Massive Obstetric Hemorrhage in a Jehovah's Witness: Intraoperative Strategies and High-Dose Erythropoietin Use

被引:11
作者
Belfort, Michael [1 ,2 ]
Kofford, Shalece [1 ]
Varner, Michael [2 ]
机构
[1] Maternal Fetal Serv Utah, Salt Lake City, UT 84124 USA
[2] Univ Utah, Hlth Sci Ctr, Obstet & Gynecol Clin, Salt Lake City, UT USA
关键词
Anemia; high-dose erythropoietin; intra-/postoperative management; MATERNAL MORBIDITY; PERCRETA;
D O I
10.1055/s-0030-1266158
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
A massive obstetric hemorrhage resulting in an extremely low hematocrit (5.9%) required innovative intraoperative and postoperative management. We used a combination of rapid intraoperative volume replacement, aortic compression, chemical coma, high-dose erythropoietin, and enteral iron replacement to elevate the hematocrit in a patient refusing blood transfusions.
引用
收藏
页码:207 / 209
页数:3
相关论文
共 10 条
[1]  
[Anonymous], 2010, CLIN PHARM
[2]   NO BLOOD OR BLOOD PRODUCTS [J].
COX, M ;
LUMLEY, J .
ANAESTHESIA, 1995, 50 (07) :583-585
[3]   CORRECTION OF THE ANEMIA OF END-STAGE RENAL-DISEASE WITH RECOMBINANT-HUMAN-ERYTHROPOIETIN - RESULTS OF A COMBINED PHASE-I AND PHASE-II CLINICAL-TRIAL [J].
ESCHBACH, JW ;
EGRIE, JC ;
DOWNING, MR ;
BROWNE, JK ;
ADAMSON, JW .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 316 (02) :73-78
[4]  
Hudon L, 1998, Obstet Gynecol Surv, V53, P509, DOI 10.1097/00006254-199808000-00024
[5]   Acute normovolemic hemodilution, intraoperative cell salvage and PulseCO hemodynamic monitoring in a Jehovah's Witness with placenta percreta [J].
Nagy, C. J. ;
Wheeler, A. S. ;
Archer, T. L. .
INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 2008, 17 (02) :159-163
[6]   Massive obstetric hemorrhage [J].
Papp, Z .
JOURNAL OF PERINATAL MEDICINE, 2003, 31 (05) :408-414
[7]   Maternal morbidity associated with multiple repeat cesarean deliveries [J].
Silver, Robert M. ;
Landon, Mark B. ;
Rouse, Dwight J. ;
Leveno, Kenneth J. ;
Spong, Catherine Y. ;
Thom, Elizabeth A. ;
Moawad, Atef H. ;
Caritis, Steve N. ;
Harper, Margaret ;
Wapner, Ronald J. ;
Sorokin, Yoram ;
Miodovnik, Menachem ;
Carpenter, Marshall ;
Peaceman, Alan M. ;
O'Sullivan, Mary J. ;
Sibai, Baha ;
Langer, Oded ;
Thorp, John M. ;
Ramin, Susan M. ;
Mercer, Brian M. .
OBSTETRICS AND GYNECOLOGY, 2006, 107 (06) :1226-1232
[8]   Maternal mortality and serious maternal morbidity in Jehovah's witnesses in the Netherlands [J].
Van Wolfswinkel, M. E. ;
Zwart, J. J. ;
Schutte, J. M. ;
Duvekot, J. J. ;
Pel, M. ;
Van Roosmalen, J. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2009, 116 (08) :1103-1110
[9]  
VANWOLFSWINKEL ME, 2009, BJOG, V116, P1108
[10]   Conservative management of placenta previa percreta in a Jehovah's Witness [J].
Weinstein, A ;
Chandra, P ;
Schiavello, H ;
Fleischer, A .
OBSTETRICS AND GYNECOLOGY, 2005, 105 (05) :1247-1250