Division

North Florida

Hospital

North Florida

Document Type

Poster

Publication Date

10-19-2019

Keywords

placental abruption, pregnancy complications, disseminated intravascular coagulation, epidural, caesarean section, Couvelaire uterus

Disciplines

Anesthesiology | Female Urogenital Diseases and Pregnancy Complications | Obstetrics and Gynecology

Abstract

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

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