Case with a Nonreassuring Fetal Status Induced by Massive Hematemesis due to Mallory-Weiss Tear That Required Emergency Cesarean Section at 38 Weeks’ Gestation

Figure 3

Chronological changes in laboratory data and a review of the procedures during the perioperative period. “0” on the horizontal axis indicates the time of admission. The right vertical axis represents the hemoglobin level, whereas the left vertical axes represent the hematocrit, platelet, and fibrinogen levels. (a) Overall view from the day before admission to the third postoperative day. The dotted circle area indicates the perioperative period. (b) Magnification of the dotted circle area from Panel (a). The upper-case alphabet with an arrow head indicates the time of the procedure. (A) Time of endoscopic hemostasis. (B) Observation of nonreassuring fetal status on cardiotocography. (C) Time of commencing cesarean section. (D) Time of commencing red blood cell transfusion. (E) Time of commencing fresh frozen plasma transfusion.

(a)

(b)