Balloon tamponade for postpartum vaginal lacerations in a woman refusing blood transfusion

By:

Yoong, W

Contributor(s):

Publication details: 2009ISSN:

00207292

Uniform titles:

International journal of gynaecology and obstetrics

Online resources:

Summary: The patient presented at 41 weeks of pregnancy with spontaneous onset of labor and underwent vacuum delivery due to maternal exhaustion. The uterus was well contracted but following episiotomy repair, extremely heavy bleeding was noted from several tears in the edematous vaginal mucosa. The bleeding was not controlled by the application of figure-of-eight compression sutures and the patient was transferred to the operating room for examination under anesthesia. As she was a practicing Jehovah's Witness, she had earlier signed an advanced directive declining blood transfusion.

Holdings
Item type	Home library	Collection	Class number	Status	Date due	Barcode
Book	Ferriman information and Library Service (North Middlesex) Shelves	Staff publications for NMDX		Available

NMUH Staff Publications

106

The patient presented at 41&nbsp;weeks of pregnancy with spontaneous onset of labor and underwent vacuum delivery due to maternal exhaustion. The uterus was well contracted but following episiotomy repair, extremely heavy bleeding was noted from several tears in the edematous vaginal mucosa. The bleeding was not controlled by the application of figure-of-eight compression sutures and the patient was transferred to the operating room for examination under anesthesia. As she was a practicing Jehovah's Witness, she had earlier signed an advanced directive declining blood transfusion.

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