North Florida Regional Medical Center
placental abruption, pregnancy complications, disseminated intravascular coagulation, epidural, caesarean section, Couvelaire uterus
Anesthesiology | Female Urogenital Diseases and Pregnancy Complications | Obstetrics and Gynecology
A 32 year-old healthy pregnant patient with no significant past medical history who presented to the hospital for delivery of fetus status post intrauterine fetal death. Vaginal delivery with epidural placement was initially the mother’s preference. Fetal movement last felt 4 days prior. The patients H&P and laboratory findings revealed early stages DIC. Patient underwent Caesarean delivery with general anesthesia, the OB physician found the patient to have Couvelaire uterus, a form of placental abruption. The patient’s uterus was atonic requiring multiple units of blood products. Case assessed indications for epidural placement versus general anesthesia.
Publisher or Conference
Anesthesiology Annual Meeting 2019
King W, Smith WB. Just Another Labor Epidural. Poster presented at: American Society of Anesthesiologists Annual Meeting; October 19, 2019; Orlando, FL.