Back to Search Start Over

A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy.

Authors :
Gonzalez MG
Wei RM
Hatch KD
Gries LM
Hill MG
Source :
AJP reports [AJP Rep] 2019 Jan; Vol. 9 (1), pp. e27-e29. Date of Electronic Publication: 2019 Feb 13.
Publication Year :
2019

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.

Details

Language :
English
ISSN :
2157-6998
Volume :
9
Issue :
1
Database :
MEDLINE
Journal :
AJP reports
Publication Type :
Academic Journal
Accession number :
30775107
Full Text :
https://doi.org/10.1055/s-0039-1678735