Hemorrhagic shock subsequent to an unscarred uterine rupture in a primigravida: A rare case report
1 Department of Anesthesia and Critical Care, Souissi Maternity Hospital, University Hospital Center Ibn Sina, University Mohammed V, Rabat, Morocco.
2 Department of Gynaecology-Obstetrics and Endoscopy, Maternity Souissi, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco.
3 Department of Gynaecology-Obstetrics and Endocrinology, Maternity Souissi, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco.
Research Article
International Journal of Scientific Research Updates, 2023, 05(02), 020–024.
Article DOI: 10.53430/ijsru.2023.5.2.0030
Publication history:
Received on 15 February 2023; revised on 23 March 2023; accepted on 26 March 2023
Abstract:
Peripartum hemorrhage (PPH) is the leading cause of maternal mortality and morbidity. It may be subsequent to many aetiologies such as uterine rupture. It usually occurs during vaginal birth with a scarred uterus and rarely in unscarred ones. Clinical assessment is mandatory to identify parturients at rik of PPH. The anesthesiologist alongside the obstetrician are major stakeholders in managing hemorrhagic shock. We hereby present the uncommon case of a hemorrhagic shock subsequent to an unscarred uterine rupture in a primigravida at 34 weeks’ gestation. The immediate presence of the anesthesiologist and quick decision making brightened the prognosis. Through this article we stressing the importance of multidisciplinary collaboration and establishing protocols to unify PPH hemorrhage even when it’s unexpected.
Keywords:
Hemorrhagic shock; Uterine rupture; Cesarean; Mortality
Full text article in PDF:
Copyright information:
Copyright © 2023 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0