{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T02:29:34Z","timestamp":1786588174099,"version":"build-2736575974"},"reference-count":10,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","obstetanesthesia.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Obstetric Anesthesia"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.ijoa.2025.104777","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T07:49:23Z","timestamp":1758700163000},"page":"104777","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Acute obstetric coagulopathy without severe postpartum haemorrhage following medical termination of pregnancy presenting as gingival bleeding: a case report"],"prefix":"10.1016","volume":"65","author":[{"given":"G.","family":"Thomas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Dhadda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Metodiev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ijoa.2025.104777_b0005","doi-asserted-by":"crossref","first-page":"e323","DOI":"10.1016\/S2214-109X(14)70227-X","article-title":"Global causes of maternal death: a WHO systematic analysis","volume":"2","author":"Say","year":"2014","journal-title":"Lancet Glob Health"},{"key":"10.1016\/j.ijoa.2025.104777_b0010","doi-asserted-by":"crossref","first-page":"862","DOI":"10.1016\/j.jtha.2022.11.036","article-title":"Acute obstetric coagulopathy during postpartum hemorrhage is caused by hyperfibrinolysis and dysfibrinogenemia: an observational cohort study","volume":"21","author":"de Lloyd","year":"2023","journal-title":"J Thromb Haemost"},{"key":"10.1016\/j.ijoa.2025.104777_b0015","doi-asserted-by":"crossref","first-page":"2751","DOI":"10.1182\/bloodadvances.2024015514","article-title":"Acute obstetric coagulopathy is associated with excess plasmin generation and proteolysis of fibrinogen and factor V","volume":"9","author":"Collins","year":"2025","journal-title":"Blood Adv"},{"key":"10.1016\/j.ijoa.2025.104777_b0020","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.ijoa.2014.12.005","article-title":"Coagulopathy and placental abruption: changing management with ROTEM-guided fibrinogen concentrate therapy","volume":"24","author":"McNamara","year":"2015","journal-title":"Int J Obstet Anesth"},{"key":"10.1016\/j.ijoa.2025.104777_b0025","unstructured":"All Wales Maternity & Neonatal Network Guidelines. Prevention and management of postpartum haemorrhage. Accessed on 01\/09\/2025. https:\/\/wisdom.nhs.wales\/all-wales-guidelines\/all-wales-guidelines\/all-wales-prevention-and-management-of-postpartum-haemorrhage\/."},{"key":"10.1016\/j.ijoa.2025.104777_b0030","doi-asserted-by":"crossref","first-page":"87","DOI":"10.2344\/anpr-71-2_continuing_edu","article-title":"Review of inherited coagulation disorders","volume":"71","author":"Hoang","year":"2024","journal-title":"Anesth Prog"},{"key":"10.1016\/j.ijoa.2025.104777_b0035","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijoa.2021.103238","article-title":"The sensitivity and specificity of rotational thromboelastometry (ROTEM) to detect coagulopathy during moderate and severe postpartum haemorrhage: a prospective observational study","volume":"49","author":"Bell","year":"2022","journal-title":"Int J Obstet Anesth"},{"key":"10.1016\/j.ijoa.2025.104777_b0040","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1186\/s12884-021-03853-y","article-title":"Reduction in massive postpartum haemorrhage and red blood cell transfusion during a national quality improvement project, Obstetric Bleeding Strategy for Wales, OBS Cymru: an observational study","volume":"21","author":"Bell","year":"2021","journal-title":"BMC Pregnancy Childbirth"},{"key":"10.1016\/j.ijoa.2025.104777_b0045","first-page":"1035","article-title":"How we manage a high D-dimer","volume":"109","author":"Franchini","year":"2024","journal-title":"Haematologica"},{"key":"10.1016\/j.ijoa.2025.104777_b0050","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1002\/ajh.25482","article-title":"The D-dimer assay","volume":"94","author":"Johnson","year":"2019","journal-title":"Am J Hematol"}],"container-title":["International Journal of Obstetric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0959289X2500370X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0959289X2500370X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T02:24:55Z","timestamp":1786587895000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0959289X2500370X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":10,"alternative-id":["S0959289X2500370X"],"URL":"https:\/\/doi.org\/10.1016\/j.ijoa.2025.104777","relation":{},"ISSN":["0959-289X"],"issn-type":[{"value":"0959-289X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Acute obstetric coagulopathy without severe postpartum haemorrhage following medical termination of pregnancy presenting as gingival bleeding: a case report","name":"articletitle","label":"Article Title"},{"value":"International Journal of Obstetric Anesthesia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ijoa.2025.104777","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Crown Copyright \u00a9 2025 Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"104777"}}