Secondary postpartum hemorrhage on day 58 of cesarean section due to uterine scar rupture

Authors

  • Yogita B. Gavit Department of Obstetrics and Gynecology, Lokmanaya Tilak Government Medical College, Mumbai, Maharashtra, India
  • Deepika Sharma Department of Obstetrics and Gynecology, Lokmanaya Tilak Government Medical College, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20204854

Keywords:

Secondary postpartum hemorrhage, Uterine scar rupture, Dehiscence

Abstract

Secondary postpartum hemorrhage is rare and affect 0.23-3% of all pregnancies. It happens between 24 hours to 12 weeks of post-delivery. These postpartum hemorrhages occur more often during normal vaginal delivery only a small subset of postpartum hemorrhages occurs after cesarean section. Delayed postpartum hemorrhage is obstetrics emergencies that occurs following vaginal or cesarean delivery, in later 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.

Author Biography

Yogita B. Gavit, Department of Obstetrics and Gynecology, Lokmanaya Tilak Government Medical College, Mumbai, Maharashtra, India

Assisstant Professor Obstetrics & Gynaecology Department

References

Comittee on Practice Bulletins-Obstetrics Practice Bulletin No 183: Postpartum Hemorrhage. Obstet Gynecol 2017;130:e168.

Dossoum M, Debost-Legrand A, Dechellotte P. Severe Secondary Postpartum hemorrhage: a historical cohort. Birth. 2015;42:149.

WHO Recommendations for prevention and Treatment of Postpartum Hemorrhage. World health Organization, Geneva. 2012. Accessed on 02 July, 2020.

Wagner MS, Bedard MJ. Postpartum uterine dehiscence: a case report. J Obstet Gynaecol Can. 2006;28(8):713-5.

Combs CA. Murphy EL, LarosJR. Factors associated with postpartum hemorrhage with vaginal birth. Obstet Gynecol. 1991;77(1):69-76.

Guiheneuf A. Cabaret AS, Grall JY. A case of uterine rupture discovered in the postpartum period. J Gynecol Obstet Biol Reprod. 2008:37197e9.

Musa J, Misauno MA. Uterine rupture in primigravida presenting as acute abdomen post delivery: a case report. Niger J Med. 2007;16:274e6.

Waseem M, Cunningham-Deshong H, Gernsheimer J. Abdminal pain in a postpartum patient. J Emerd Med. 2011;41:261e4.

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Published

2020-10-27

Issue

Section

Case Reports