Decreased Hemoglobin Following Placental Abruption in a ۳۲-Week Pregnant Woman:A case report

  • سال انتشار: 1400
  • محل انتشار: فصلنامه بین المللی تحقیقات پزشکی، دوره: 11، شماره: 1
  • کد COI اختصاصی: JR_INTJMI-11-1_002
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 248
دانلود فایل این مقاله

نویسندگان

Jalal Nourmohammadi

Master of Nursing ,Pediatrics Department ,Shahid Hasheminejad Medical Research Center ,Mashhad University of Medical Sciences ,Iran

Farideh Basati

Bachelor of Nursing, Imam Khomeini Medical Research Center, Kermanshah University of Medical Sciences, Iran

Salar Momen Maragheh

Biotechnology Research Center (BRC), Pasteur Institute of Iran, Tehran, Iran.

چکیده

Background: Placental abruption is a major cause of bleeding during pregnancy, the etiology of which is not well understood, but factors such as multipartite and premature rupture of membranes are involved. Decomposition is usually accompanied by severe bleeding from the mother, which causes the placenta to stop bleeding and is considered a midwifery emergency that if the delivery is not done quickly, the fetus will definitely die. Case Presentation: A ۲۶-year-old woman, gravida ۷, para ۶ L۵D۱ was ۳۲ weeks gestational with complaints of severe bleeding, decreased level of consciousness (GCS: ۷/۱۵), severe abdominal tenderness, severe hypotension of the uterus, no Fetal heart rate and vital signs blood pressure of ۸۰/۵۰ mm/Hg, respiratory rate of ۹, heart rate of ۱۳۰ bpm referred to a clinic and then was sent to the hospital with suspicion. Immediately after admission, she was transferred to the operating room, intubated and connected to a ventilator. For emergency cesarean section, tests were sent to her. The infant was born with fetal dead and Hemoglobin = ۲.۹. ۲ after delivery with Hemoglobin = ۵.۸ and ۲ days after delivery with Hemoglobin = ۸.۹. The hospital was discharged. Conclusions: Due to the dangerous maternal and fetal complications of placental abruption during pregnancy, it is recommended that one of the differential diagnoses of hemoglobin decline during pregnancy be placental abruption.  

کلیدواژه ها

Placental Abruption, Postpartum Hemorrhage, Decreased Hemoglobin Levels

اطلاعات بیشتر در مورد COI

COI مخفف عبارت CIVILICA Object Identifier به معنی شناسه سیویلیکا برای اسناد است. COI کدی است که مطابق محل انتشار، به مقالات کنفرانسها و ژورنالهای داخل کشور به هنگام نمایه سازی بر روی پایگاه استنادی سیویلیکا اختصاص می یابد.

کد COI به مفهوم کد ملی اسناد نمایه شده در سیویلیکا است و کدی یکتا و ثابت است و به همین دلیل همواره قابلیت استناد و پیگیری دارد.