Volume 3, Issue 3 ( Journal of Clinical and Basic Research (JCBR) 2019)
jcbr 2019, 3(3): 1-4 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Moshirinia F, Motaharinejad M, Khorsandi B. Secondary Postpartum Hemorrhage after Cesarean Delivery: A Case Report. jcbr 2019; 3 (3) :1-4
URL: http://jcbr.goums.ac.ir/article-1-219-en.html
URL: http://jcbr.goums.ac.ir/article-1-219-en.html
1- School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
2- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Abstract: (4152 Views)
Background: Delayed postpartum hemorrhage is a midwifery emergency that occurs following vaginal or cesarean delivery. It is one of the leading causes of postpartum hysterectomy and maternal death. The condition may be caused by dehiscence of uterus incision after cesarean section, which can lead to severe and fatal bleeding. We herein report a case of secondary postpartum hemorrhage after cesarean section.
Case description: A 34-year-old G3p3 woman with severe bleeding was admitted to the maternity hospital of Yazd (Iran) in preshock state. The patient had previously had three cesarean sections and underwent elective cesarean section at 38 weeks ten days age. The patient was immediately transferred to the operating room and underwent hysterectomy. Blood transfusion and serum therapy were performed. After the surgery, the patient was kept in the intensive care unit for four days and then was transferred to gynecology ward. Finally, she was discharged on the sixth day of hospitalization after partial recovery.
Conclusion: Secondary postpartum hemorrhage is a deadly complication of postpartum period. However, it is often diagnosed at critical stages due to its low incidence, which may endanger the mother's life if left unattended. Therefore, it is recommended to discharge all mothers after fully explaining the complications of genital infections, so that they may seek medical attention upon appearance of alarm symptoms. Gynecologists and health professionals should follow up this group of women more carefully to prevent irreversible consequences.
Case description: A 34-year-old G3p3 woman with severe bleeding was admitted to the maternity hospital of Yazd (Iran) in preshock state. The patient had previously had three cesarean sections and underwent elective cesarean section at 38 weeks ten days age. The patient was immediately transferred to the operating room and underwent hysterectomy. Blood transfusion and serum therapy were performed. After the surgery, the patient was kept in the intensive care unit for four days and then was transferred to gynecology ward. Finally, she was discharged on the sixth day of hospitalization after partial recovery.
Conclusion: Secondary postpartum hemorrhage is a deadly complication of postpartum period. However, it is often diagnosed at critical stages due to its low incidence, which may endanger the mother's life if left unattended. Therefore, it is recommended to discharge all mothers after fully explaining the complications of genital infections, so that they may seek medical attention upon appearance of alarm symptoms. Gynecologists and health professionals should follow up this group of women more carefully to prevent irreversible consequences.
Article Type: Case report |
Subject:
Nursing
References
1. Sharma S, Gupta U, Kumar M, Tyagi S, Talwar N, Meena J, Singhal S, Pathak P. Pseudoaneurysm as a cause of secondary postpartum hemorrhage: a case report and literature review. Anatolian Journal of Obstetrics & Gynecology. 2011; (4):1-4. [Google Scholar]
2. Dahlke JD, Mendez-Figueroa H, Maggio L, Hauspurg AK, Sperling JD, Chauhan SP, Rouse DJ. Prevention and management of postpartum hemorrhage: a comparison of 4 national guidelines. American journal of obstetrics and gynecology. 2015; 213(1):76-e1. [DOI] [Google Scholar]
3. World Health Organization (2012) WHO Recommendations for the Prevention and Treatment of Postpartum Haemorrhage. World Health Organization, Geneva. [Google Scholar]
4. Royal College of Obstetricians and Gynaecologists (2011) Prevention and management of postpartum haemorrhage. Green-top Guideline, NO.52, p,1-24
5. National Institute for health and care excellence (2014) Intrapartum care: care of healthy women and their babies during childbirth, NICE Clinical Guidelines [CG190].
6. Blomberg M. Maternal obesity and risk of postpartum hemorrhage. Obstetrics & Gynecology. 2011;118(3):561-8. [DOI] [Google Scholar]
7. Wagner MS, Bédard MJ. Postpartum uterine wound dehiscence: a case report. J Obstet Gynaecol Can. 2006; 28(8):713-5. [DOI] [Google Scholar]
8. Newsome J, Martin J G., Bercu Z., Shah J., Shekhani H , & Peters G.. Postpartum hemorrhage. Techniques in vascular and interventional radiology. 2017; 20(4), 266-273.. [DOI] [Google Scholar]
9. Combs CA, Murphy EL, Laros JR. Factors associated with postpartum hemorrhage with vaginal birth. Obstetrics and gynecology. 1991;77(1):69-76. [Google Scholar]
10. Cunningham F, Leveno K, Bloom S, Spong CY, Dashe J. Williams obstetrics, 24e. Mcgraw-hill; 2014. Page:800. [Google Scholar]
11. Tourné G, Collet F, Seffert P, Veyret C. Place of embolization of the uterine arteries in the management of post-partum haemorrhage: a study of 12 cases. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2003;110(1):29-34. [DOI] [Google Scholar]
12. Vegas G, Illescas T, Muñoz M, Pérez-Piñar A. Selective pelvic arterial embolization in the management of obstetric hemorrhage. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2006;127(1):68-72. [DOI] [Google Scholar]
13. Nanjundan P, Rohilla M, Raveendran A, Jain V, Khandelwal N. Pseudoaneurysm of uterine artery: a rare cause of secondary postpartum hemorrhage, managed with uterine artery embolisation. Journal of clinical imaging science. 2011;1(1):14. [Google Scholar]
14. Sengupta Dhar R, Misra R. Postpartum uterine wound dehiscence leading to secondary PPH: unusual sequelae. Case reports in obstetrics and gynecology. 2012; 2012. [DOI] [Google Scholar]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0).