Intraoperative Post Partum Hemorrhage in a Patient with Dengue Fever

  • Usama Ahmed The Aga Khan Univeristy
  • Asiyah Aman The Aga Khan Univeristy
Keywords: Dengue, Blood Coagulation Disorders, Transfusion, Anesthesia, Obstetrics


A 33 year old obstetric patient with mild fever of undiagnosed etiology underwent emergency caesarean section under general anesthesia. She had platelet count of 98,000 per microliter and increased APTT of 37.8 s at the time of surgery. After uneventful anesthetic induction and delivery of fetus, slow and oozing type of bleeding led to massive hemorrhage. Patient remained vitally stable throughout perioperative phase and was extubated. Next day, patient’s dengue IgM antibody was reported positive. Neonate was well and his dengue test was negative. Pregnant women are at high risk of developing severe complications of dengue fever with unclear mechanisms related to impaired coagulation. Regional anesthesia may not have safe outcome due to dengue infection.


How to cite this:
Ahmed U, Aman A. Intraoperative Post Partum Hemorrhage in a Patient with Dengue Fever. Pak J Med Sci. 2022;38(1):326-328.  doi:

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biography

Asiyah Aman, The Aga Khan Univeristy

Assistant Professor

Obstetric Anesthesiology

The Aga Khan Univeristy, Karachi

How to Cite
Ahmed, U., & Aman, A. (2021). Intraoperative Post Partum Hemorrhage in a Patient with Dengue Fever. Pakistan Journal of Medical Sciences, 38(1).