Intensive care management of multi-systemic complications following major postpartum haemorrhage in a Resource-limited setting: A case report

Abstract

Postpartum hemorrhage with its attendant systemic complications can pose a challenge in the developing world, resulting in morbidity and mortality. We present a case of an unbooked 38-year-old para-3 woman, who had elective Cesarean section at term on account of placenta praevia type IV under spinal anesthesia in a private facility. She developed major obstetric hemorrhage that necessitated massive blood transfusion and emergency hysterectomy. She was managed in the intensive care unit for 43 days and remained unconscious for 35 days. She developed many systemic complications that necessitated a multi-disciplinary management with a favorable outcome. She was transferred to the general ward where she spent 30 days before she was discharged home in a satisfactory condition.

Keywords

• favourable outcome; intensive care; management; postpartum haemorrhage