{"id":"https://openalex.org/W7204271702","doi":"https://doi.org/10.11648/j.jgo.20261404.12","title":"Near-Miss Maternal Mortality: Survival After Massive Postpartum Hemorrhage, Disseminated Intravascular Coagulopathy, and Multiorgan Failure","display_name":"Near-Miss Maternal Mortality: Survival After Massive Postpartum Hemorrhage, Disseminated Intravascular Coagulopathy, and Multiorgan Failure","publication_year":2026,"publication_date":"2026-08-24","ids":{"openalex":"https://openalex.org/W7204271702","doi":"https://doi.org/10.11648/j.jgo.20261404.12"},"language":"en","primary_location":{"id":"doi:10.11648/j.jgo.20261404.12","doi":"https://doi.org/10.11648/j.jgo.20261404.12","is_oa":true,"landing_page_url":"https://doi.org/10.11648/j.jgo.20261404.12","pdf_url":"http://article.sciencepg.com/pdf/j.jgo.20261404.12","source":{"id":"https://openalex.org/S4210239760","display_name":"Journal of Gynecology and Obstetrics","issn_l":"2376-7812","issn":["2376-7812","2376-7820"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310319272","host_organization_name":"Science Publishing Group","host_organization_lineage":["https://openalex.org/P4310319272"],"host_organization_lineage_names":["Science Publishing Group"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Gynecology and Obstetrics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"http://article.sciencepg.com/pdf/j.jgo.20261404.12","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5118615767","display_name":"Ibrahim Kattoush","orcid":"https://orcid.org/0009-0000-0172-4287","observed_orcids":["https://orcid.org/0009-0000-0172-4287"]},"institutions":[{"id":"https://openalex.org/I122544976","display_name":"Hebron University","ror":"https://ror.org/04wwgp209","country_code":"PS","type":"education","lineage":["https://openalex.org/I122544976"]}],"countries":["PS"],"is_corresponding":false,"raw_author_name":"Ibrahim Kattoush","raw_affiliation_strings":["Departement of Surgery, Hebron University, Hebron, Palestine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departement of Surgery, Hebron University, Hebron, Palestine","institution_ids":["https://openalex.org/I122544976"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136420758","display_name":"Haya Ewidat","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I122544976","display_name":"Hebron University","ror":"https://ror.org/04wwgp209","country_code":"PS","type":"education","lineage":["https://openalex.org/I122544976"]}],"countries":["PS"],"is_corresponding":false,"raw_author_name":"Haya Ewidat","raw_affiliation_strings":["Departement of Surgery, Hebron University, Hebron, Palestine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departement of Surgery, Hebron University, Hebron, Palestine","institution_ids":["https://openalex.org/I122544976"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148330939","display_name":"Ayat Fararjeh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I122544976","display_name":"Hebron University","ror":"https://ror.org/04wwgp209","country_code":"PS","type":"education","lineage":["https://openalex.org/I122544976"]}],"countries":["PS"],"is_corresponding":false,"raw_author_name":"Ayat Fararjeh","raw_affiliation_strings":["Departement of Surgery, Hebron University, Hebron, Palestine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departement of Surgery, Hebron University, Hebron, Palestine","institution_ids":["https://openalex.org/I122544976"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Malak Hamdan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I122544976","display_name":"Hebron University","ror":"https://ror.org/04wwgp209","country_code":"PS","type":"education","lineage":["https://openalex.org/I122544976"]}],"countries":["PS"],"is_corresponding":false,"raw_author_name":"Malak