Coagulation Disorders & Bleeding Diathesis — Practice
A 29-year-old pregnant woman in her third trimester develops sudden dyspnoea, hypotension, seizures and profuse bleeding from venepuncture sites during labour. Coagulation studies show prolonged PT and aPTT, low fibrinogen and elevated D-dimer. What is the most likely underlying mechanism of her bleeding?
APrimary fibrinolysis from hepatic failure
BVitamin K deficiency
CAcquired factor VIII inhibitor
DDisseminated intravascular coagulation triggered by amniotic fluid embolism