gestation
AU  - Jose Luis Rojas‐Oviedo
AU  - María Fernanda Leal Walteros
AU  - Dauris Lineth Mejía Pérez
AU  - Jorge Eliecer Castellanos Corredor
AU  - Danna Geraldinne Amaya Sánchez
AU  - Ana Sofía Lancheros Ramírez
PY  - 2026
DA  - 2026/10/01
JO  - Clinical case reports
DO  - 10.1002/ccr3.73728
UR  - https://europepmc.org/article/PMC/PMC13655370
AB  - This case reports a primigravida with Type 1 von Willebrand disease experiencing hematuria and gingival bleeding despite prophylaxis. Although pregnancy raises factor levels, her response was insufficient. Desmopressin successfully controlled mucosal hemorrhage, avoiding antifibrinolytics due to obstructive risk. Management requires multidisciplinary surveillance to tailor peripartum hemostatic interventions.
SN  - 2050-0904
ER  -