A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy

Abstract Background  Trauma in pregnancy can lead to life-threatening hemorrhage. Conventional treatments of hemorrhage include medical and surgical management. However, if these measures fail uterine compression is an option to control bleeding. We present a case where this management was employed....

Full description

Saved in:
Bibliographic Details
Published in:American journal of perinatology reports 2019-01, Vol.9 (1), p.e27-e29
Main Authors: Gonzalez, Maritza G., Wei, Ruth M., Hatch, Kenneth D., Gries, Lynn M., Hill, Meghan G.
Format: Article
Language:English
Subjects:
Case Report
disseminated intravascular coagulation
pregnancy
trauma
uterine compression
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Background  Trauma in pregnancy can lead to life-threatening hemorrhage. Conventional treatments of hemorrhage include medical and surgical management. However, if these measures fail uterine compression is an option to control bleeding. We present a case where this management was employed. Case  A patient presented at 36 weeks of gestation with multiple injuries after a motor vehicle collision and experienced disseminated intravascular coagulation (DIC). The use of a Bakri balloon in combination with external compression with Coban, a sterile self-adherent bandage, after delivery temporized her bleeding and allowed her to become stable for further management. Conclusion  When other measures fail and a hysterectomy is considered unsafe, the combination of internal and external uterine compression is an option.
ISSN:2157-6998
2157-7005
DOI:10.1055/s-0039-1678735