Management of Decreased Consciousness Caused by Hypovolemic Shock ec Postpartum Hemorrhage in Critical Care Setting

Abstract

Introduction: Postpartum hemorrhage life-threatening condition, with a prevalence of approximately 1%-10% of all deliveries. Postpartum hemorrhage is one of the leading causes of maternal death. Case presentation: A 33-year-old female patient came to the emergency department with decreased consciousness 1 hour before hospital admission, with postpartum hemorrhage, placental abruption following cesarean section, and uterine atonia following B-Linch. The patient underwent a B-Linch operation after undergoing a cesarean section at a previous Hospital due to antepartum hemorrhage and placental abruption. The patient also experienced ongoing bleeding during the treatment due to uterine atonia. Following surgery, a post-operative laboratory evaluation revealed significant thrombocytopenia (platelets: 45.000/mm3) and anemia (Hb: 4,6 g/dl).  Conclusion: The management of postpartum hemorrhage, especially with shock, requires comprehensive critical care management. Appropriate management with good multidisciplinary team involvement will improve patient outcomes and prevent multi-organ failure.