Massive obstetric hemorrhage in a case with placenta accreta
Journal Title: Khoon - Year 2019, Vol 16, Issue 1
Abstract
Massive obstetric hemorrhage in a case with placenta accreta Behnaz F.1, Chegini A.2, Azizi Farsani H.R.1, Shekari R.1 1Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran 2Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran Abstract Background and Objectives Post-partum is one of the common causes of maternal mortality. Massive obstetrics hemorrhage may occur due to several etiologies such as Placenta Accreta. Massive transfusion protocols for obstetrics can reduce mortality and morbidity rate. Case A 28 year old patient who was an elective candidate for second cesarean without any particular disease was under spinal anesthesia and gave birth to a healthy baby. But after 25 minutes from the onset of the operation, the patient suffered from a marked drop in blood pressure and decrease in consciousness. Due to hemorrhage shock od an estimated blood loss of nearly 3500cc, she was intubated and prescribed isotonic and hypertonic fluids, colloids and blood components. Her diagnosis was placentra accreta and to control hemorrhage, hysterectomy was done. Conclusions Preoperative suspension for Placenta Accreta abnormalities should alert the anesthesia provider to potential massive blood loss. Preoperative effective communication among all obstetric caregivers is imperative. Key words: Placenta, Anesthesia, Obstetrics, Blood Transfusion, Obstetric Labor Complications Received: 24 Jun 2018 Accepted: 22 Dec 2018 Correspondence: Chegini A., MD. Specialist in Anesthesiology. Assistant Professor of Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine. P.O.Box: 14665-1157, Tehran, Iran. Tel: (+9821) 82052256; Fax: (+9821) 88601599 E-mail: a.chegini@ibto.ir
Authors and Affiliations
F. Behnaz, A. Chegini, H. R. Azizi Farsani, R. Shekari
Keywords
Related Articles
- EP ID EP522784
- DOI -
- Views 83
- Downloads 0
Frequency of Pulmonary Hypertension among patients with Major Thalassemia in Sanandaj Besat Hospital, 2014-2015
Frequency of Pulmonary Hypertension among patients with Major Thalassemia in Sanandaj Besat Hospital, 2014-2015 Moradveisi B.1, Shahidi M.1, Vahedi S.1, Yazdanifard P.1, Sohrabi M.2, Naleini N.2 1Besat Hospital, Kur...
Angiogenesis: A Review of Molecular Mechanism
Angiogenesis: A Review of Molecular Mechanism Roozbahani M.1, Jamshidian H.2,3, Mahmoudi E.3, Arshi A.4 1School of Basic Sciences, Islamic Azad University of Shahrekord Branch, Shahrekord, Iran 2Blood Transfusion Res...
HOTAIR expression in newly diagnosed Acute Lymphoblastic Leukemia pateints
HOTAIR expression in newly diagnosed Acute Lymphoblastic Leukemia pateints Fallah P.1, Molaie M.2, Ehsan Heidari A.3, Soleimani M.4, Jahedi Zargar M.1, Arefian E.5, Madani T.6, Asadi M.3, Poopak B.7 1Allied-Health F...
Molecular Detection of HCV and HBV in HIV positive patients in Chaharmahal and Bakhtiari Province
Molecular Detection of HCV and HBV in HIV positive patients in Chaharmahal and Bakhtiari Province Taheri F.1,2, Tajbakhsh E.3, Heidari Soureshjani E.1,2 1Blood Transfusion Research Center, High Institute for Research...
RBC Transfusion in premature neonates in Mofid Children Hospital 2017
RBC Transfusion in premature neonates in Mofid Children Hospital 2017 Tajjali S.1, Tatarpour P.2, Fallahi M.1 1Neonatal Health Research Center (NHRC), Mofid Hospital, Shahid Beheshti University of Medical Sciences, T...