EC Gynaecology

Puerperal hematoma is a rare complication of childbirth, with a serious morbidity and mortality risk.

The use of good surgical technique and attention to hemostasis in episiotomy and laceration repairs are one of the preventive measures that limit the occurrence of this complication. However, puerperal hematomas are not inevitable. Due to insufficient information on management protocol in the literature, the management protocol has not yet been codified. Treatment depends on the volume of the hematoma, the hemodynamic state, the availability of interventional radiology and, above all, the habits of the obstetric teams. There are three approaches to care: expectant management, surgical evacuation or embolization of the uterine artery.

We report a series of 5 cases of puerperal hematoma (Table 1), 3 of which were treated surgically and two with expectant care, together with a review of the literature.

 Keywords: Puerperal Hematoma; Genital Thrombus; Post-Partum Hemorrhagic

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