Clinical characteristics, treatment indications and treatment algorithm for post-partum hematomas

The Journal of Obstetrics and Gynaecology Research
Ayako TsumagariToyomi Satoh

Abstract

Post-partum hematomas are a serious obstetrical complication. Choosing treatments for post-partum hematomas is difficult, and the application of transcatheter arterial embolization remains unclear. We aimed to clarify the clinical characteristics, identify the treatment indications and create a treatment algorithm for post-partum hematomas. Fifty-four patients with post-partum hematomas were enrolled. Hematomas were categorized according to location: upper vaginal, lower vaginal and vulvar. Blood loss, treatment methods and other clinical data were collected from the patients' medical records and analyzed retrospectively. Five, 19 and 30 patients had upper vaginal wall, lower vaginal wall and vulvar hematomas, respectively. All upper vaginal wall hematomas required transcatheter arterial embolization to control bleeding, and the average blood loss was 2473 ± 1689 mL. Most lower vaginal wall hematomas were treated surgically; however, two patients required transcatheter arterial embolization, and the average blood loss in these patients was much higher (2010 ± 1145 mL) than that in patients with lower vaginal wall hematomas (395 ± 316 mL). No patient with vulvar hematomas was treated with transcatheter arterial embolization. Two...Continue Reading

References

Feb 1, 1989·American Journal of Obstetrics and Gynecology·H G ChinA L Lurie
Mar 13, 1998·Southern Medical Journal·A M Propst, J M Thorp
Jun 22, 2006·Journal of Clinical Ultrasound : JCU·David M ShererOvadia Abulafia
Oct 17, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·Loïc SentilhesL Marpeau
Aug 22, 2012·Gynecologic and Obstetric Investigation·Giuseppe GhirardiniMohamed Mabrouk
Sep 15, 2012·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Ana SierraIsabel Real
Nov 15, 2012·Cardiovascular and Interventional Radiology·Jean-Christophe GentricMichel Nonent
Jan 25, 2013·Journal of Lower Genital Tract Disease·Salvatore GizzoGiovanni Battista Nardelli
Oct 29, 2014·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Seiji InoueUNKNOWN Multi-Institutional Study Group of Transarterial Embolization for Massive Obstetric Haemorrhage in Chugoku & Shikoku Area So
Jul 14, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Baris KayaOnur Guralp
Apr 20, 2017·Taiwanese Journal of Obstetrics & Gynecology·Kenjiro TakagiKeisuke Tanno
Sep 25, 2017·Obstetrics and Gynecology·UNKNOWN Committee on Practice Bulletins-Obstetrics
Apr 10, 2018·Seminars in Interventional Radiology·Jonathan D Lindquist, Robert L Vogelzang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Revista de ginecologia e d'obstetrícia
D RIBEIRO
The Journal of the Louisiana State Medical Society : Official Organ of the Louisiana State Medical Society
R J TRACE
© 2022 Meta ULC. All rights reserved