title: Case Report: Postpartum hemorrhage associated with Dengue with warning signs in a term pregnancy and delivery.
abstract: BACKGROUND
  Dengue infection during peripartum period, although rare in endemic regions, has challenged clinicians regarding its management, especially if a parturient woman experiences postpartum hemorrhage due to a classical risk factor of maternal bleeding.
  
  
  METHODS
  A full-term pregnant Vietnamese woman was diagnosed with polyhydramnios and Dengue with warning signs (DWS). She was administered platelet transfusion prior to delivery and then gave birth to a healthy newborn. After active management of the third stage of labor, the patient suffered a postpartum hemorrhage which was caused by uterine atony and accompanied with thrombocytopenia. Therefore, we decided to administer uterotonic drugs and additionally transfuse platelets.
  
  
  CONCLUSIONS
  We describe a case of postpartum hemorrhage caused by uterine atony and coinciding with Dengue infection during delivery period, which is a rare clinical entity. With timely detection and management, the patient was finally discharged without complications.
authors.affiliation: University of Medicine and Pharmacy, Ho Chi Minh, Vietnam.
authors.forename: Le
authors.initials: L
authors.lastname: Phi Hung
authors.affiliation: School of Medicine, Vietnam National University, Ho Chi Minh, Vietnam.
authors.forename: Tran
authors.initials: T
authors.lastname: Diem Nghi
authors.affiliation: School of Medicine, Vietnam National University, Ho Chi Minh, Vietnam.
authors.forename: Nguyen
authors.initials: N
authors.lastname: Hoang Anh
authors.affiliation: School of Medicine, Vietnam National University, Ho Chi Minh, Vietnam.
authors.forename: Mai
authors.initials: M
authors.lastname: Van Hieu
authors.affiliation: University of Medicine and Pharmacy, Ho Chi Minh, Vietnam.
authors.forename: Nguyen
authors.initials: N
authors.lastname: Thien Luan
authors.affiliation: University of Medicine and Pharmacy, Ho Chi Minh, Vietnam.
authors.forename: Nguyen
authors.initials: N
authors.lastname: Phuoc Long
authors.affiliation: University of Medicine and Pharmacy, Ho Chi Minh, Vietnam; Hung Vuong Hospital, Ho Chi Minh, Vietnam.
authors.forename: Than
authors.initials: T
authors.lastname: Trong Thach
keywords: Dengue with warning signs; polyhydramnios; postpartum hemorrhage; pregnancy; uterine atony