TABLE OF CONTENTS
Introduction 1General Management of Hemophilia3
What is Hemophilia?
3
Diagnosis of Hemophilia
3
Bleeding Manifestations in Hemophilia
4
Sites of Bleeding
4
Incidence of Different Sites of Bleeding
4
Incidence of Bleeding into Different Joints
4
Chronic Complications of Hemophilia
5
Carriers
5
Comprehensive Care
5
Comprehensive Care Team
6
Functions of Comprehensive Care Program
7
The Family
7
Management of Hemophilia
7
Principles of Care
7
Management of Bleeding
8
Adjunctive Management
8
Home Therapy
9
Prophylaxis
9
Surgery
10
Inhibitors
10
Management of Bleeding
11
Allergic Reactions in Hemophilia B Patients with Inhibitors
11
Immune Tolerance Induction
11
Patients Switching to New Concentrates
12
Genetic Counselling/Prenatal Diagnosis
12
Delivery of Infants with Known or Suspected Hemophilia
12
Vaccination
13
Psychosocial Issues
13
Daily Living
13
For the Person with Hemophilia
14
For the Family
14
For the Community
14
Dental Care
15
Monitoring Outcome of Treatment
16
Sports and Hemophilia
16
Guidelines for the Management of Hemophilia