Regional anesthesia in a pregnant woman affected by obesity and hyperhomocysteinemia

A. Gavrila, M. Novac, D. Cernea

Abstract: Hyperhomocysteinemia is due to congenital and acquired changes in the metabolism of homocysteine. During pregnancy, women with MTHFR genetic disorders, which causes a key enzyme in the body to function at lower than normal rate, and hyperhomocysteinemia undergo antepartum anticoagulant treatment with low molecular weight heparin. Complications of pregnancy related to thrombosis and the fact that birth and the onset of labor is unpredictable, lead to unique challenges when it comes to choosing the type of anesthesia. This presentation focuses on the anesthetic implications arising in parturient women affected by thrombophilia.
Keywords: thrombophilia, pregnancy, regional anesthesia