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:: Volume 16, Issue 1 (Summer 2020) ::
Sci J Iran Blood Transfus Organ 2020, 16(1): 57-62 Back to browse issues page
Massive obstetric hemorrhage in a case with placenta accreta
F. Behnaz Dr., A. Chegini Dr. , H.R. Azizi Farsani Dr., R. Shekari Dr.
Abstract:   (441 Views)
Abstract
Background and Objectives
Post-partum is one of the common causes of maternal mortality. Massive obstetrics hemorrhage may occur due to several etiologies such as Placenta Accreta. Massive transfusion protocols for obstetrics can reduce mortality and morbidity rate.
 
Case
A 28 year old patient who was an elective candidate for second cesarean without any particular disease was under spinal anesthesia and gave birth to a healthy baby. But after 25 minutes from the onset of the operation, the patient suffered from a marked drop in blood pressure and decrease in consciousness.  Due to hemorrhage shock od an estimated blood loss of nearly 3500cc, she was intubated and prescribed isotonic and hypertonic fluids, colloids and blood components. Her diagnosis was placentra accreta and to control hemorrhage, hysterectomy was done.
 
Conclusions 
Preoperative suspension for Placenta Accreta abnormalities should alert the anesthesia provider to potential massive blood loss. Preoperative effective communication among all obstetric caregivers is imperative.
 
 
Keywords: Key words: Placenta, Anesthesia, Obstetrics, Blood Transfusion, Obstetric Labor Complications
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Type of Study: case report | Subject: Anesthesiologist
Published: 2019/04/8
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Behnaz F, Chegini A, Azizi Farsani H, Shekari R. Massive obstetric hemorrhage in a case with placenta accreta. Sci J Iran Blood Transfus Organ. 2020; 16 (1) :57-62
URL: http://bloodjournal.ir/article-1-1211-en.html


Volume 16, Issue 1 (Summer 2020) Back to browse issues page
فصلنامه پژوهشی خون Scientific Journal of Iran Blood Transfus Organ
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