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Act fast when confronted by a coagulopathy postpartum

OBG Management. 2012 March;24(03):8-11
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Don’t waste valuable time waiting for coagulation studies to return from the lab—use your clinical judgment and start transfusing clotting factors

At the conclusion of your repair, the patient is no longer bleeding.

A final coagulation profile shows: hemoglobin, 9.1 g/dL; platelet count, 100 X 103 μL; PT, 16.6 sec; INR, 1.3; PTT, 36 sec; and fibrinogen, 210 mg/dL. The patient is discharged on the third postpartum day.

INSTANT POLL

What were the key clinical interventions that helped you save the life of a woman who had a severe coagulopathy postpartum?