Abstract
Introduction: COVID-19 infection in pregnant women can increase the risk of complications, particularly coagulation disorders and mortality. Case Presentation: We reported a case of a 32-year-old pregnant woman infected with COVID-19. One day after admission for COVID-19 treatment, she underwent a cesarean section (C/S). About 30 hours after the C/S, the patient's hemoglobin levels dramatically dropped. An emergency ultrasound revealed abundant free fluid in the abdomen. Based on the ultrasound findings, the patient underwent a diagnostic laparotomy. During the laparotomy, two liters of blood with clots were found in the abdomen, but the source of the bleeding was inconclusive. Following the laparotomy, the patient was transferred to the intensive care unit (ICU) and received necessary blood products such as packed cells, antihemophilic factor, and fresh frozen plasma (FFP). After five days, the patient was discharged in good general condition. Conclusions: Early diagnosis of bleeding, prompt and skilled interventions, and careful monitoring of recently operated pregnant women with COVID-19 reduce the risk of hemorrhagic shock, maternal complications, and mortality.