Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Feb 24;15(2):e01396.
doi: 10.1213/XAA.0000000000001396.

Bloodless Management of Severe Obstetric Hemorrhage With Very Severe Anemia: A Case Report

Nathaniel I Usoro  1 , Cajethan I Emechebe  2 , Chinedu U Okonkwo  3 , Kenneth Inaku  4 , Joseph O Enabulele  3 , Marcus A Inyama  5 , Etetim E J Asuquo  2
Affiliations
Case Reports

Bloodless Management of Severe Obstetric Hemorrhage With Very Severe Anemia: A Case Report

Nathaniel I Usoro et al. A A Pract. .

Abstract

This case report describes bloodless management of a 32-year-old Jehovah's Witness who had severe obstetric hemorrhage at 23 weeks of gestation, spontaneously delivering twin fetuses. After resuscitation with crystalloids and colloids, the patient was still bleeding and hemoglobin fell to 3.3 g/dL. She had emergency hysterectomy. On postoperative day 1, her hemoglobin was 1.3 g/dL and Glasgow Coma Scale 6 of 15. Electrolyte derangement and fluid overload were detected and treated promptly. She regained consciousness and received intravenous iron and erythropoietin. She recovered fully without complications and without blood transfusion. Hemoglobin at discharge (postoperative day 18) was 6.9 and 12.5 g/dL 4 months later.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

References

    1. World Health Organization. Recommendations for the Prevention and Treatment of Postpartum Haemorrhage. 2012.
    1. Mavrides E, Allard S, Chandraharan E, et al. Postpartum Haemorrhage, Prevention and Management (Green-top Guideline No. 52). Royal College of Obstetricians & Gynaecologists. Published April 2017. Accessed June 30, 2020. https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg52/ .
    1. World Health Organization. Iron deficiency anaemia - assessment, prevention, control. 2001. Accessed June 30, 2020. https://www.who.int/nutrition/publications/en/ida_assessment_prevention_... .
    1. Helwick C. Conserving Blood During Surgery Safer Than Transfusion. Medscape Conference News (ASA 2014). Published October 22, 2014. Accessed July 13, 2020. https://www.medscape.com/viewarticle/833649 .
    1. Martyn V, Farmer SL, Wren MN, et al. The theory and practice of bloodless surgery. Transfus Apher Sci. 2002; 27:29–43.

Publication types

LinkOut - more resources