Year: 2024
Type: article
Study design: Case Report
Abstract: Background: Postpartum hemorrhage (PPH) is one of the leading causes of maternal mortality around the world.Clinical course and management, "when" and "how" plays an important role in preserving the uterus.Case presentation: A 35-year-old, Gravida 2, Abortion 1, conceived by in-vitro fertilization-embryo transfer (IVF-ET), presented with established preterm labor at 26 weeks gestation.After an uneventful delivery, the patient landed in the atonic uterus with an entrapped placenta leading to PPH.Results: This case report describes a conservative surgical approach to the management of PPH due to retained placenta with atonicity by manual removal of the placenta and placement of uterine brace sutures, thus saving the uterus.Conclusion: Increasing trends of assisted reproductive technology (ART) pregnancies make it worthwhile to have thorough knowledge, skills, and care facilities to manage fatal complications like PPH and avoid obstetric hysterectomy as it becomes more important to preserve the uterus.Clinical significance: This case has a focus on the current increase in the use of ART, with its associated complications in mind and the need to be well-equipped and versed with uterus-preserving surgeries.
Authors: Aniket S Kakade, Tushar M Panchanadikar, Shivani V Bhandari, Sumedha K Rawal
Institution: Bharati Vidyapeeth (Deemed to be University)
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4403778024