A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy

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...

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Autores principales: Gonzalez, Maritza G., Wei, Ruth M., Hatch, Kenneth D., Gries, Lynn M., Hill, Meghan G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374146/
https://www.ncbi.nlm.nih.gov/pubmed/30775107
http://dx.doi.org/10.1055/s-0039-1678735
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author Gonzalez, Maritza G.
Wei, Ruth M.
Hatch, Kenneth D.
Gries, Lynn M.
Hill, Meghan G.
author_facet Gonzalez, Maritza G.
Wei, Ruth M.
Hatch, Kenneth D.
Gries, Lynn M.
Hill, Meghan G.
author_sort Gonzalez, Maritza G.
collection PubMed
description 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.
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spelling pubmed-63741462019-02-15 A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy Gonzalez, Maritza G. Wei, Ruth M. Hatch, Kenneth D. Gries, Lynn M. Hill, Meghan G. AJP Rep 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. Thieme Medical Publishers 2019-01 2019-02-13 /pmc/articles/PMC6374146/ /pubmed/30775107 http://dx.doi.org/10.1055/s-0039-1678735 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Gonzalez, Maritza G.
Wei, Ruth M.
Hatch, Kenneth D.
Gries, Lynn M.
Hill, Meghan G.
A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy
title A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy
title_full A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy
title_fullStr A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy
title_full_unstemmed A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy
title_short A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy
title_sort novel treatment for massive hemorrhage after maternal trauma in pregnancy
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374146/
https://www.ncbi.nlm.nih.gov/pubmed/30775107
http://dx.doi.org/10.1055/s-0039-1678735
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