Hamdan","raw_affiliation_strings":["Departement of Surgery, Hebron University, Hebron, Palestine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departement of Surgery, Hebron University, Hebron, Palestine","institution_ids":["https://openalex.org/I122544976"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148401778","display_name":"Khawlla Ghraeb","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I122544976","display_name":"Hebron University","ror":"https://ror.org/04wwgp209","country_code":"PS","type":"education","lineage":["https://openalex.org/I122544976"]}],"countries":["PS"],"is_corresponding":false,"raw_author_name":"Khawlla Ghraeb","raw_affiliation_strings":["Departement of Surgery, Hebron University, Hebron, Palestine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departement of Surgery, Hebron University, Hebron, Palestine","institution_ids":["https://openalex.org/I122544976"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114318951","display_name":"Mohammed Alra\u2019e","orcid":"https://orcid.org/0009-0000-3419-389X","observed_orcids":["https://orcid.org/0009-0000-3419-389X"]},"institutions":[{"id":"https://openalex.org/I122544976","display_name":"Hebron University","ror":"https://ror.org/04wwgp209","country_code":"PS","type":"education","lineage":["https://openalex.org/I122544976"]}],"countries":["PS"],"is_corresponding":true,"raw_author_name":"Mohammed Alra\u2019e","raw_affiliation_strings":["Departement of Surgery, Hebron University, Hebron, Palestine"],"raw_orcid":"https://orcid.org/0009-0000-3419-389X","affiliations":[{"raw_affiliation_string":"Departement of Surgery, Hebron University, Hebron, Palestine","institution_ids":["https://openalex.org/I122544976"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148196635","display_name":"Mohammad Saya\u2019Reh","orcid":"https://orcid.org/0009-0001-3727-7586","observed_orcids":["https://orcid.org/0009-0001-3727-7586"]},"institutions":[{"id":"https://openalex.org/I159247623","display_name":"Mansoura University","ror":"https://ror.org/01k8vtd75","country_code":"EG","type":"education","lineage":["https://openalex.org/I159247623"]}],"countries":["EG"],"is_corresponding":false,"raw_author_name":"Mohammad Saya\u2019Reh","raw_affiliation_strings":["Departement of Surgery, Mansoura University, Hebron, Palestine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departement of Surgery, Mansoura University, Hebron, Palestine","institution_ids":["https://openalex.org/I159247623"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5133639916","display_name":"Montaser Shrouf","orcid":"https://orcid.org/0009-0001-8178-1296","observed_orcids":["https://orcid.org/0009-0001-8178-1296"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Montaser Shrouf","raw_affiliation_strings":["Departement of Obstetrics and Gynecology, Palestine Red Crescent Society, Hebron, Palestine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departement of Obstetrics and Gynecology, Palestine Red Crescent Society, Hebron, Palestine","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5114318951"],"corresponding_institution_ids":["https://openalex.org/I122544976"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":"4","first_page":"97","last_page":"100"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10693","display_name":"Blood transfusion and management","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11116","display_name":"Trauma, Hemostasis, Coagulopathy, Resuscitation","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/postpartum-hemorrhage","display_name":"postpartum hemorrhage","score":0.953000009059906},{"id":"https://openalex.org/keywords/disseminated-intravascular-coagulation","display_name":"disseminated intravascular coagulation","score":0.9470000267028809},{"id":"https://openalex.org/keywords/multiple-organ-failure","display_name":"multiple