TY - JOUR AU - Lérias-Cambeiro, Muriel AU - Rodrigues, Anabela AU - Taborda, Inês AU - Lança, Filipa PY - 2018/09/28 Y2 - 2024/03/29 TI - Severe Postpartum Coagulopathy Without Haemorrhage: A Case Report JF - Acta Médica Portuguesa JA - Acta Med Port VL - 31 IS - 9 SE - Case Report DO - 10.20344/amp.9795 UR - https://actamedicaportuguesa.com/revista/index.php/amp/article/view/9795 SP - 511-514 AB - <p>Postpartum haemorrhage is an important health issue worldwide, and it can be caused by uterine atony, retained placental tissue, trauma or coagulation disorders. Although coagulopathy represents a rare cause, it is a significant contributor to postpartum haemorrhage with poor outcomes. Associated with high morbidity and mortality rates, postpartum haemorrhage demands prevention, prompt diagnosis and effective management. We describe a unique case of severe coagulopathy caused by underestimated blood loss during caesarean section without postpartum bleeding, in which transfusion requirements were thromboelastometry-guided. This case report depicts how an early multidisciplinary approach and patient-centred care in an obstetric emergency contributes to a positive outcome from a challenging situation, enabling the prevention of an imminent, catastrophic haemorrhage.</p> ER -