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A multidisciplinary team of physicians from the high-risk pregnancy, anaesthesiology, haematology, gastroenterology and hepatology departments put a management plan; it culminated into uncomplicated delivery of the patient by repeated caesarian section. The team was also able to figure out the cause of the patient\u2019s high INR that is associated with thrombophilia rather than haemophilia.<\/jats:p>","DOI":"10.1136\/bcr-2020-237781","type":"journal-article","created":{"date-parts":[[2021,2,4]],"date-time":"2021-02-04T17:13:11Z","timestamp":1612458791000},"page":"e237781","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Accidentally discovered high INR in pregnancy unmasks an inherited factor VII (FVII) deficiency that is paradoxically associated with thrombotic tendency"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6051-7445","authenticated-orcid":false,"given":"Islam Tarek","family":"Elkhateb","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology Department, Newgiza University, Giza, Giza, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7260-8363","authenticated-orcid":false,"given":"Abdalla","family":"Mousa","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology Department, Cairo University Kasr Alainy Faculty of Medicine, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riham","family":"Mohye Eldeen","sequence":"additional","affiliation":[{"name":"Dermatology Department, Cairo University Kasr Alainy Faculty of Medicine, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3463-3311","authenticated-orcid":false,"given":"Yssra","family":"Soliman","sequence":"additional","affiliation":[{"name":"Dermatology Department, Albert Einstein College of Medicine, Bronx, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,2,4]]},"reference":[{"key":"2025082804403539000_14.2.e237781.1","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1055\/s-0037-1615947","article-title":"A cell-based model of hemostasis","volume":"85","author":"Hoffman","year":"2001","journal-title":"Thromb Haemost"},{"key":"2025082804403539000_14.2.e237781.2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.2005.05847.x"},{"key":"2025082804403539000_14.2.e237781.3","unstructured":"Mannucci PM . 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