Concealed post-partum haemorrhageaemor: A case report

Abstract

A woman with five previous normal vaginal deliveries and a history of right salpingectomy for ectopic preg-nancyhas sudden pain in term labour, with epidural analgesia. A concurrent worsening of fetal heart rate pattern with bradycardia urges quick vacuum delivery. Maternal post-partum pain and hemoglobin (Hb) drop suggest intra-abdominal haemorrhage. The combination of sudden, strong intra-partum pain and fetal distress should raise the suspicion of intra-abdominal haemorrhage. After vaginal delivery an accurate follow-up is mandatory.

Share and Cite:

Haan, A. , Oostrum, N. and Herman, P. (2013) Concealed post-partum haemorrhageaemor: A case report. Open Journal of Obstetrics and Gynecology, 3, 381-382. doi: 10.4236/ojog.2013.34070.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Ginsburg, K.A., Valdes, C. and Schnider, G. (1987) Spontaneous utero-ovarian vessel rupture during pregnancy: Three case reports and a review of the literature. Obstetrics & Gynecology, 69, 474-476.
[2] Hodgkinson, C.P. and Christensen, R.C. (1950) Hemorrhage from ruptured utero-ovarian veins during pregnancy: Report of 3 cases and review of literature. American Journal of Obstetrics & Gynecology, 59, 1112-1117.
[3] Ziereisen, V., Bellens, B., Gérard, C. and Baeyens, L. (2003) Spontaneous rupture of utero-ovarian vesels in post partal period: A case report and review of the literature. Journal de Gynecologie Obstetrique et Biologie de la Reproduction, 32, 51-54.
[4] LaRose, P. and Sehdeva, P.K. (1978) Spontaneous rupture of a uterine vein during labor. Southern Medical Journal, 71, 1446-1447. doi:10.1097/00007611-197811000-00042
[5] Moreira, A., Reynolds, A., Baptista, P., Costa, A.R. and Bernardes, J. (2009) Case report: Intra-partum utero-ovarian vessels rupture. Archives of Gynecology and Obstetrics, 279, 583-585. doi:10.1007/s 00404-008-0751-z
[6] Aziz, U., Kulkarni, A., Lazic, D. and Cullimore, J.E. (2004) Spontaneous rupture of the uterine vessels in pregnancy. Obstetrics & Gynecology, 103, 1089-1091. doi:10.1097/01.AOG.0000121833.79081.c7

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.