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Management of Inherited Bleeding Disorders in Pregnancy (Green-top Guideline No. 71) RCOG (568)

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RCOG Green Top Guideline 71: Management of Inherited Disorders in Pregnancy

Women who have inherited bleeding disorders may be at significant risk of bleeding following miscarriage, abortion, antenatal procedures and delivery. They require multidisciplinary specialised care tailored to the individual, with cross-specialty communication, including anaesthetists and neonatologists as necessary.

The conditions covered in this guideline are haemophilia A and B, von Willebrand disease (VWD), factor XI deficiency, rare factor deficiencies, fibrinogen disorders, Bernard Soulier Syndrome (BSS), Glanzmann’s thrombasthenia (GT) and other platelet function disorders.

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Editorial Information

Last reviewed: 12/09/2025

Next review date: 30/09/2027

Author(s): Royal College of Obstetricians & Gynaecologists.

Version: 3

Approved By: Maternity Clinical Governance Group

Document Id: 568