Evidence map›Paper›PMID 41378342›Full record

ArticleResearch and practice in thrombosis and haemostasis2025

Multidisciplinary perinatal care for women with bleeding disorders.

Vanessa Giuliano, Natalya E O'Neill, Vincent So, Shamshah Aratia, Shalene Wong, Allison Rupnaraine, Rebecca Sampat, Filomena Meffe, Jillian M Baker, Jeffrey Wassermann and 2 more

Abstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Vanessa GiulianoDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada.
Natalya E O'NeillDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada.
Vincent SoDepartment of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Shamshah AratiaDepartment of Hematology, St. Michael's Hospital, Toronto, Ontario, Canada.
Shalene WongDepartment of Hematology, St. Michael's Hospital, Toronto, Ontario, Canada.
Allison RupnaraineDepartment of Hematology, St. Michael's Hospital, Toronto, Ontario, Canada.
Rebecca SampatDepartment of Hematology, St. Michael's Hospital, Toronto, Ontario, Canada.
Filomena MeffeDepartment of Obstetrics and Gynecology, St. Michael's Hospital, Toronto, Ontario, Canada.
Jillian M BakerDepartment of Pediatrics, St. Michael's Hospital, Toronto, Ontario, Canada.
Jeffrey WassermannDepartment of Anesthesia, St. Michael's Hospital, Toronto, Ontario, Canada.
Grace H TangDepartment of Hematology, St. Michael's Hospital, Toronto, Ontario, Canada.
Michelle SholzbergDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Women with bleeding disorders face increased bleeding risks during the perinatal period, making coordinated care essential to prevent and manage bleeding complications. Objectives: The study aimed to characterize the perinatal experiences of women with bleeding disorders and assess the impact of multidisciplinary care and care plans on patients and healthcare providers. Methods: Women aged >18 years with bleeding disorders who were provided a multidisciplinary care plan and underwent labor and delivery were recruited from St. Michael's Hospital Multidisciplinary Clinic for Women with Bleeding Disorders. Semistructured interviews were conducted until thematic saturation was reached, and transcripts were analyzed using descriptive qualitative analysis. Provider experiences were assessed using survey methods. Results: Fourteen participants were interviewed. Four primary themes were identified: 1) the impact of bleeding disorders on pregnancy, 2) challenges with the healthcare system, 3) St. Michael's Hospital Multidisciplinary Clinic for Women with Bleeding Disorders delivered patient-centered care, and 4) experience with the care plan. Eighteen healthcare providers completed the survey, with 89% supporting that the care plan was helpful and all agreeing that it met clinical needs. Conclusion: Our work demonstrates that although women with bleeding disorders face unique perinatal challenges, multidisciplinary care and individualized care plans improve confidence and empowerment and support advocacy-based, patient-centered care.

Indexed as

hemmorhagic disorderpatient advocacypatient care teamperinatal carewomen's health

Identifiers

PMID41378342
PMCPMC12689207

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.