To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Franklin Fuda, Fellow: Hematopathology Department of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas, USA,
Ravindra Sarode, Professor of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
Bleeding disorders in the female population often present unique challenges to an obstetrician. The hormonal and physical changes that occur during the menstrual cycle, pregnancy, childbirth, and the post-partum period continually place strain upon the hemostatic system. Although severe bleeding disorders are usually easily recognized, mild bleeding disorders often go undiagnosed due to the “mild degree” of signs and symptoms (e.g. slightly abnormal menstruation). Unfortunately, even these mild bleeding disorders often lead to a decrease in the quality of life, variable degrees of morbidity, and even life-threatening hemorrhage. Therefore, it is essential that the obstetrician be aware of the clinical clues, appropriate diagnostic tests, and treatment regimens for such disorders. This is particularly important for pregnant women, whose hemostatic system undergoes marked alterations in preparation for the unique challenge of delivery.
The hemostatic system
Basic knowledge of the hemostatic system assists in making clinical decisions regarding bleeding conditions in the obstetric population. Normal hemostasis is a highly regulated, physiologic process of clot formation and clot management that occurs in response to vascular injury. It involves 2 major systems: (i) primary hemostasis and (ii) secondary hemostasis. Although both systems are initiated at the same time and work together intricately to form stable platelet-fibrin clots, the influence that each system has upon clot formation in the arterial versus the venous systems is different.
Email your librarian or administrator to recommend adding this to your organisation's collection.