Optimizing Pain Management In a Patient With Severe Postpartum Hemorrhage After Cesarean Delivery

Why This Case Is Unique

A 43-year-old primigravida woman presented for primary cesarean delivery 22 months post-extensive myomectomy. The patient received spinal anesthesia and multimodal analgesia, including a transversus abdominis plane (TAP) block with liposomal bupivacaine (Exparel, Pacira BioSciences). The patient suffered a postpartum hemorrhage (PPH) with significant blood loss,