Location
Moultrie, GA
Start Date
7-5-2025 2:15 PM
End Date
7-5-2025 3:15 PM
Description
Postpartum hemorrhage (PPH) is one of the leading causes of maternal mortality that accounts for 27% of all maternal deaths worldwide. While most cases occur immediately postpartum, delayed onset hemorrhage can present critical management challenges and jeopardize maternal treatment outcomes. We report the case of a 20-year-old female who underwent an uncomplicated, augmented vaginal delivery with a Cook Cervical Ripening Balloon (CCRB). The estimated blood loss at delivery was approximately 200 cc. However, around six hours later, the patient became unresponsive, exhibiting signs of significant PPH, she was evaluated at bedside, and by then, she had expelled approximately 2 L of blood from the uterus. Uterotonic medications were administered, and fundal massages were performed. A code blue was eventually initiated, and she was urgently transported to the operating room for a stat dilation and curettage (D&C). This hemorrhagic event required aggressive resuscitative measures and surgical intervention. This case emphasizes the importance of vigilant postpartum monitoring for PPH, even in patients with initially unremarkable deliveries. Advancements in hemostatic management, including point-of-care testing and early fibrinogen replacement, may play an important role in optimizing patient outcomes.
Embargo Period
6-4-2025
Included in
Podium Talk: Postpartum hemorrhage in the absence of traditional risk factors: A clinical perspective
Moultrie, GA
Postpartum hemorrhage (PPH) is one of the leading causes of maternal mortality that accounts for 27% of all maternal deaths worldwide. While most cases occur immediately postpartum, delayed onset hemorrhage can present critical management challenges and jeopardize maternal treatment outcomes. We report the case of a 20-year-old female who underwent an uncomplicated, augmented vaginal delivery with a Cook Cervical Ripening Balloon (CCRB). The estimated blood loss at delivery was approximately 200 cc. However, around six hours later, the patient became unresponsive, exhibiting signs of significant PPH, she was evaluated at bedside, and by then, she had expelled approximately 2 L of blood from the uterus. Uterotonic medications were administered, and fundal massages were performed. A code blue was eventually initiated, and she was urgently transported to the operating room for a stat dilation and curettage (D&C). This hemorrhagic event required aggressive resuscitative measures and surgical intervention. This case emphasizes the importance of vigilant postpartum monitoring for PPH, even in patients with initially unremarkable deliveries. Advancements in hemostatic management, including point-of-care testing and early fibrinogen replacement, may play an important role in optimizing patient outcomes.
Comments
Presented by Lisandra Chinea.