A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy

Maritza G. Gonzalez; Ruth M. Wei; Kenneth D. Hatch; Lynn M. Gries; Meghan G. Hill

doi:10.1055/s-0039-1678735

A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy

Maritza G. Gonzalez, Ruth M. Wei, Kenneth D. Hatch, Lynn M. Gries, Meghan G. Hill

Obstetrics and Gynecology

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

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.

Original language	English (US)
Pages (from-to)	E27-E29
Journal	AJP Reports
Volume	9
Issue number	1
DOIs	https://doi.org/10.1055/s-0039-1678735
State	Published - 2019

Keywords

disseminated intravascular coagulation
pregnancy
trauma
uterine compression

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Obstetrics and Gynecology

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10.1055/s-0039-1678735

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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.",

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AU - Wei, Ruth M.

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AB - 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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A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy

Abstract

Keywords

ASJC Scopus subject areas

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