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

3 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

Access to Document

10.1055/s-0039-1678735

Cite this

@article{a3fe83430db742ee8a02128a35802716,

title = "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. 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.",

keywords = "disseminated intravascular coagulation, pregnancy, trauma, uterine compression",

author = "Gonzalez, \{Maritza G.\} and Wei, \{Ruth M.\} and Hatch, \{Kenneth D.\} and Gries, \{Lynn M.\} and Hill, \{Meghan G.\}",

note = "Publisher Copyright: {\textcopyright} 2019 by Thieme Medical Publishers, Inc.",

year = "2019",

doi = "10.1055/s-0039-1678735",

language = "English (US)",

volume = "9",

pages = "E27--E29",

journal = "AJP Reports",

issn = "2157-6998",

publisher = "Thieme Medical Publishers, Inc.",

number = "1",

}

TY - JOUR

T1 - A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy

AU - Gonzalez, Maritza G.

AU - Wei, Ruth M.

AU - Hatch, Kenneth D.

AU - Gries, Lynn M.

AU - Hill, Meghan G.

PY - 2019

Y1 - 2019

N2 - 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.

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.

KW - disseminated intravascular coagulation

KW - pregnancy

KW - trauma

KW - uterine compression

UR - https://www.scopus.com/pages/publications/85061663890

UR - https://www.scopus.com/pages/publications/85061663890#tab=citedBy

U2 - 10.1055/s-0039-1678735

DO - 10.1055/s-0039-1678735

M3 - Article

AN - SCOPUS:85061663890

SN - 2157-6998

VL - 9

SP - E27-E29

JO - AJP Reports

JF - AJP Reports

IS - 1

ER -

A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this