Delayed post-partum hemorrhage
• Bleeding occurring [...] weeks into the puerperium.
• May result from retained products of conception or abnormal placental site involution.
• The retained piece of the placenta may become calcified forming a placental polyp.
• Treatment with ergometrine, misoprostol and Prostaglandin is conservative and preserves the uterus.
• Surgical treatment with gentle dilatation and curettage is reserved for severe bleeding or if medical treatment fails. Beware of overzealous curettage as this may lead uterine synechiae (Asherman’s syndrome).
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#obgyn
Question
Delayed post-partum hemorrhage
• Bleeding occurring [...] weeks into the puerperium.
• May result from retained products of conception or abnormal placental site involution.
• The retained piece of the placenta may become calcified forming a placental polyp.
• Treatment with ergometrine, misoprostol and Prostaglandin is conservative and preserves the uterus.
• Surgical treatment with gentle dilatation and curettage is reserved for severe bleeding or if medical treatment fails. Beware of overzealous curettage as this may lead uterine synechiae (Asherman’s syndrome).
Answer
?
Tags
#obgyn
Question
Delayed post-partum hemorrhage
• Bleeding occurring [...] weeks into the puerperium.
• May result from retained products of conception or abnormal placental site involution.
• The retained piece of the placenta may become calcified forming a placental polyp.
• Treatment with ergometrine, misoprostol and Prostaglandin is conservative and preserves the uterus.
• Surgical treatment with gentle dilatation and curettage is reserved for severe bleeding or if medical treatment fails. Beware of overzealous curettage as this may lead uterine synechiae (Asherman’s syndrome).
Answer
1 to 2
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Open it Delayed post-partum hemorrhage
• Bleeding occurring 1 to 2 weeks into the puerperium.
• May result from retained products of conception or abnormal placental site involution.
• The retained piece of the placenta may become calcified f
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