organ failure","score":0.9879999756813049},{"id":"https://openalex.org/keywords/maternal-near-miss","display_name":"maternal near miss","score":0.8500000238418579},{"id":"https://openalex.org/keywords/thrombophilia","display_name":"thrombophilia","score":0.7929999828338623},{"id":"https://openalex.org/keywords/factor-v-leiden","display_name":"factor V Leiden","score":0.949999988079071},{"id":"https://openalex.org/keywords/hysterectomy","display_name":"hysterectomy","score":0.621999979019165},{"id":"https://openalex.org/keywords/uterine-atony","display_name":"uterine atony","score":0.8420000076293945},{"id":"https://openalex.org/keywords/internal-iliac-artery-ligation","display_name":"internal iliac artery ligation","score":0.890999972820282},{"id":"https://openalex.org/keywords/oophorectomy","display_name":"oophorectomy","score":0.8700000047683716},{"id":"https://openalex.org/keywords/blood-transfusion","display_name":"blood transfusion","score":0.7070000171661377},{"id":"https://openalex.org/keywords/critical-care","display_name":"intensive care","score":0.5189999938011169},{"id":"https://openalex.org/keywords/cesarean-section","display_name":"cesarean section","score":0.7160000205039978},{"id":"https://openalex.org/keywords/labor-induction","display_name":"labor induction","score":0.6190000176429749}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9523000121116638},{"id":"https://openalex.org/C2778734968","wikidata":"https://www.wikidata.org/wiki/Q823027","display_name":"Disseminated intravascular coagulation","level":2,"score":0.7439000010490417},{"id":"https://openalex.org/C2779494336","wikidata":"https://www.wikidata.org/wiki/Q550675","display_name":"Hysterectomy","level":2,"score":0.5626999735832214},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.515500009059906},{"id":"https://openalex.org/C2779936836","wikidata":"https://www.wikidata.org/wiki/Q890200","display_name":"Coagulopathy","level":2,"score":0.5049999952316284},{"id":"https://openalex.org/C2778408130","wikidata":"https://www.wikidata.org/wiki/Q6679974","display_name":"Vaginal delivery","level":3,"score":0.44850000739097595},{"id":"https://openalex.org/C2780842393","wikidata":"https://www.wikidata.org/wiki/Q1570013","display_name":"Thrombophilia","level":3,"score":0.4375},{"id":"https://openalex.org/C2780056395","wikidata":"https://www.wikidata.org/wiki/Q7902662","display_name":"Uterotonic","level":3,"score":0.4350999891757965},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.3993000090122223},{"id":"https://openalex.org/C2911084887","wikidata":"https://www.wikidata.org/wiki/Q1193870","display_name":"Multiorgan failure","level":2,"score":0.38690000772476196},{"id":"https://openalex.org/C66112548","wikidata":"https://www.wikidata.org/wiki/Q1225698","display_name":"Fresh frozen plasma","level":3,"score":0.3804999887943268},{"id":"https://openalex.org/C2778589496","wikidata":"https://www.wikidata.org/wiki/Q487937","display_name":"Hemostasis","level":2,"score":0.3801000118255615},{"id":"https://openalex.org/C2777143102","wikidata":"https://www.wikidata.org/wiki/Q1470833","display_name":"Amniotic fluid embolism","level":3,"score":0.37940001487731934},{"id":"https://openalex.org/C2780659260","wikidata":"https://www.wikidata.org/wiki/Q1418513","display_name":"Uterine atony","level":3,"score":0.3589000105857849},{"id":"https://openalex.org/C3018745865","wikidata":"https://www.wikidata.org/wiki/Q749115","display_name":"Postpartum period","level":3,"score":0.35659998655319214},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.3546999990940094},{"id":"https://openalex.org/C2908892503","wikidata":"https://www.wikidata.org/wiki/Q1339474","display_name":"Maternal death","level":3,"score":0.3474999964237213},{"id":"https://openalex.org/C3019467916","wikidata":"https://www.wikidata.org/wiki/Q550675","display_name":"Abdominal