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Updated: Jan 29, 2026

Assessment of Maternal Vascular Remodeling During Pregnancy in the Mouse Uterus
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A Novel Treatment for Massive Hemorrhage after Maternal Trauma in Pregnancy

Maritza G Gonzalez1, Ruth M Wei1, Kenneth D Hatch1

  • 1Department of Obstetrics and Gynecology, University of Arizona, Tucson, Arizona.

AJP Reports
|February 19, 2019
PubMed

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:
disseminated intravascular coagulationpregnancytraumauterine compression

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