| CASE REPORT |
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| Year : 2021 | Volume
: 30
| Issue : 1 | Page : 116-119 |
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Intensive care management of multi-systemic complications following major postpartum haemorrhage in a Resource-limited setting: A case report
Ifeanyichukwu Michael Chukwu1, Nosakhare Philomena Edomwonyi2, Charles Ehichoya Ikhifa1, Julian Ojebo1, Benedict Chuks Ezeife1, Mojolaoluwa Oluwatomisin Adeaga1, Lawson Ohwofasa Obazenu3
1 Department of Anaesthesiology/Intensive Care, Irrua Specialist Teaching Hospital, Edo State, Nigeria
2 Professor of Obstetric Anaesthesiology/Consultant, Department of Anaesthesiology/Intensive Care, University of Benin Teaching Hospital, Edo State, Nigeria
3 Department of Surgery, Federal Medical Centre, Nguru, Yobe State, Nigeria
Correspondence Address:
Dr. Ifeanyichukwu Michael Chukwu
Department of Anaesthesia, ISTH, Irrua
Nigeria
Prof. Nosakhare Philomena Edomwonyi
Department of Anaesthesia, UBTH, Benin City
Nigeria
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/NJM.NJM_197_20
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Postpartum hemorrhage with its attendant systemic complications can pose a challenge in the developing world, resulting in morbidity and mortality. We present a case of an unbooked 38-year-old para-3 woman, who had elective Cesarean section at term on account of placenta praevia type IV under spinal anesthesia in a private facility. She developed major obstetric hemorrhage that necessitated massive blood transfusion and emergency hysterectomy. She was managed in the intensive care unit for 43 days and remained unconscious for 35 days. She developed many systemic complications that necessitated a multi-disciplinary management with a favorable outcome. She was transferred to the general ward where she spent 30 days before she was discharged home in a satisfactory condition.
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