Hematological care for pregnant women with sickle cell disease at the of Hematology and Immunology Institute

[摘要] In Cuba, medical care to pregnant sickle cell disease women has experienced a considerable increase in the number of items included, among which are preconceptional evaluation to get the proper classification of the severity of her clinical hematological situation before pregnancy; care of gestational period and measures during childbirth and postpartum period. This attention has undergone significant changes over the last 30 years, since the radical change in the institutional acceptance of pregnancy in this kind of patient and the respect for her autonomy, to the establishment of a policy to reduce risks and hematological or obstetric complications during this period. All these measures are today the prophylactic and therapeutic strategy that has been followed with these patients and it is our aim to present it as a document to be consulted to take proper decisions in the care of these patients. The possibility to have a specific strategy for the care of pregnant women with sickle cell disease who will be attended by a multidisciplinary well qualified medical team, allows us to establish specific therapeutic policies in the whole country and significantly increase health indicators as well as the quality of care to this group of patients.

[学科分类] 生理学与病理学

[关键词] drepanocitosis;embarazo;estrategia de atención