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Disseminated intravascular coagulation in pregnancy: insights in pathophysiology, diagnosis and management.

Abstract
Disseminated intravascular coagulation (DIC) is a life-threatening situation that can arise from a variety of obstetrical and nonobstetrical causes. Obstetrical DIC has been associated with a series of pregnancy complications including the following: (1) acute peripartum hemorrhage (uterine atony, cervical and vaginal lacerations, and uterine rupture); (2) placental abruption; (3) preeclampsia/eclampsia/hemolysis, elevated liver enzymes, and low platelet count syndrome; (4) retained stillbirth; (5) septic abortion and intrauterine infection; (6) amniotic fluid embolism; and (7) acute fatty liver of pregnancy. Prompt diagnosis and understanding of the underlying mechanisms of disease leading to this complication in essential for a favorable outcome. In recent years, novel diagnostic scores and treatment modalities along with bedside point-of-care tests were developed and may assist the clinician in the diagnosis and management of DIC. Team work and prompt treatment are essential for the successful management of patients with DIC.
AuthorsOffer Erez, Salvatore Andrea Mastrolia, Jecko Thachil
JournalAmerican journal of obstetrics and gynecology (Am J Obstet Gynecol) Vol. 213 Issue 4 Pg. 452-63 (Oct 2015) ISSN: 1097-6868 [Electronic] United States
PMID25840271 (Publication Type: Journal Article, Review)
CopyrightCopyright © 2015 Elsevier Inc. All rights reserved.
Topics
  • Abortion, Septic (physiopathology)
  • Abruptio Placentae (physiopathology)
  • Disseminated Intravascular Coagulation (diagnosis, physiopathology, therapy)
  • Eclampsia (physiopathology)
  • Fatty Liver (physiopathology)
  • Female
  • Fetus
  • HELLP Syndrome (physiopathology)
  • Humans
  • Postpartum Hemorrhage (physiopathology)
  • Pre-Eclampsia (physiopathology)
  • Pregnancy
  • Pregnancy Complications (physiopathology)
  • Pregnancy Complications, Hematologic (diagnosis, physiopathology, therapy)
  • Stillbirth
  • Uterine Hemorrhage (physiopathology)
  • Uterine Rupture (physiopathology)

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