TY - JOUR T1 - Epidural analgesia in pregnant with deficit of factor VII JO - Revista Española de Anestesiología y Reanimación (English Edition) T2 - AU - Bollici Martínez,J. AU - Valiente Álvarez,J.L. AU - Pérez Castillejo,S. AU - López Pérez,R. AU - Aguilar Franco,C. AU - del Villar Sordo,V. SN - 23411929 M3 - 10.1016/j.redare.2020.12.007 DO - 10.1016/j.redare.2020.12.007 UR - https://www.elsevier.es/en-revista-revista-espanola-anestesiologia-reanimacion-english-444-articulo-epidural-analgesia-in-pregnant-with-S2341192922000580 AB - The congenital deficit of FVII of coagulation it's an anomaly of genetic transmission autosomal recessive type, it can occur with clinical manifestations like hematomas and spontaneous bleeding or not. The normal levels of FVII it's found between 70%-130% of the laboratory reference value. For unknown reasons there is a poor correlation between levels of FVII and bleeding risk. During pregnancy coagulation can be significantly altered, there is a no clear consensus and a very few information about how to act during labor in a patient with a FVII deficit. The case of a 35-year-old patient with 35 weeks of gestation and congenital deficit of the coagulation FVII (36%) is presented, epidural analgesia is performed during labor previously administering activated recombinant FVII (rFVIIa) without complications (Spinal hematoma, postpartum bleeding, thrombosis). ER -