Recurrent secondary postpartum haemorrhage due to endometritis: requires 18 units blood transfusion

Authors

  • Mamta Sharma Department of Obstetrics and Gynecology, J. K. Lon Mother and Child Hospital, Government Medical College, Kota, Rajasthan
  • Deepti Maheshwari Department of Obstetrics and Gynecology, J. K. Lon Mother and Child Hospital, Government Medical College, Kota, Rajasthan

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20161721

Keywords:

PPH, haemoglobin, White blood cells, Ultra sonography

Abstract

Postpartum hemorrhage (PPH) represents a serious problem for women and obstetricians. Because of its association with haemorrhagic shock and predisposition to disseminated coagulopathy, it is a leading cause of maternal deaths worldwide. Furthermore, the jeopardy of PPH is rising with the secondary form of PPH occurring between 24 hours and 6 weeks postpartum, when women are already discharged home. The causes of this pathology are severe inflammation (endometritis) inherited coagulation disorders, consumptive coagulopathy, and retained products of conceptions. Others are of rare occurrence, such as vessel subinvolution (VSI) of the placental implantation site, uterine artery pseudo aneurysm, or trauma.

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Published

2017-01-05

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Section

Case Reports