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 w...

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Bibliographic Details
Main Authors:	Maritza G. Gonzalez, Ruth M. Wei, Kenneth D. Hatch, Lynn M. Gries, Meghan G. Hill
Format:	Article
Language:	English
Published:	Thieme Medical Publishers, Inc. 2019-01-01
Series:	American Journal of Perinatology Reports
Subjects:	trauma pregnancy uterine compression disseminated intravascular coagulation
Online Access:	http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1678735

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spelling	doaj-6cc1a377691d4762ac84c754e4f27f692020-11-25T02:31:40ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052019-01-010901e27e2910.1055/s-0039-1678735A Novel Treatment for Massive Hemorrhage after Maternal Trauma in PregnancyMaritza G. Gonzalez0Ruth M. Wei1Kenneth D. Hatch2Lynn M. Gries3Meghan G. Hill4Department of Obstetrics and Gynecology, University of Arizona, Tucson, ArizonaDepartment of Obstetrics and Gynecology, University of Arizona, Tucson, ArizonaDepartment of Obstetrics and Gynecology, University of Arizona, Tucson, ArizonaDepartment of Surgery, University of Arizona, Tucson, ArizonaDepartment of Obstetrics and Gynecology, University of Arizona, Tucson, ArizonaAbstract 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1678735traumapregnancyuterine compressiondisseminated intravascular coagulation
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Maritza G. Gonzalez Ruth M. Wei Kenneth D. Hatch Lynn M. Gries Meghan G. Hill
spellingShingle	Maritza G. Gonzalez Ruth M. Wei Kenneth D. Hatch Lynn M. Gries Meghan G. Hill A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy American Journal of Perinatology Reports trauma pregnancy uterine compression disseminated intravascular coagulation
author_facet	Maritza G. Gonzalez Ruth M. Wei Kenneth D. Hatch Lynn M. Gries Meghan G. Hill
author_sort	Maritza G. Gonzalez
title	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_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_sort	novel treatment for massive hemorrhage after maternal trauma in pregnancy
publisher	Thieme Medical Publishers, Inc.
series	American Journal of Perinatology Reports
issn	2157-6998 2157-7005
publishDate	2019-01-01
description	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.
topic	trauma pregnancy uterine compression disseminated intravascular coagulation
url	http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1678735
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A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy

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