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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Howarth, Louise Ann Sherliker, Sarah |
| Description | Author Affiliation: Howarth LA ( Department of Obstetrics and Gynaecology, St James's University Hospital, Leeds, UK. louisehowarth@doctors.org.uk) |
| Abstract | The authors present an unusual case of massive ante partum haemorrhage following removal of a cervical suture. This patient was admitted for routine removal of a McDonald's cervical suture at 37 weeks gestation. The suture was densely adherent and after removal she suffered a haemorrhage of 2500 ml from where the suture was removed which led to fetal distress and an emergency caesarean section. The cervix was sutured and a vaginal pack inserted. During the procedure she developed hypovolaemic shock requiring 7 units of blood, 4 units of fresh frozen plasma, 1 unit of platelets and 1 unit of cryoprecipitate. Ten days later she was readmitted with a postpartum haemorrhage of 1000 ml requiring further haemostatic sutures to the cervix. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2011 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Cervical Atlas Surgery Sutures Adverse Effects Uterine Hemorrhage Etiology Exsanguination Pregnancy Pregnancy Outcome Pregnancy Trimester, Second Suture Techniques Uterine Cervical Incompetence Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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