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- Muriel Lérias-Cambeiro, Anabela Rodrigues, Inês Taborda, and Filipa Lança.
- Department of Anaesthesiology, Hospital de Santa Maria. Centro Hospitalar Lisboa Norte, Portugal.
- Acta Medica Port. 2018 Sep 28; 31 (9): 511-514.
AbstractPostpartum haemorrhage is an important health issue worldwide, and it can be caused by uterine atony, retained placental tissue, trauma or coagulation disorders. Although coagulopathy represents a rare cause, it is a significant contributor to postpartum haemorrhage with poor outcomes. Associated with high morbidity and mortality rates, postpartum haemorrhage demands prevention, prompt diagnosis and effective management. We describe a unique case of severe coagulopathy caused by underestimated blood loss during caesarean section without postpartum bleeding, in which transfusion requirements were thromboelastometry-guided. This case report depicts how an early multidisciplinary approach and patient-centred care in an obstetric emergency contributes to a positive outcome from a challenging situation, enabling the prevention of an imminent, catastrophic haemorrhage.
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