hysterectomy","level":3,"score":0.30880001187324524},{"id":"https://openalex.org/C2781207646","wikidata":"https://www.wikidata.org/wiki/Q707674","display_name":"Uterine artery","level":4,"score":0.3061000108718872},{"id":"https://openalex.org/C3018031340","wikidata":"https://www.wikidata.org/wiki/Q6786626","display_name":"Maternal morbidity","level":3,"score":0.296099990606308},{"id":"https://openalex.org/C2909910413","wikidata":"https://www.wikidata.org/wiki/Q823027","display_name":"Consumptive Coagulopathy","level":3,"score":0.2818000018596649},{"id":"https://openalex.org/C2780955771","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Abdominal pain","level":2,"score":0.27469998598098755},{"id":"https://openalex.org/C179437574","wikidata":"https://www.wikidata.org/wiki/Q15089798","display_name":"Ligation","level":2,"score":0.2639000117778778},{"id":"https://openalex.org/C2777185221","wikidata":"https://www.wikidata.org/wiki/Q275466","display_name":"Embolism","level":2,"score":0.2621999979019165},{"id":"https://openalex.org/C16124881","wikidata":"https://www.wikidata.org/wiki/Q5363933","display_name":"Coagulation testing","level":3,"score":0.2612000107765198},{"id":"https://openalex.org/C2781460036","wikidata":"https://www.wikidata.org/wiki/Q532558","display_name":"Internal iliac artery","level":2,"score":0.258899986743927},{"id":"https://openalex.org/C2780014101","wikidata":"https://www.wikidata.org/wiki/Q183605","display_name":"Blood transfusion","level":2,"score":0.2513999938964844}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.11648/j.jgo.20261404.12","doi":"https://doi.org/10.11648/j.jgo.20261404.12","is_oa":true,"landing_page_url":"https://doi.org/10.11648/j.jgo.20261404.12","pdf_url":"http://article.sciencepg.com/pdf/j.jgo.20261404.12","source":{"id":"https://openalex.org/S4210239760","display_name":"Journal of Gynecology and Obstetrics","issn_l":"2376-7812","issn":["2376-7812","2376-7820"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310319272","host_organization_name":"Science Publishing Group","host_organization_lineage":["https://openalex.org/P4310319272"],"host_organization_lineage_names":["Science Publishing Group"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Gynecology and Obstetrics","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.11648/j.jgo.20261404.12","doi":"https://doi.org/10.11648/j.jgo.20261404.12","is_oa":true,"landing_page_url":"https://doi.org/10.11648/j.jgo.20261404.12","pdf_url":"http://article.sciencepg.com/pdf/j.jgo.20261404.12","source":{"id":"https://openalex.org/S4210239760","display_name":"Journal of Gynecology and Obstetrics","issn_l":"2376-7812","issn":["2376-7812","2376-7820"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310319272","host_organization_name":"Science Publishing Group","host_organization_lineage":["https://openalex.org/P4310319272"],"host_organization_lineage_names":["Science Publishing Group"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Gynecology and Obstetrics","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204271702.pdf","grobid_xml":"https://content.openalex.org/works/W7204271702.grobid-xml"},"referenced_works_count":15,"referenced_works":["https://openalex.org/W2023257944","https://openalex.org/W2069307833","https://openalex.org/W2555726890","https://openalex.org/W2556924440","https://openalex.org/W2786382895","https://openalex.org/W2789983207","https://openalex.org/W2899015909","https://openalex.org/W2921025929","https://openalex.org/W4213283844","https://openalex.org/W4294190156","https://openalex.org/W4309479060","https://openalex.org/W4311897989","https://openalex.org/W4377093911","https://openalex.org/W4394841261","https://openalex.org/W4404998459"],"related_works":["https://openalex.org/