Blood-Conservation Strategies in a Blood-Refusal Parturient with Placenta Previa and Placenta Percreta.
Publication
, Journal Article
Mauritz, AA; Dominguez, JE; Guinn, NR; Gilner, J; Habib, AS
Published in: A A Case Rep
March 1, 2016
Abnormal placentation can be associated with significant blood loss and massive blood transfusions. Caring for parturients with abnormal placentation who refuse blood transfusion is very challenging. We present a 35-year-old, gravida 3, para 1, Jehovah's Witness at 35 weeks of gestation with placenta percreta, who underwent cesarean delivery and delayed hysterectomy. A multidisciplinary team developed a plan, including the use of perioperative erythropoietin and IV iron dextran, intraoperative acute normovolemic hemodilution, cell salvage, tranexamic acid, and uterine artery embolization. This strategy was successful in avoiding the need for allogeneic transfusion and ensuring an uneventful recovery after both surgical procedures.
Duke Scholars
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Published In
A A Case Rep
DOI
EISSN
2325-7237
Publication Date
March 1, 2016
Volume
6
Issue
5
Start / End Page
111 / 113
Location
United States
Related Subject Headings
- Uterine Artery Embolization
- Treatment Outcome
- Tranexamic Acid
- Pregnancy
- Placenta Previa
- Placenta Accreta
- Jehovah's Witnesses
- Iron-Dextran Complex
- Humans
- Hemodilution
Citation
APA
Chicago
ICMJE
MLA
NLM
Mauritz, A. A., Dominguez, J. E., Guinn, N. R., Gilner, J., & Habib, A. S. (2016). Blood-Conservation Strategies in a Blood-Refusal Parturient with Placenta Previa and Placenta Percreta. A A Case Rep, 6(5), 111–113. https://doi.org/10.1213/XAA.0000000000000258
Mauritz, Amy A., Jennifer E. Dominguez, Nicole R. Guinn, Jennifer Gilner, and Ashraf S. Habib. “Blood-Conservation Strategies in a Blood-Refusal Parturient with Placenta Previa and Placenta Percreta.” A A Case Rep 6, no. 5 (March 1, 2016): 111–13. https://doi.org/10.1213/XAA.0000000000000258.
Mauritz AA, Dominguez JE, Guinn NR, Gilner J, Habib AS. Blood-Conservation Strategies in a Blood-Refusal Parturient with Placenta Previa and Placenta Percreta. A A Case Rep. 2016 Mar 1;6(5):111–3.
Mauritz, Amy A., et al. “Blood-Conservation Strategies in a Blood-Refusal Parturient with Placenta Previa and Placenta Percreta.” A A Case Rep, vol. 6, no. 5, Mar. 2016, pp. 111–13. Pubmed, doi:10.1213/XAA.0000000000000258.
Mauritz AA, Dominguez JE, Guinn NR, Gilner J, Habib AS. Blood-Conservation Strategies in a Blood-Refusal Parturient with Placenta Previa and Placenta Percreta. A A Case Rep. 2016 Mar 1;6(5):111–113.
Published In
A A Case Rep
DOI
EISSN
2325-7237
Publication Date
March 1, 2016
Volume
6
Issue
5
Start / End Page
111 / 113
Location
United States
Related Subject Headings
- Uterine Artery Embolization
- Treatment Outcome
- Tranexamic Acid
- Pregnancy
- Placenta Previa
- Placenta Accreta
- Jehovah's Witnesses
- Iron-Dextran Complex
- Humans
- Hemodilution