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September 10, 2025Journal of Society Medicine

Management of a Critically Ill Post-Cesarean Section Patient with Antepartum Hemorrhage Due to Placenta Previa Totalis in a G2P1A0 at 27–28 Weeks Gestation with Severe Preeclampsia, HELLP Syndrome, Pulmonary Edema, Stage 2 Acute Kidney Injury, and Hypoalbuminemia

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Authors

BBBernadeth BernadethDr. Hasan Sadikin General HospitalMEMuchammad Erias ErlanggaDr. Hasan Sadikin General Hospital

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Implication

Case report shows complex management of antepartum hemorrhage in a woman with severe preeclampsia and HELLP syndrome, highlighting the importance of massive transfusion protocols.

Key Points

  • Early diagnosis and management of antepartum hemorrhage are crucial in improving survival outcomes for pregnant patients.
  • Initial resuscitation included 2000 cc of Ringer’s lactate and 500 cc of NaCl to address hemorrhagic shock effectively.
  • Postoperative complications included pulmonary edema and acute kidney injury, necessitating intensive care and mechanical ventilation.
  • The case underscores the importance of a structured approach like ROSE in managing critically ill obstetric patients.

Cite This Study

Bernadeth et al. (2025) studied this question.

synapsesocial.com/papers/68c1aabf54b1d3bfb60e2fe5https://doi.org/10.71197/jsocmed.v4i7.225
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1C52-26 HELLP in the ICU: A Critical Care Battle From Hemolysis to Hemodialysis2026
  2. 2Comprehensive Management of Massive Transfusion in Postpartum Hemorrhage Patients2025
  3. 3Against All Odds: Treating Septic Shock and Massive Hemorrhage in a Patient With Placenta Accreta2025
  4. 4From Crisis to Recovery: Managing Severe Preeclampsia with HELLP Syndrome and Postpartum Hemorrhage2026
  5. 5Optimized Intraoperative Monitoring With Real-Time Hemostatic Guidance: A Key Component in Managing Catastrophic Obstetric Hemorrhage2026