Abstract
1st In prenatal care, especially in the last months of pregnancy, and during delivery, one must test the defects of coagulation, researching the times of coagulation, of bleeding, and prothrombin and counting the platelets with avaliation of retraction of clot, renewed if necessary. 2nd Once recognized the defect of coagulation, and if there is no human fibrinogen available, one ought to use whole fresh blood or plasma transfusions, beginning before the laboi till correction of the coagulation system in all cases of suspected premature separation of the placenta. In the case of afibrinogenia, the quantity of blood transfused should not be less than 1500–2000 cc. 3rd One must provide, through pregnancy, the good hepatic function, and the metabolic equilibrium of vitamin K and C.
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