|
|
| Line 3: |
Line 3: |
| {{CMG}}; {{AE}} {{Simrat}} | | {{CMG}}; {{AE}} {{Simrat}} |
| ==Overview== | | ==Overview== |
| [[Genetic counseling]] is recommended for hemophilia carrier families.
| | Initial screening blood investigations for any child with suspected bleeding disorder include platelet count, prothrombin time (PT), and activated partial thromboplastin time (aPTT). These tests reveal a prolonged aPTT with a normal platelet count and PT. Chorionic villous sampling at 11-14 weeks of gestation can be performed for the genetic diagnosis of hemophilia. |
| ==Screening== | | ==Screening== |
| [[Genetic counseling]] is recommended in hemophilia carrier families. Genetic counselors provide information and support for carriers and their families, before they conceive a child, and after the unpredicted birth of a son with hemophilia.
| | *Initial screening blood investigations for any child with suspected bleeding disorder include platelet count, prothrombin time (PT), and activated partial thromboplastin time (aPTT). |
| Hemophilia can be diagnosed before, during or after birth if there's a family history of the condition.
| | *Chorionic villous sampling at 11-14 weeks of gestation can be performed for the genetic diagnosis of hemophilia. |
| | |
| Several options are available to parents
| |
| If there's no family history of hemophilia, it's usually only diagnosed when a child begins to walk or crawl. They may experience joint bleeds or easy bruising.
| |
| Mild hemophilia may only be discovered later, usually after an injury or a dental or surgical procedure.
| |
| | |
| ===Tests before pregnancy===
| |
| [[Genetic testing]] and counseling are available to help determine the risk of passing the condition onto a child.
| |
| This may involve testing a sample of your tissue or blood to look for signs of the genetic [[mutation]] that causes hemophilia.
| |
| ===Tests during pregnancy===
| |
| If you become pregnant and have a history of hemophilia in your family, tests for the hemophilia [[gene]] can be carried out. These include:
| |
| *[[Chorionic villus sampling]] (CVS) - a small sample of the placenta is removed from the womb and tested for the hemophilia [[gene]], usually during weeks 11-14 of pregnancy | |
| *[[Amniocentesis]] – a sample of amniotic fluid is taken for testing, usually during weeks 15-20 of pregnancy.
| |
| *PUBS (percutaneous umbilical blood sampling)- PUBS directly tests the blood of the unborn baby. It is done after the 20th week of pregnancy. The doctor takes blood from the umbilical vein which runs from the baby to the placenta. The test results are ready in just a few days. <ref>{{Cite web | title =NHS Hemophilia screening| url =http://www.nhs.uk/Conditions/Haemophilia/Pages/Diagnosis.aspx }}</ref>
| |
| There's a small risk of these procedures causing problems such as miscarriage or premature labour, so you may want to discuss this with the doctor in charge of your care.
| |
| | |
| ===Tests after birth===
| |
| If hemophilia is suspected after your child has been born, a blood test can usually confirm the diagnosis. Blood from the umbilical cord can be tested at birth if there's a family history of hemophilia. A blood test will also be able to identify whether your child has hemophilia A or B, and how severe it is.
| |
| <ref>{{Cite web | title = Hog handbook Hemophilia screening| url =http://www.hog.org/handbook/article/1/3/testing-for-hemophilia }}</ref>
| |
|
| |
|
| ==References== | | ==References== |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]
Overview
Initial screening blood investigations for any child with suspected bleeding disorder include platelet count, prothrombin time (PT), and activated partial thromboplastin time (aPTT). These tests reveal a prolonged aPTT with a normal platelet count and PT. Chorionic villous sampling at 11-14 weeks of gestation can be performed for the genetic diagnosis of hemophilia.
Screening
- Initial screening blood investigations for any child with suspected bleeding disorder include platelet count, prothrombin time (PT), and activated partial thromboplastin time (aPTT).
- Chorionic villous sampling at 11-14 weeks of gestation can be performed for the genetic diagnosis of hemophilia.
References
Template:WH
Template:WS