Abstract

Dengue infection during peripartum period, although rare in endemic regions, has challenged clinicians regarding its management, especially if a parturient woman experiences postpartum hemorrhage due to a classical risk factor of maternal bleeding. A full-term pregnant Vietnamese woman was diagnosed with polyhydramnios and Dengue with warning signs (DWS). She was administered platelet transfusion prior to delivery and then gave birth to a healthy newborn. After active management of the third stage of labor, the patient suffered a postpartum hemorrhage which was caused by uterine atony and accompanied with thrombocytopenia. Therefore, we decided to administer uterotonic drugs and additionally transfuse platelets. We describe a case of postpartum hemorrhage caused by uterine atony and coinciding with Dengue infection during delivery period, which is a rare clinical entity. With timely detection and management, the patient was finally discharged without complications.

Highlights

  • Dengue infection in parturient women living in endemic regions only accounts for 2.5% of all pregnancies[1]

  • Even though postpartum hemorrhage is one of the most aggressive obstetric complications, especially when it coexists with Dengue infection, there have been few papers in the medical literature reporting the management of such cases

  • Several studies have suggested that Dengue infection can predispose full-term pregnant women to postpartum hemorrhage, even massive bleeding

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Summary

21 Dec 2015 report report report

Any reports and responses or comments on the article can be found at the end of the article. Keywords Dengue with warning signs , pregnancy , uterine atony , postpartum hemorrhage , polyhydramnios. This article is included in the Emerging Diseases and Outbreaks gateway. This article is included in the Neglected Tropical Diseases collection

Introduction
Discussion
Conclusion
American College of Obstetricians and Gynecologists: ACOG Practice Bulletin
Findings
Costantine MM
15. Rothman AL

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