VWD MANAGEMENT
CLINICAL PRACTICE GUIDELINES
Hemophilia and von Willebrand's disease: 2. Management
(Edition 2, Update 2 [1999-07-07])
Given the hereditary nature of these bleeding disorders, family
members will be concerned about their carrier status and the risk
to future children. These concerns can be addressed through genetic
counselling for the extended family and, when appropriate, through
carrier testing and antenatal diagnosis.<17> The emotional
and psychologic stress of living with a severe bleeding disorder
or of caring for someone with such a disorder may necessitate psychologic
counselling. As a result of HIV, hepatitis C and hepatitis B infections,
counselling needs for families have increased drastically.<18> Practice
of universal blood precautions reduces the risk of viral transmission
to family members. Sexual partners of those infected with HIV and
HBV through contaminated blood products are at risk of acquiring
HIV or HBV. Present knowledge suggests the concern is less for
sexual partners of those infected with HCV.<19>. As for all
patients with HIV and HBV infections and their partners, education
about safer sexual and other practices to reduce infection transmission
must be provided.<20> Susceptible family members of those
infected with hepatitis B must be protected by hepatitis B vaccination.
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EMBASE
PUBMED
CINAHL
CANCERLIT
WEB OF SCIENCE
MEDLINE
BIOLOGICAL ABSTRACTS
COCHRANE REPORT
OTHER VON WILLEBRAND SEARCHES
BLEEDING DISORDERS IN WOMEN
BLOOD COMPONENTS
COMPREHENSIVE CARE
FAMILY INVOLVEMENT IN CARE
GENETIC COUNCELING
DISEASE MANAGEMENT
PRE-OPERATIVE ASSESSMENT