Perioperative Anesthesia Management of a Patient with Triplet Pregnancy Who Developed Hemorrhage Due to Uterine Atony during Cesarean Section: A Case Report

Deniz Kaya; Nedim Çekmen; Asude Ayhan

doi:10.18502/aacc.v9i1.11951

Deniz Kaya Department of Anesthesiology, Başkent University, Ankara, Turkey.
Nedim Çekmen Department of Anesthesiology, Başkent University, Ankara, Turkey.
Asude Ayhan Department of Anesthesiology, Başkent University, Ankara, Turkey.

DOI: https://doi.org/10.18502/aacc.v9i1.11951

Keywords: Postpartum hemorrhage; Triple pregnancy; Anesthesia; Multidisciplinary approach

Abstract

The incidence of postpartum hemorrhage (PPH) is increased in multiple pregnancies and is an important cause of maternal death. Controlling bleeding and correct anesthesia management during this period are essential.

In our 35-year-old patient with triple pregnancy, hemorrhage due to uterine atony developed during C/S surgery. We aimed to discuss the anesthesia management of PPH in our patient who underwent a total abdominal hysterectomy and bilateral salpingectomy (TAH BS) due to continued bleeding during and after C/S, with literature.

We think that morbidity and mortality rates can be reduced in the perioperative period for PPHs with the help of multidisciplinary approach, rapid action, and close follow-up.