Case Report: Postpartum hemorrhage associated with Dengue with warning signs in a term pregnancy and delivery

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Abstract

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.

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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

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