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Chitosan Gauze in the Management of Acute Postpartum Hemorrhage in a Mexican Third-Level Institution: A Case Report
Roberto Velasco Sordo1, Humberto López Maldonado1, Daniel A Ramirez Flores1
1Obstetrics and Gynecology, Centro Médico American British Cowdray (ABC), Mexico City, MEX.
Obstetric hemorrhage is the main cause of maternal death worldwide; over the years, its management has been based on uterotonic drugs as well as definitive and non-definitive surgical techniques. We report the case of a patient with multiple risk factors for obstetric hemorrhage who was given the classic management for postpartum hemorrhage before the addition of chitosan gauze, which resulted in adequate remission of the condition. The patient had an adequate in-hospital evolution; the chitosan gauze was removed after 24 hours, and she was discharged after 48 hours without active bleeding. When identifying women at high risk of obstetric hemorrhage, having chitosan gauze in the operating room could be a point of good care.
Obstetric hemorrhage is the main cause of maternal death worldwide; over the years, its management has been based on uterotonic drugs as well as definitive and non-definitive surgical techniques. We report the case of a patient with multiple risk factors for obstetric hemorrhage who was given the classic management for postpartum hemorrhage before the addition of chitosan gauze, which resulted in adequate remission of the condition. The patient had an adequate in-hospital evolution; the chitosan gauze was removed after 24 hours, and she was discharged after 48 hours without active bleeding. When identifying women at high risk of obstetric hemorrhage, having chitosan gauze in the operating room could be a point of good care.
