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/yearNumber of patientsManagement of epistaxisManagement of pregnancy

Green L K 1974 [2]1Local pressure; nasal packingEmergency caesarean section

El Goulli M 1979 [3]1Nasal packingVaginal delivery

Howard DJ 1985 [4]1Nasal packing; bipolar diathermy; external carotid artery ligation; nasal balloonEmergency caesarean section

Braithwaite J M [5]1Nasal packing; nasal balloonEmergency caesarean section

Cooley 2002 [6]1Nasal packing; nasal balloonEmergency caesarean section

Hardy 2008 [7]1Nasal packing; bipolar cautery; artery ligationVaginal delivery

Cornthwaite K 2013 [8]1Nasal packing; bipolar diathermyElective caesarean section

Crunkhorn RE 2014 [9]1Nasal packing; sphenopalatine artery (SPA) ligation; bipolar cautery; bipolar diathermyElective caesarean section

Our case 20181IV tranexamic acid nasal packing; bipolar cauteryEmergency caesarean section

Footnotes: intravenous.