W4413028359","https://openalex.org/W2384410207","https://openalex.org/W7113825589","https://openalex.org/W4294237531","https://openalex.org/W6911432831","https://openalex.org/W1663585880","https://openalex.org/W4391006684","https://openalex.org/W4400576862","https://openalex.org/W4412500111","https://openalex.org/W2328741930"],"abstract_inverted_index":{"Background:":[0],"Postpartum":[1],"hemorrhage":[2,60,129],"(PPH)":[3],"is":[4,24,46],"a":[5],"leading":[6],"cause":[7],"of":[8,83,159,201,205,234],"maternal":[9,41],"morbidity":[10],"and":[11,29,40,61,120,150,166,184,188,203,207,240],"mortality":[12],"worldwide.":[13],"Primary":[14],"PPH,":[15],"occurring":[16],"within":[17],"the":[18,25,137],"first":[19],"24":[20],"hours":[21],"after":[22],"delivery,":[23],"most":[26],"common":[27],"form":[28],"may":[30,226],"rapidly":[31],"progress":[32],"to":[33,100,104,114,118,252],"disseminated":[34,175],"intravascular":[35,176],"coagulation":[36,177],"(DIC),":[37,178],"multiorgan":[38,179],"failure,":[39,180],"near-miss":[42],"events":[43],"if":[44],"bleeding":[45,135,236],"not":[47,227],"promptly":[48],"controlled.":[49],"Patients":[50],"with":[51,74,197,250,257],"underlying":[52],"thrombophilia":[53,78],"are":[54,244],"at":[55,85],"increased":[56],"risk":[57],"for":[58,80,174],"severe":[59,111],"coagulopathy.":[62],"Case":[63],"Presentation:":[64],"A":[65],"35-year-old":[66],"gravida":[67],"8,":[68],"para":[69],"4,":[70],"aborta":[71],"3":[72],"woman":[73],"Factor":[75],"V":[76],"Leiden":[77],"presented":[79],"elective":[81],"induction":[82],"labor":[84,105],"38+4":[86],"weeks.":[87],"Antenatal":[88],"care":[89,243],"was":[90,98,126,142,211],"suboptimal.":[91],"She":[92,170,210],"initially":[93],"underwent":[94],"vaginal":[95],"delivery":[96],"but":[97,128],"converted":[99],"Cesarean":[101],"section":[102],"due":[103],"complications.":[106],"Immediately":[107],"postpartum,":[108],"she":[109],"developed":[110],"PPH":[112],"secondary":[113],"uterine":[115],"atony,":[116],"unresponsive":[117],"uterotonics":[119],"balloon":[121],"tamponade.":[122],"Total":[123],"abdominal":[124],"hysterectomy":[125,225],"performed,":[127],"persisted.":[130],"Interventions:":[131],"Surgical":[132],"re-exploration":[133],"identified":[134],"from":[136],"left":[138,151],"infundibulopelvic":[139],"ligament.":[140],"Hemostasis":[141],"achieved":[143],"via":[144],"bilateral":[145],"internal":[146],"iliac":[147],"artery":[148],"ligation":[149],"oophorectomy.":[152],"The":[153,193],"patient":[154,194],"received":[155],"approximately":[156],"60":[157],"units":[158],"blood":[160],"products,":[161],"including":[162],"packed":[163],"RBCs,":[164],"platelets,":[165],"fresh":[167],"frozen":[168],"plasma.":[169],"required":[171],"ICU":[172],"admission":[173],"vasopressor":[181],"support":[182],"(norepinephrine":[183],"vasopressin),":[185],"mechanical":[186],"ventilation,":[187],"empirical":[189],"broad-spectrum":[190],"antibiotics.":[191],"Outcome:":[192],"gradually":[195],"improved,":[196],"hemodynamic":[198],"stabilization,":[199],"resolution":[200],"DIC,":[202],"normalization":[204],"renal":[206],"hepatic":[208],"function.":[209],"discharged":[212],"in":[213,247,255],"stable":[214],"condition":[215],"on":[216],"postpartum":[217,260],"day":[218],"11.":[219],"Conclusion:":[220],"This":[221],"case":[222],"demonstrates":[223],"that":[224],"always":[228],"control":[229],"catastrophic":[230],"PPH.":[231],"Early":[232],"recognition":[233],"alternative":[235],"sources,":[237],"aggressive":[238],"resuscitation,":[239],"multidisciplinary":[241],"critical":[242],"essential,":[245],"especially":[246],"high-risk":[248],"patients":[249,256],"thrombophilia,":[251],"improve":[253],"survival":[254],"refractory":[258],"primary":[259],"hemorrhage.":[261]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-08-27T00:00:00"}
