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Severe Postpartum Coagulopathy Without Haemorrhage: A Case Report

Muriel Lérias-Cambeiro1, Anabela Rodrigues2, Inês Taborda1

  • 1Department of Anaesthesiology, Hospital de Santa Maria. Centro Hospitalar Lisboa Norte, Portugal.

Acta Medica Portuguesa
|October 18, 2018
PubMed

Postpartum haemorrhage is an important health issue worldwide, and it can be caused by uterine atony, retained placental tissue, trauma or coagulation disorders. Although coagulopathy represents a rare cause, it is a significant contributor to postpartum haemorrhage with poor outcomes. Associated with high morbidity and mortality rates, postpartum haemorrhage demands prevention, prompt diagnosis and effective management. We describe a unique case of severe coagulopathy caused by underestimated blood loss during caesarean section without postpartum bleeding, in which transfusion requirements were thromboelastometry-guided. This case report depicts how an early multidisciplinary approach and patient-centred care in an obstetric emergency contributes to a positive outcome from a challenging situation, enabling the prevention of an imminent, catastrophic haemorrhage.

Keywords:
Blood Coagulation DisordersBlood TransfusionPostpartum HemorrhageThrombelastography

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