Can I have a normal vaginal delivery if I have a bleeding disorder?

In many cases, a vaginal delivery is possible with proper precautions, but again, it depends on your condition and clotting factor levels. Your doctor will carefully inspect your condition before suggesting the safest method for you and your baby.

Will my baby inherit my bleeding disorder?

The possibility of your baby inheriting the condition is higher if your condition is genetic. You may need genetic counselling and testing to understand the chances and prepare a care plan after the birth.

What if I have a mild bleeding disorder? Do I still need special care?

When it comes to pregnancy, even mild disorders may cause complications during delivery or after birth. The best thing to do is always inform your doctor and follow their guidance, even if you've had mild symptoms in the past.

Preparing for Pregnancy with a Bleeding Disorder: Safety Tips

Do you have a bleeding disorder that is stopping you from trying to conceive? Thinking about pregnancy in such a condition can naturally bring up a lot of questions and concerns. It is understandable, but do not lose hope because with progress in medical science, you can have a successful and safe pregnancy.

What Is a Bleeding Disorder?

A bleeding disorder is a condition that affects the way your blood clots, which means stopping bleeding may be challenging after an injury or surgery. In some cases, you may also experience unexpected bleeding without any probable cause. Some of the common types of bleeding disorders are mentioned below.

Haemophilia (mostly affects men but can be carried by women)
Von Willebrand Disease (VWD) is the most common bleeding disorder
Platelet function disorders

You may be aware of your bleeding disorder, or you may experience symptoms like heavy periods, easy bruising, or frequent nosebleeds. However, get tested before planning a pregnancy if you suspect a bleeding disorder.

Why Planning Matters More If You Have a Bleeding Disorder

Pregnancy leads to many physical changes, but with a bleeding disorder, these changes may affect your condition.

You may bleed more during delivery or after childbirth.
Your baby could inherit the bleeding disorder if it is genetic.
You may need special care during tests, delivery, or even while breastfeeding.

You must prepare in advance for any complications before the pregnancy. Your doctor can put together a care team and create a safe pregnancy and delivery plan for you.

Step 1: Talk to a Hematologist and a Gynaecologist

Your first step is to consult a haematologist (a doctor who treats blood disorders) and an obstetrician-gynaecologist (OB-GYN) who has experience handling high-risk pregnancies. They may take the following steps.

Review your medical history
Check your current bleeding symptoms
Test your clotting factor levels
Discuss your genetic risks
Make a plan for pregnancy, delivery, and postpartum care

Step 2: Understand the Risks – But Don't Panic

A bleeding disorder can make pregnancy riskier, but understanding it will help you manage it better. The following are the possible risks.

Heavy bleeding during pregnancy or after delivery (postpartum haemorrhage).
Bleeding during surgery if you need a C-section.
Miscarriage or complications may occur if not managed properly.
Passing the disorder to your baby, especially if it is genetic.

Step 3: Get the Right Tests

Your doctor may recommend the following before you get pregnant.

Clotting factor tests: To see how well your blood clots.
Genetic testing: To find out if you carry or can pass on the disorder.
Carrier testing is recommended if there is a family history of bleeding disorders.
Prenatal tests: Non-invasive blood tests or detailed ultrasounds after you get pregnant.

These tests are crucial to make important decisions, such as whether you will need treatments like clotting factor replacement therapy during pregnancy or delivery.

Step 4: Make a Birth Plan with a Specialist Team

A standard delivery plan is not helpful in case of a bleeding disorder. You will need a personalised birth plan.

Using medications or blood products
Monitoring the baby's health before and after birth
Managing bleeding during labour
Planning for emergencies

You may also need to avoid certain procedures like epidurals, forceps, or vacuum delivery if they increase the bleeding risk.

Step 5: Plan for the Baby's Health Too

The chances of passing your bleeding disorder to your baby are higher when it is genetic. Your doctor will monitor your baby carefully and may also test for the condition after birth.

In some cases, your baby may need to be delivered in a way that reduces the risk of bleeding, such as by avoiding forceful delivery methods.

Also, the baby may be at higher risk and require special care at birth if you are having a boy and you carry a gene for haemophilia.

Step 6: Prepare for the Postpartum Phase

Many women with bleeding disorders experience heavy postpartum bleeding, which can be serious if not managed correctly. Your doctor will also give you clear instructions before you leave the hospital.

Watching out for symptoms (like soaking through pads quickly)
Taking clotting factor medicines on time
Avoiding certain activities

Also, breastfeeding is usually safe, but check with your doctor if you are on any medications.

Please do not let a bleeding disorder stop you from experiencing motherhood. You can always plan for a healthy and safe pregnancy with the correct information, tests, and your doctor's advice. These steps will support your and your baby's health.

Do not hesitate to reach out to your doctor if you have been delaying pregnancy because of concerns about a bleeding disorder. You can begin your conception journey with the correct support and medical team.

Whether you’re trying to conceive or navigating IVF, you’re not alone. Join our supportive communities to connect, share, and find strength with others on the same journey.

FAQs on Preparing for a Safe Pregnancy with a Bleeding Disorder

Can I have a normal vaginal delivery if I have a bleeding disorder?
In many cases, a vaginal delivery is possible with proper precautions, but again, it depends on your condition and clotting factor levels. Your doctor will carefully inspect your condition before suggesting the safest method for you and your baby.
Will my baby inherit my bleeding disorder?
The possibility of your baby inheriting the condition is higher if your condition is genetic. You may need genetic counselling and testing to understand the chances and prepare a care plan after the birth.
What if I have a mild bleeding disorder? Do I still need special care?
When it comes to pregnancy, even mild disorders may cause complications during delivery or after birth. The best thing to do is always inform your doctor and follow their guidance, even if you've had mild symptoms in the past.