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curettage after puerperal bleeding

T Weissbach, E Haikin-Herzberger, K Bacci-Hugger, G Shechter-Maor, M Fejgin, T Biron-Shental
OBJECTIVES: Approximately 1% of term deliveries are complicated by retained products of conception. Untreated, this condition may cause bleeding, infection and intrauterine adhesions. This study assessed whether performing routine bedside uterine ultrasound immediately after manual removal of the placenta reduced the occurrence of undiagnosed, retained products of conception and its associated complications. STUDY DESIGN: A retrospective study was conducted using the records of patients who delivered and underwent manual removal of placenta at a single obstetrics center over a 6-year period...
September 2015: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Hiroyuki Yazawa, Syu Soeda, Tsuyoshi Hiraiwa, Masayo Takaiwa, Sumiko Hasegawa-Endo, Manabu Kojima, Keiya Fujimori
STUDY OBJECTIVE: To describe the incidence of uterine vascular malformations (UVMs) including uterine arteriovenous malformations (AVMs) in patients after abortion or delivery and in outpatients. DESIGN: Prospective study (Canadian Task Force classification II-3). SETTING: Fukushima Red Cross Hospital. PATIENTS: Six patients with a UVM including 1 with an AVM. INTERVENTIONS: Clinical screening of patients using transvaginal color Doppler ultrasonography between April 2010 and March 2012...
May 2013: Journal of Minimally Invasive Gynecology
Bozidar Jovanović, Aleksandar Petrović, Bratislav Petrović
INTRODUCTION: As a diffuse chronic inflammation, myometritis is very rare and usually follows after postpartal placenta remains or postabortion infections, but it can be also associated with endometrial or ascendent infection. Chronic myometritis is often followed by profuse bleeding, though in most cases it cannot be recognized as it is asymptomatic. Histologically, that chronic process is characterized by the presence of fibriosis within the muscles and mononuclear cells (lymphoplasmocytic and histiocytic) infiltration...
September 2008: Medicinski Pregled
Geert Maleux, Dirk Timmerman, Sam Heye, Guy Wilms
The purpose of this retrospective study is to assess the radiological and clinical outcome of transcatheter embolization of acquired uterine vascular malformations in patients presenting with secondary postpartum or postabortion vaginal hemorrhage. In a cohort of 17 patients (mean age: 29.7 years; standard deviation: 4.23; range: 25-38 years) 18 embolization procedures were performed. Angiography demonstrated a uterine parenchymal hyperemia with normal drainage into the large pelvic veins ("low-flow uterine vascular malformation") in 83% (n=15) or a direct arteriovenous fistula ("high-flow uterine vascular malformation") in 17% (n=3)...
February 2006: European Radiology
Natali Aziz, Tiffanee A Lenzi, R Brook Jeffrey, Deirdre J Lyell
BACKGROUND: Uterine arteriovenous communications are uncommon lesions that may be associated with life-threatening postpartum and postinstrumentation hemorrhage. CASE: A primigravida presented with infected retained products of conception. Excessive hemorrhage of unclear etiology occurred at dilation and curettage. After a second episode of bleeding, the patient received a diagnosis of uterine arteriovenous fistula. CONCLUSION: Uterine arteriovenous communications should be included in the differential diagnosis in patients with excessive postpartum or postinstrumentation bleeding...
May 2004: Obstetrics and Gynecology
Alexander A Litwin
Uterine rupture is an unexpected, relatively uncommon occurrence in the general obstetric population, but it is a potentially devastating complication. Uterine rupture of the unscarred uterus is extremely rare. Awareness of the risk factors as well as the signs and symptoms of uterine rupture are essential for an early diagnosis and prompt treatment. The patient is a 38-year-old female, gravida 3, para 0, at 38 weeks' gestation undergoing an elective labor induction. The induction of labor and epidural analgesia progress relatively uneventfully...
October 2003: AANA Journal
Khaled Sakhel, Naji Aswad, Ihab Usta, Anwar Nassar
BACKGROUND: Spontaneous splenic rupture in pregnancy is rare and occurs most commonly in the third trimester or puerperium. CASES: In the first case, an eclamptic woman had postpartum uterine atony that necessitated hysterectomy. She was reexplored for increasing abdominal girth and evidence of hemoperitoneum on computed tomography scan. An actively bleeding defect was noted in the spleen, necessitating splenectomy. In the second case, a patient with cholestasis of pregnancy developed persistent bleeding after manual removal of the placenta, requiring a suction curettage followed by hysterectomy...
November 2003: Obstetrics and Gynecology
Marek Marcyniak, Krzysztof Czajkowski, Krzysztof Deregowski, Anita Hamela-Olkowska, Katarzyna Jalinik
The purpose of the study was to compare indications for curettage directly after delivery with histologic findings. Only in 51% there was a histologic confirmation of placental or membrane tissue. Residences indications of the suspected retained placenta were wrong in 70% cases. The curetting of 75% of the patients experiencing post partum bleeding revealed no fragments of placental or membrane tissue.
December 2002: Ginekologia Polska
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