Von Willebrand disease(vWD) is a very common hemostatic disorder encountered in obstetric anesthesia practice.This disorder needs appropriate preoperative evaluation to choose the best technique of anesthetic management.Evaluation needs to be individualized to consider the risk and benefits of each technique,either general or neuraxial anesthesia.

The risk of spinal or epidural hematoma following neuraxial techniques is rare,owing to the alteration of coagulation status in pregnancy.General anesthesia is best avoided due to anticipated difficult airway and risk of aspiration,unless required in caesarean delivery with documented coagulopathy,severe fetal distress,maternal refusal of regional anesthesia, or failed regional attempts.There are only a few published case reports on use of spinal anesthesia in vWD parturients for caesarean delivery.

We present a case of anesthetic management in a parturient with vWD for caserean delivery.The indications of spinal anesthesia for caesarean delivery with regard to vWD are reviewed