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CC BY-NC-ND 4.0 · AJP Rep 2019; 09(01): e27-e29
DOI: 10.1055/s-0039-1678735
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy

Maritza G. Gonzalez
1   Department of Obstetrics and Gynecology, University of Arizona, Tucson, Arizona
,
Ruth M. Wei
1   Department of Obstetrics and Gynecology, University of Arizona, Tucson, Arizona
,
Kenneth D. Hatch
1   Department of Obstetrics and Gynecology, University of Arizona, Tucson, Arizona
,
Lynn M. Gries
2   Department of Surgery, University of Arizona, Tucson, Arizona
,
Meghan G. Hill
1   Department of Obstetrics and Gynecology, University of Arizona, Tucson, Arizona
› Author Affiliations
Further Information

Publication History

20 February 2018

24 September 2018

Publication Date:
13 February 2019 (online)

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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.

Keywords

trauma - pregnancy - uterine compression - disseminated intravascular coagulation
 

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