Our pregnant patient returns to clinic she is now 13 weeks pregnant. 

Her factor VIII level was 54%. She is a carrier of intron 22 inversion as predicted from family history. 

The free fetal DNA testing confirms she is carrying a male fetus. The patient has decided that she does not wish to undergo CVS for diagnosis.

Is the patients factor VIII level safe for intervention / delivery?

When should her factor VIII level be re-checked?

What should be considered when formulating a birth plan with the patient? 

Any interventions that should be avoided during delivery?