Here are the instructions for arranging consultations for patients who have hematologic problems complicating a pregnancy. The recommendations were laid out by Dr. Pratt in January 2011.
Over the past several months, the Perinatal Clinic has seen patients who have needed consultations and co-management with hematology. Specifically, these women have clotting deficiencies (vonWillibrands, heterozygous Factor VIII deficiency, Factor VII deficiency) which result in potentially increased risk during the pregnancy . Some of the hem/onc folks are more comfortable caring for pregnant women with clotting disorders than others. To address these concerns, Dr. Pratt had a meeting with Mark Menge, Hem/Onc department chair and Mark Wilkowske, hematology division chair. Their department had a recent meeting to address specific concerns.
Dr. Amy Spomer and Dr. Cathy Chen have interest and additional expertise in clotting disorders. Therefore, if you have a patient with a clotting disorder, please specifically refer your patient to these physicians.
For patients with thrombophilias (increased risk of clot), all of the hem/onc physicians are happy to see your patients. In addition, Dr. Bruce Burnett (director of the Anticoagulation Clinic) is happy to see patients with genetic thrombophilias.