Hysterotomy for maternal life-threatening haemorrhage secondary to placental abruption at 24 weeks' gestation

Panayotidis, Costas; M, Willett; Kiwanuka, Anthony

doi:10.1080/01443610310000105939

Cited by 1 publication

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“…However, in this case, the fetus was alive, and the mother still presented with DIC, which differs from previously reported cases. Similar cases of DIC with live fetuses accompanying placental abruption report that DIC is more prevalent because there is more movement of tissue factors during the second trimester than the third 5 . In such cases, even a small ablation could lead to DIC 5 .…”

Section: Discussionmentioning

confidence: 83%

“…Similar cases of DIC with live fetuses accompanying placental abruption report that DIC is more prevalent because there is more movement of tissue factors during the second trimester than the third. 5 In such cases, even a small ablation could lead to DIC. 5 DIC can occur with placental abruption early in the pregnancy without adversely affecting the fetal heart rate; however, it may be a distinct characteristic of placental abruption occurring early in pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“… 5 In such cases, even a small ablation could lead to DIC. 5 DIC can occur with placental abruption early in the pregnancy without adversely affecting the fetal heart rate; however, it may be a distinct characteristic of placental abruption occurring early in pregnancy. There is a report that pregnancy can be maintained even after anti-DIC therapy for placental abruption of normally implanted placenta, which led to improvement.…”

Section: Discussionmentioning

confidence: 99%

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A Case of Life-Threatening Obstetrical Hemorrhage Secondary to Placental Abruption at 17 Weeks of Gestation

Kinoshita

Takeshita

Takashima

et al. 2014

Clinics and Practice

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A 40-year old woman, gravida 4, para 4, presented with sudden lower abdominal pain and severe vaginal bleeding at 17 weeks of gestation. Clinical symptoms and ultrasonographic finding revealed placental abruption. The volume of bleeding was heavy and led to disseminated intravascular coagulation and hypovolemic shock. We performed blood transfusion and therapy to treat the critical condition. However, the mother’s condition continued to worsen. Therefore, we performed a hysterotomy and aborted the pregnancy to save the mother. Since heavy bleeding caused by placental abruption leading to a life-threatening condition for a mother before the 20 weeks of gestation is very rare, the present case is an important case study.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%