Postpartum Hemorrhage: The Ultimate Challenge- A Case Study

Dr. Divya V, Dr. Jothi Prince, Dr. Pradeeba S

Abstract: Postpartum haemorrhage (PPH) is a leading cause of maternal mortality in developing countries and the primary cause of nearly 30% of all maternal deaths globally. A "nearmiss" event involving a primi gravida with postpartum haemorrhage, disseminated intravascular coagulation, shock, recto vaginal fistula, sepsis and acute kidney injury managed successfully by team consisting of obstetricians, anaesthetists, nephrologist, surgical gastroenterologist and critical care experts is reported here. The aim of the report is to stress the need of patient education, importance of emergency transportation and availability of multidisciplinary team and adequate blood for transfusion at all levels of health care system.

Keywords: Near-miss, obstetric haemorrhage, maternal morbidity, maternal mortality