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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)E27-E29
JournalAJP Reports
Volume9
Issue number1
DOIs
StatePublished - Jan 1 2019

    Fingerprint

Keywords

  • disseminated intravascular coagulation
  • pregnancy
  • trauma
  • uterine compression

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this