When should I consider referring a patient with haemophilia to a specialist haemophilia centre?

Consider referring a patient with haemophilia to a specialist haemophilia centre:

• When the patient has significant active bleeding that does not respond to simple measures such as local compression.
• For individualised management during pregnancy and childbirth, including planning intrapartum and postpartum care in consultation with a senior haematologist.
• When specialised haematological investigations or treatments are needed, including clotting factor assays and management of bleeding complications.
• For advice on managing bleeding risks, including avoiding intramuscular injections of uterotonics and monitoring haematological parameters postpartum.

Referral should be prompt to ensure expert assessment and management, especially in cases of active bleeding or complex care needs.

References: These recommendations align with good clinical practice and NICE guidelines on bleeding disorders and intrapartum care for women with bleeding disorders ¹,⁴.