REBOA Enables Operative Management of the Peripartum Trauma Patient in Hemorrhagic Shock

Abstract

Trauma-related injury is the leading cause of non-obstetric maternal death. The gravid uterus is at risk for injury, particularly during motor vehicle accidents. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a means of controlling pelvic hemorrhage in the setting of trauma. We report the use of REBOA in a hemodynamically unstable, multiply-injured young woman with viable intrauterine pregnancy.

Keywords

• REBOA
• Trauma
• Pregnancy
• Peripartum