Anesthetic and Peripartum Management of Inherited Coagulation Disorders in Pregnancy.

Pregnancy induces significant changes in the coagulation and fibrinolytic systems, creating a physiologic hypercoagulable state. While these adaptations protect against hemorrhage at delivery, they pose complex challenges in patients with underlying coagulation disorders. This review summarizes hemostasis in pregnancy, common inherited and acquired bleeding disorders, and the anesthetic considerations essential for safe peripartum management.