A rare case of massive postpartum hemorrhage due to inner myometrial laceration following vaginal delivery

Ayati, Sedigheh and pourali, leila and Saghafi, Nafiseh and Shourvi, Azadeh and Mohammadzadeh Vatanch, Atiyeh i (2018) A rare case of massive postpartum hemorrhage due to inner myometrial laceration following vaginal delivery. The Iranian Journal of Obstetrics, Gynecology and Infertility, 21 (10). pp. 91-94.

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Abstract

Introduction: Postpartum hemorrhage is associated with highest rate of mortality and has many known etiologies. Inner myometrial laceration is one of the rare etiologies that lack of diagnosis can lead to maternal mortality. This report introduced a rare case of postpartum hemorrhage due to inner myometrial laceration. Case presentation: The patients were a 35-year-old woman (gravida 3 and live 2) referred to the hospital due to term pregnancy and premature rupture of membrane for pregnancy termination. Normal vaginal delivery was done following labor induction. After delivery of a 3700 gr neonate, severe postpartum hemorrhage occurred which was unresponsive to medical treatment and uterotonic drugs; she was transferred to operating room and hysterectomy was performed. Then, she was transferred to ICU. On the first day of Intensive Care Unit admission, the patient was complicated by ventricular tachycardia and bradycardia, and finally cardiopulmonary arrest. CPR was done, but it was unsuccessful, and the patient was expired. Pathological assessment revealed inner myometrial laceration at the posterior uterine wall. Conclusion: Considering inner myometrial laceration as one of the important and controllable causes of postpartum hemorrhage can lead to the diagnosis of this complication

Item Type: Article
Subjects: WP Gynecology
WQ Obstetrics
Divisions: Journals > Iranian J Obstetrics, Gynecology and Infertility
Depositing User: ijogi ijogi
Date Deposited: 30 Jan 2019 06:03
Last Modified: 30 Jan 2019 06:03
URI: http://eprints.mums.ac.ir/id/eprint/11079

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