IMR Press / CEOG / Volume 46 / Issue 2 / DOI: 10.12891/ceog4387.2019

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Severe postpartum hemorrhage with placental abruption managed by the uterine sandwich: a case report
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1 Department of Obstetrics and Gynecology, Yamaguchi Grand Medical Center, Houhu, Japan
*Correspondence: (I. MIWA)
Clin. Exp. Obstet. Gynecol. 2019, 46(2), 289–290;
Published: 10 April 2019

Purpose of investigation: The authors report a case of severe postpartum hemorrhage (PPH) with placental abruption managed using the uterine sandwich. Case Report: A 24-year-old woman with placental abruption was referred to Yamaguchi Grand Medical Center at 35 weeks of gestation. Cesarean section was performed, and severe PPH occurred. After an intrauterine Bakri balloon and B-Lynch suture were applied and uterine bleeding was controlled. The total blood loss was 4, 090 ml. Transfusion included 16, 22, and 20 U of red cell concentrates (RCC), fresh frozen plasma (FFP), and platelet concentrates (PC), respectively. The patient was discharged with no complications eight days postoperatively. Conclusion: The uterine sandwich is an effective option for the treatment of severe PPH.

Postpartum hemorrhage
Placental abruption
Uterine sandwich
Bakri balloon
B-Lynch suture
Figure 1.
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