International Journal of Medical Anesthesiology
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P-ISSN: 2664-3766
E-ISSN: 2664-3774
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2023, Vol. 6, Issue 3, Part B

Anaesthetic management of atonic postpartum haemorrhage secondary to trauma during normal vaginal delivery: A case report


Author(s): Dr. Prathibha Santosh, Amera Shweita and Marwa Mamdouh

Abstract:
PPH is a leading cause of maternal mortality which has several aetiologies. Effective management including resuscitation, hemostasis, and identification and treatment of the cause in these cases is important. This case reports a parturient patient G4P3L3 40 weeks and 1 day gestation who suffered from PPH after normal vaginal delivery. On exploration an uncommon right broad ligament hematoma was detected which was drained, ligating the hypogastric artery. A hysterectomy was performed. During the procedure general anesthesia with ketamine was administered. Haemostasis was maintained by transfusing 2 units of packed red blood cells and 1 unit of fresh frozen plasma (FFP). Inj Fibrinogen 2 grams and Inj. Tranexamic acid 1 gram was infused intravenously. In total, 9 units of packed RBCs, 6 units of FFP, 4 units of platelets, and 2 liters of crystalloids were transfused during the entire procedure. 10 ml of 10 % calcium gluconate was also given after every 3 units of packed RBC transfusion. The patient was weaned off the ventilator after stabilizing the vitals and discharged 5 days later.


DOI: 10.33545/26643766.2023.v6.i3b.423

Pages: 120-122 | Views: 422 | Downloads: 182

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International Journal of Medical Anesthesiology
How to cite this article:
Dr. Prathibha Santosh, Amera Shweita, Marwa Mamdouh. Anaesthetic management of atonic postpartum haemorrhage secondary to trauma during normal vaginal delivery: A case report. Int J Med Anesthesiology 2023;6(3):120-122. DOI: 10.33545/26643766.2023.v6.i3b.423
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