Volume 16, Issue 1 (Spring 2019)                   Sci J Iran Blood Transfus Organ 2019, 16(1): 57-62 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Behnaz F, Chegini A, Azizi Farsani H, Shekari R. Massive obstetric hemorrhage in a case with placenta accreta. Sci J Iran Blood Transfus Organ 2019; 16 (1) :57-62
URL: http://bloodjournal.ir/article-1-1211-en.html
Full-Text [PDF 295 kb]   (1192 Downloads)     |   Abstract (HTML)  (3836 Views)
Full-Text:   (7658 Views)
References:
  1. Obaid TA. No woman should die giving life. Lancet 2007;370:1287-8.
  2. Khan KS, Wojdyla D, Say L, et al. WHO analysis of causes of maternal death: a systematic review. Lancet 2006;367:1066–1074 [PubMed: 16581405]
  3. Saucedo M, Deneux-Tharaux C, Bouvier-Colle MH. Ten Years of Confidential Inquiries Into Maternal Deaths in France, 1998-2007. Obstet Gynecol 2013;122:752-60. 4-Cantwell R, Clutton-Brock T, Cooper G, et al. Saving Mothers' Lives: Reviewing maternal deaths to make motherhood safer: 2006-2008. The Eighth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. BJOG. 2011; 118(Suppl 1):1-203. [PubMed: 21356004
  4. Groom KM, Paterson-Brown S. Placenta praevia and placentapraevia accreta: a review of aetiology, diagnosis andmanagement. Fetal Mat Med Review 2001;12:41-66.
  5. Gielchinsky Y, Rojansky N, Fasouliotis SJ, Ezra Y. Placenta accreta– summary of 10 years: a survey of 310 cases. Placenta2002;23:210-4.
  6. Confidential Enquiry into Maternal and Child Health. Saving Mothers’ Lives: Reviewing maternal deaths to
 
make motherhood safer – 2003-2005. The Seventh Report of the Confidential Enquiries into Maternal Deaths in the UK.London: CEMACH; 2007.
  1. Knight M; UKOSS. Peripartum hysterectomy in the UK: managementand outcomes of the associated haemorrhage. BJOG007;114:1380-7.
  2. Knight M, Kurinczuk JJ, Spark P, Brocklehurst P; United Kingdom Obstetric Surveillance System Steering Committee.Cesarean delivery and peripartum hysterectomy. Obstet Gynecol 2008;111:97-105.ler
  3. Angstmann T, Gard G, Harrington T, et al: Surgical management of placenta accreta: a cohort series and suggested approach, Am J Obstet Gynecol 202:38, e1-e9, 2010.
  4. Rath WH. Postpartum hemorrhage-update on problems of definitions and diagnosis. Acta Obstet Gynecol Scand 2011;90(5):421-8.
  5. California Maternal Quality Care Collaborative (CMQCC) Hemorrhage Task Force <http://www. cmqcc. org>; and Gallos G, Redai I, Smiley RM: The role of the anesthesiologist in management of obstetric hemorrhage, Semin Perinatol 33:116-123, 2009.
  6. American College of Obstetricians and Gynecologists. Postpartum hemorrhage. ACOG practice bulletin no. 76. Obstet Gynecol. 2006;108:1039-1047 (Re- a rmed 2011).
  7. Dzik WH, Blajchman MA, Fergusson D, et al. Clinical review: canadian National Advisory Committee on Blood and Blood Products-massive transfusion consensus conference 2011: report of the
    panel. Crit Care 2011; 15:242.
  8. Dzik WH, Blajchman MA, Fergusson D, Hameed M, Henry B, Kirkpatrick AW, Korogyi T, Logsetty S, Skeate RC, Stanworth S, MacAdams C. Clinical review: Canadian national advisory committee on blood and blood products-massive transfusion consensus conference 2011: report of the panel. Critical Care. 2011 Dec;15(6):242 
 
 
 
 
 
 

 
 
 
 
 
 
 
Sci J Iran Blood Transfus Organ 2019; 16(1): 57-62
 
 
Case  report
 
 
 

Massive obstetric hemorrhage in a case
with placenta accreta
 
Behnaz F.1, Chegini A.2, Azizi Farsani H.R.1, Shekari R.1
 
 
1Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
 
 
 
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.
 
Key words: Placenta, Anesthesia, Obstetrics, Blood Transfusion, Obstetric Labor Complications
 
 
 
 
 
 
 
 
 
 
 
 
Received:  24 Jun 2018
Accepted: 22 Dec 2018
 
 
 

Correspondence: Chegini A., MD. Specialist in Anesthesiology. Assistant Professor of Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine.
P.O.Box: 14665-1157, Tehran, Iran. Tel: (+9821) 82052256; Fax: (+9821) 88601599
E-mail: a.chegini@ibto.ir
Type of Study: case report | Subject: Anesthesiologist
Published: 2019/04/8

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Scientific Journal of Iran Blood Transfus Organ

Designed & Developed by : Yektaweb