Massive obstetric hemorrhage during cesarean section in a patient after conception by frozen-thawed embryo transfer: a case report
Abstract Background Placenta accreta is a major cause of massive obstetric hemorrhage during cesarean section. In recent years, pregnancy by in vitro fertilization-embryo transfer has been reported as a risk factor for placenta accreta. Case presentation A 36-year-old G1P0 woman with systemic lupus...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2020-01-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-019-0308-0 |
| _version_ | 1818945286763970560 |
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| author | Mai Ito Kensuke Oshita Kazuyuki Tanaka Masato Hara Teruyuki Hiraki |
| author_facet | Mai Ito Kensuke Oshita Kazuyuki Tanaka Masato Hara Teruyuki Hiraki |
| author_sort | Mai Ito |
| collection | DOAJ |
| description | Abstract Background Placenta accreta is a major cause of massive obstetric hemorrhage during cesarean section. In recent years, pregnancy by in vitro fertilization-embryo transfer has been reported as a risk factor for placenta accreta. Case presentation A 36-year-old G1P0 woman with systemic lupus erythematosus became pregnant by frozen-thawed embryo transfer. Emergency cesarean section was performed under general anesthesia due to the diagnosis of non-reassuring fetal status. The placenta invaded the myometrium and completely covered the entire anterior uterine wall. Following birth, 3000 mL of blood loss required rapid fluid infusion and blood transfusion. Total hysterectomy was performed because the placenta could not be separated from the uterine wall. Histological examination revealed placenta accreta/increta. Conclusions When performing cesarean section on patients who have undergone frozen-thawed embryo transfer, preoperative examinations to assess for placenta accreta should be performed, and the anesthetic management should include sufficient planning for massive obstetric hemorrhage. |
| first_indexed | 2024-12-20T07:56:42Z |
| format | Article |
| id | doaj.art-e6421a4a639f4a368036378abcfd2b48 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-12-20T07:56:42Z |
| publishDate | 2020-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-e6421a4a639f4a368036378abcfd2b482022-12-21T19:47:40ZengSpringerOpenJA Clinical Reports2363-90242020-01-01611310.1186/s40981-019-0308-0Massive obstetric hemorrhage during cesarean section in a patient after conception by frozen-thawed embryo transfer: a case reportMai Ito0Kensuke Oshita1Kazuyuki Tanaka2Masato Hara3Teruyuki Hiraki4Department of Anesthesiology, Kurume University School of MedicineDepartment of Anesthesiology, Kurume University School of MedicineDepartment of Anesthesiology, Kurume University School of MedicineDepartment of Anesthesiology, Kurume University School of MedicineDepartment of Anesthesiology, Kurume University School of MedicineAbstract Background Placenta accreta is a major cause of massive obstetric hemorrhage during cesarean section. In recent years, pregnancy by in vitro fertilization-embryo transfer has been reported as a risk factor for placenta accreta. Case presentation A 36-year-old G1P0 woman with systemic lupus erythematosus became pregnant by frozen-thawed embryo transfer. Emergency cesarean section was performed under general anesthesia due to the diagnosis of non-reassuring fetal status. The placenta invaded the myometrium and completely covered the entire anterior uterine wall. Following birth, 3000 mL of blood loss required rapid fluid infusion and blood transfusion. Total hysterectomy was performed because the placenta could not be separated from the uterine wall. Histological examination revealed placenta accreta/increta. Conclusions When performing cesarean section on patients who have undergone frozen-thawed embryo transfer, preoperative examinations to assess for placenta accreta should be performed, and the anesthetic management should include sufficient planning for massive obstetric hemorrhage.https://doi.org/10.1186/s40981-019-0308-0Cesarean sectionFrozen-thawed embryo transferPlacenta accretaSystemic lupus erythematosus |
| spellingShingle | Mai Ito Kensuke Oshita Kazuyuki Tanaka Masato Hara Teruyuki Hiraki Massive obstetric hemorrhage during cesarean section in a patient after conception by frozen-thawed embryo transfer: a case report JA Clinical Reports Cesarean section Frozen-thawed embryo transfer Placenta accreta Systemic lupus erythematosus |
| title | Massive obstetric hemorrhage during cesarean section in a patient after conception by frozen-thawed embryo transfer: a case report |
| title_full | Massive obstetric hemorrhage during cesarean section in a patient after conception by frozen-thawed embryo transfer: a case report |
| title_fullStr | Massive obstetric hemorrhage during cesarean section in a patient after conception by frozen-thawed embryo transfer: a case report |
| title_full_unstemmed | Massive obstetric hemorrhage during cesarean section in a patient after conception by frozen-thawed embryo transfer: a case report |
| title_short | Massive obstetric hemorrhage during cesarean section in a patient after conception by frozen-thawed embryo transfer: a case report |
| title_sort | massive obstetric hemorrhage during cesarean section in a patient after conception by frozen thawed embryo transfer a case report |
| topic | Cesarean section Frozen-thawed embryo transfer Placenta accreta Systemic lupus erythematosus |
| url | https://doi.org/10.1186/s40981-019-0308-0 |
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