Tourniquet technique to reduce hemorrhage in placenta accreta to allow transportation of patient to tertiary care hospital.

  • Sidra Ahmed Koohi Goth Women Hospital, Karachi-Pakistan.
  • Zehra Somjee Koohi Goth Women Hospital, Karachi-Pakistan.
  • Noorulain Ali Koohi Goth Women Hospital, Karachi-Pakistan.
  • Shershah Syed Koohi Goth Women Hospital, Karachi-Pakistan. https://orcid.org/0000-0002-8475-1711
  • Shaheen Zafar Koohi Goth Women Hospital, Karachi-Pakistan.
Keywords: Placenta Accreta, Cesarean Hysterectomy, Tourniquet, Hemorrhage.

Abstract

Background: Placenta accreta is an obstetrical complication that can result in life-threatening hemorrhage if not managed adequately and cause high maternal morbidity. Cesarean hysterectomy is an effective method to control intra-operative bleeding.

Case Presentation: We present a case of placenta accreta that was diagnosed intra-operatively in secondary care hospital. Due to the lack of a multidisciplinary team, bleeding was temporarily controlled by tying a tourniquet using a Foley catheter around the lower uterine segment with the tourniquet left in situ.

Management & Results: The patient was shifted to a tertiary care hospital. This novel tourniquet technique bought time to transport the patient, arrange for a multidisciplinary team needed for this patient's management, and reduce hemorrhage, which directly determined maternal outcome.

Conclusion: In this case report, we present that using a Foley catheter as a simple cervical tourniquet can effectively reduce hemorrhage, particularly in the case of blood loss originating from the placenta.

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References

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Published
2021-10-19
How to Cite
Ahmed, S., Somjee, Z., Ali, N., Syed, S., & Zafar, S. (2021). Tourniquet technique to reduce hemorrhage in placenta accreta to allow transportation of patient to tertiary care hospital. International Journal of Endorsing Health Science Research (IJEHSR), 9(4). Retrieved from http://aeirc-edu.com/ojs14/index.php/IJEHSR/article/view/729