Bernard-Soulier Syndrome from the Perspective of the Obstetrician: A Case Report with a Review of the Literature

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dc.authoridOnat, Taylan/0000-0002-8920-1444
dc.authoridSaridogan, Erdinc/0000-0003-2183-7689
dc.authoridKaraer, Abdullah/0000-0002-2010-6211
dc.authorwosidOnat, Taylan/JBR-8328-2023
dc.authorwosidSaridogan, Erdinc/ABE-3553-2020
dc.authorwosidKaraer, Abdullah/ABI-4667-2020
dc.contributor.authorSaridogan, Erdinc
dc.contributor.authorOnat, Taylan
dc.contributor.authorDuz, Senem Arda
dc.contributor.authorTuncay, Gorkem
dc.contributor.authorAbdurahmanova, Nuray
dc.contributor.authorOrujova, Lumayat
dc.contributor.authorKaraer, Abdullah
dc.date.accessioned2024-08-04T20:54:27Z
dc.date.available2024-08-04T20:54:27Z
dc.date.issued2023
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective Bernard-Soulier syndrome (BSS) is one of the rare inherited platelet disorders that is characterized by macrothrombocytopenia and adhesion abnormality due to the absence or malfunctioning of the membrane GPIb-IX-V complex. There is no high-quality evidence on obstetric management of BSS owing to its rarity. Here we report an uncomplicated delivery of an adolescent with BSS and review the literature on the topic of BSS and pregnancy.Methods PUBMED, EMBASE, COCHRANE, and Google Scholar databases were searched up to April 2022 without language and year restriction using the terms Bernard Soulier and Pregnancy . The primary objectives were to evaluate maternal and fetal outcomes. The secondary objectives were to analyze pregnancy complications, gestational age at delivery, mode of delivery, administered prophylaxis, treatment approaches, duration of postpartum hospitalization, and the postpartum requirement of blood and blood product.Results The patient was a 19-year-old and 39-week pregnant woman who was diagnosed with BSS at the age of 10 by flow cytometry and genetic analysis. Single donor platelet transfusions and oral tranexamic acid were administered as prophylaxis at the peripartum period. She was delivered by cesarean section due to failure of labor. The postpartum period was uneventful for both mother and neonate. In the literature review, postpartum hemorrhage (PPH) was found in 52.9% (27/51) of deliveries. Late PPH occurred more frequently than early PPH (35.3 and 31.4%, respectively). 49% (25/51) of pregnancies had severe thrombocytopenia, and antepartum hemorrhage was observed in 11.8% (6/51) of those. The platelet count was in close relation to antenatal complications. 64.7% (33/51) of the patients were delivered via cesarean section. PPH and late PPH were found to be more common in those who delivered vaginally compared to those who delivered by caesarean section. It was observed that PPH was less common in women who were given prophylaxis in the peripartum period.Conclusion BSS is an inherited macro-thrombocytopathy that may cause adverse maternal and neonatal outcomes. The optimal mode and timing of delivery remain unclear. A multidisciplinary approach with prophylaxis at the peripartum period should be applied.en_US
dc.identifier.doi10.1055/a-2024-0819
dc.identifier.endpage178en_US
dc.identifier.issn0948-2393
dc.identifier.issn1439-1651
dc.identifier.issue3en_US
dc.identifier.pmid36889343en_US
dc.identifier.scopus2-s2.0-85161947883en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage168en_US
dc.identifier.urihttps://doi.org/10.1055/a-2024-0819
dc.identifier.urihttps://hdl.handle.net/11616/101409
dc.identifier.volume227en_US
dc.identifier.wosWOS:000946151300001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherGeorg Thieme Verlag Kgen_US
dc.relation.ispartofZeitschrift Fur Geburtshilfe Und Neonatologieen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectbernard soulier syndromeen_US
dc.subjectmanagementen_US
dc.subjectpostpartum hemorrhageen_US
dc.subjectpregnancyen_US
dc.subjectprophylaxisen_US
dc.titleBernard-Soulier Syndrome from the Perspective of the Obstetrician: A Case Report with a Review of the Literatureen_US
dc.typeReview Articleen_US

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