A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy
| Autor: | Maritza G. Gonzalez, Ruth M. Wei, Kenneth D. Hatch, Lynn M. Gries, Meghan G. Hill |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | American Journal of Perinatology Reports, Vol 09, Iss 01, Pp e27-e29 (2019) |
| Druh dokumentu: | article |
| ISSN: | 2157-6998 2157-7005 |
| DOI: | 10.1055/s-0039-1678735 |
| Popis: | 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. |
| Databáze: | Directory of Open Access Journals |
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