Department of Obstetrics and Gynecology, Institute of Health Sciences, Wollega University, Oromia, P.O Box: 395, Nekemte, Ethiopia.
Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Ethiopia.
J Med Case Rep. 2022 Feb 28;16(1):85. doi: 10.1186/s13256-022-03281-2.
Postpartum spontaneous vulvar hematoma is a rare complication of childbirth that can potentially cause maternal death if not managed properly and in a timely manner. We present the case of maternal near miss secondary to postpartum hemorrhage secondary to vulvar hematoma after home delivery in a 28-year-old para IV mother from rural Ethiopia. The case was surgically managed under spinal analgesia. The mother and her newborn were discharged on the fourth postprocedure day.
Neglected and inappropriately managed postpartum vulvar hematoma can cause significant maternal morbidity; therefore, timely surgical exploration, ligation of bleeding vessels, and obliteration of dead space can avert severe maternal complications.
产后自发性外阴血肿是分娩的罕见并发症，如果处理不当或不及时，可能导致产妇死亡。我们报告了一例来自埃塞俄比亚农村的 28 岁经产妇 IV 产后在家中分娩后因外阴血肿导致产后出血的产妇接近死亡的病例。该病例在脊髓镇痛下进行了手术治疗。产妇和她的新生儿在术后第四天出院。
被忽视和处理不当的产后外阴血肿可导致严重的产妇发病率；因此，及时进行手术探查、结扎出血血管和消灭死腔可以避免严重的产妇并发症。
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