Background: 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. Case: 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. Conclusion: 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.
Phuoc Long, N., Phi Hung, L., Diem Nghi, T., Hoang Anh, N., Van Hieu, M., Thien Luan, N., & Trong Thach, T. (2015). Case Report: Postpartum hemorrhage associated with Dengue with warning signs in a term pregnancy and delivery. F1000Research, 4. https://doi.org/10.12688/f1000research.7589.1