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
