Curr Health Sci J, vol. 39, no. 2, 2013

Hyperhomocysteinemia in Pregnancy and the Type of Anesthesia

[Original Paper]

ALICE GAVRILA1, LILIANA NOVAC2, MARIA-MAGDALENA MANOLEA2, LORENA DIJMARESCU2, DANIELA CERNEA1

1Department of Anesthesia and Intensive Care, University of Medicine and Pharmacy of Craiova; 2 Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova


Abstract:

Hyperhomocysteinemia is due to genetic and acquired changes in the metabolism of homocysteine. During pregnancy, women with MTHFR genetic disorders and hyperhomocysteinemia present a high risk of thromboses; therefore they undergo antepartum anticoagulant treatment with low molecular weight heparin.Complications of pregnancy related to thrombosis and the fact that birth, as far as time is concerned, is unpredictable, lead to unique challenges when it comes to choosing the type of anesthesia. In this article we intend to discuss what type of anesthesia is suitable for patients with hyperhomocysteinemia diagnosed.


Keywords:
thrombophilia, pregnancy, regional anesthesia



Corresponding:
Hyperhomocysteinemia in Pregnancy and the Type of Anesthesia


DOI 10.12865/CHSJ.39.02.07 - Download PDF