Severe Postpartum Coagulopathy Without Haemorrhage: A Case Report
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 wi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Ordem dos Médicos
2018-09-01
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| Series: | Acta Médica Portuguesa |
| Subjects: | |
| Online Access: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9795 |
| _version_ | 1818991597901053952 |
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| author | Muriel Lérias-Cambeiro Anabela Rodrigues Inês Taborda Filipa Lança |
| author_facet | Muriel Lérias-Cambeiro Anabela Rodrigues Inês Taborda Filipa Lança |
| author_sort | Muriel Lérias-Cambeiro |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-20T20:12:48Z |
| format | Article |
| id | doaj.art-ddde9977e933479cb94790976ef7e34c |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-12-20T20:12:48Z |
| publishDate | 2018-09-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-ddde9977e933479cb94790976ef7e34c2022-12-21T19:27:47ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582018-09-0131951151410.20344/amp.97954702Severe Postpartum Coagulopathy Without Haemorrhage: A Case ReportMuriel Lérias-Cambeiro0Anabela Rodrigues1Inês Taborda2Filipa Lança3Department of Anaesthesiology, Hospital de Santa Maria. Centro Hospitalar Lisboa Norte.Department of Immuno-Hemotherapy. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte.Department of Anaesthesiology, Hospital de Santa Maria. Centro Hospitalar Lisboa Norte.Department of Anaesthesiology, Hospital de Santa Maria. Centro Hospitalar Lisboa Norte.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.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9795Blood Coagulation DisordersBlood TransfusionPostpartum HemorrhageThrombelastography |
| spellingShingle | Muriel Lérias-Cambeiro Anabela Rodrigues Inês Taborda Filipa Lança Severe Postpartum Coagulopathy Without Haemorrhage: A Case Report Acta Médica Portuguesa Blood Coagulation Disorders Blood Transfusion Postpartum Hemorrhage Thrombelastography |
| title | Severe Postpartum Coagulopathy Without Haemorrhage: A Case Report |
| title_full | Severe Postpartum Coagulopathy Without Haemorrhage: A Case Report |
| title_fullStr | Severe Postpartum Coagulopathy Without Haemorrhage: A Case Report |
| title_full_unstemmed | Severe Postpartum Coagulopathy Without Haemorrhage: A Case Report |
| title_short | Severe Postpartum Coagulopathy Without Haemorrhage: A Case Report |
| title_sort | severe postpartum coagulopathy without haemorrhage a case report |
| topic | Blood Coagulation Disorders Blood Transfusion Postpartum Hemorrhage Thrombelastography |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9795 |
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