Successful management of perimortem cesarian section with two types of pelvic packing; a case report

Helvacioglu Caglar¹, Boukari Bako Bibata¹, Serdar Karakuzu², Ali Emre Cetinkol³, Nursen Atasoy⁴

¹ TURKISH NIGER FRIENDSHIP HOSPITAL, DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY, NIAMEY, NIGER
² TURKISH NIGER FRIENDSHIP HOSPITAL, DEPARTMENT OF ANESTHESIA AND REANIMATION, NIAMEY, NIGER
³ TURKISH NIGER FRIENDSHIP HOSPITAL, DEPARTMENT OF PEDIATRICS, NIAMEY, NIGER
⁴ TURKISH NIGER FRIENDSHIP HOSPITAL, DEPARTMENT OF UROLOGY, NIAMEY, NIGER

J Clin Invest Surg. 2021; 6(1): 68-70. DOI: 10.25083/2559.5555/6.1.13

Running title: Perimortem cesarean management with pelvic packing

Keywords: Cardiac arrest, Perimortem cesarean section, Pregnancy, Pelvic Packing, Bakri balloon tamponade

Abstract

Perimortem cesarean is rare and one of the worst possible scenarios in obstetrics. Multidisciplinary approach and speed are extremely important. Pelvic packing in massive postpartum hemorrhages is a method which obstetricians do not commonly use. The patient who had cardiac arrest during travail was successfully managed with a peripartum hysterectomy and two different types of pelvic packing after perimortem cesarean. The mother and baby were healthily discharged. Fetal and maternal survival after perimortem cesarean is quite low. The most important factor determining survival is speed. Pelvic packing is effective in postpartum unstoppable bleeding.