Case Report
Management of Severe Epistaxis during Pregnancy: A Case Report and Review of the Literature
Table 1
Cases of severe epistaxis during pregnancy not associated with nasal lesion or clotting disorders.
| Author/year | Number of patients | Management of epistaxis | Management of pregnancy |
| Green L K 1974 [2] | 1 | Local pressure; nasal packing | Emergency caesarean section |
| El Goulli M 1979 [3] | 1 | Nasal packing | Vaginal delivery |
| Howard DJ 1985 [4] | 1 | Nasal packing; bipolar diathermy; external carotid artery ligation; nasal balloon | Emergency caesarean section |
| Braithwaite J M [5] | 1 | Nasal packing; nasal balloon | Emergency caesarean section |
| Cooley 2002 [6] | 1 | Nasal packing; nasal balloon | Emergency caesarean section |
| Hardy 2008 [7] | 1 | Nasal packing; bipolar cautery; artery ligation | Vaginal delivery |
| Cornthwaite K 2013 [8] | 1 | Nasal packing; bipolar diathermy | Elective caesarean section |
| Crunkhorn RE 2014 [9] | 1 | Nasal packing; sphenopalatine artery (SPA) ligation; bipolar cautery; bipolar diathermy | Elective caesarean section |
| Our case 2018 | 1 | IV tranexamic acid nasal packing; bipolar cautery | Emergency caesarean section |
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