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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (2): 289-290    DOI: 10.12891/ceog4387.2019
Case Report Previous articles | Next articles
Severe postpartum hemorrhage with placental abruption managed by the uterine sandwich: a case report
Ichiro Miwa1, *(), Masahiro Shinagawa1, Terumi Miwa1, Keiko Ootani1, Masakatsu Sase1, Yasuhiko Nakamura1
1Department of Obstetrics and Gynecology, Yamaguchi Grand Medical Center, Houhu, Japan
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Abstract  

Purpose of investigation: The authors report a case of severe postpartum hemorrhage (PPH) with placental abruption managed using the uterine sandwich. Case Report: A 24-year-old woman with placental abruption was referred to Yamaguchi Grand Medical Center at 35 weeks of gestation. Cesarean section was performed, and severe PPH occurred. After an intrauterine Bakri balloon and B-Lynch suture were applied and uterine bleeding was controlled. The total blood loss was 4, 090 ml. Transfusion included 16, 22, and 20 U of red cell concentrates (RCC), fresh frozen plasma (FFP), and platelet concentrates (PC), respectively. The patient was discharged with no complications eight days postoperatively. Conclusion: The uterine sandwich is an effective option for the treatment of severe PPH.

Key words:  Postpartum hemorrhage      Placental abruption      Uterine sandwich      Bakri balloon      B-Lynch suture     
Published:  10 April 2019     
*Corresponding Author(s):  ICHIRO MIWA     E-mail:  miwaichiro@mail.goo.ne.jp

Cite this article: 

Ichiro Miwa, Masahiro Shinagawa, Terumi Miwa, Keiko Ootani, Masakatsu Sase, Yasuhiko Nakamura. Severe postpartum hemorrhage with placental abruption managed by the uterine sandwich: a case report. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 289-290.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4387.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I2/289

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