Book contents
- Pregnancy Complications
- Pregnancy Complications
- Copyright page
- Contents
- Contributors
- Preface
- Note from the Editor-in-Chief
- Normal Laboratory Values (Conventional Units) []
- Section 1 Antepartum (Early Pregnancy)
- Section 2 Antepartum (Mid-trimester)
- Section 3 Antepartum (Late Pregnancy)
- Section 4 Antepartum (Medical Complications)
- Section 5 Antepartum (Infectious Complications)
- Section 6 Intrapartum/Delivery
- Section 7 Postpartum
- Case 63 A 20-Year-Old with Vaginal Bleeding and Enlarging Fundus Following a Cesarean Delivery
- Case 64 A 25-Year-Old with Post-cesarean Endometritis and Fever Unresponsive to Antibiotics
- Case 65 A 40-Year-Old with Severe Obesity and Painful Right Pedal Edema
- Case 66 A 20-Year-Old 3 Weeks’ Postpartum Presents with Anhedonia and Insomnia
- Case 67 A 40-Year-Old 1 Week after Vaginal Delivery Presents with Shortness of Breath and Orthopnea
- Case 68 A 30-Year-Old with Postural Headache 12 Hours after a Vaginal Delivery with Use of an Epidural
- Case 69 A 35-Year-Old Develops Agitation, Dyspnea, Hypotension, and Cardiovascular Collapse Immediately Postpartum
- Case 70 A 25-Year-Old Presents with Bright Red Vaginal Bleeding 3 Weeks’ Postpartum
- Case 71 A 25-Year-Old Presents Immediately Postpartum with Severe Pubic Pain Limiting Ambulation
- Case 72 A 20-Year-Old with Right Breast Pain and Fever while Breast-Feeding
- Case 73 A 25-Year-Old 6 Hours’ Postpartum with Severe Hypertension, Seizures, and Confusion
- Section 8 Fetal Complications
- Section 9 Placental Complications
- Section 10 Complications of the Cord, Amnion, and Gravid Uterus
- Section 11 Psychosocial Considerations
- Index
- References
Case 63 - A 20-Year-Old with Vaginal Bleeding and Enlarging Fundus Following a Cesarean Delivery
from Section 7 - Postpartum
Published online by Cambridge University Press: 08 April 2025
Book contents
- Pregnancy Complications
- Pregnancy Complications
- Copyright page
- Contents
- Contributors
- Preface
- Note from the Editor-in-Chief
- Normal Laboratory Values (Conventional Units) []
- Section 1 Antepartum (Early Pregnancy)
- Section 2 Antepartum (Mid-trimester)
- Section 3 Antepartum (Late Pregnancy)
- Section 4 Antepartum (Medical Complications)
- Section 5 Antepartum (Infectious Complications)
- Section 6 Intrapartum/Delivery
- Section 7 Postpartum
- Case 63 A 20-Year-Old with Vaginal Bleeding and Enlarging Fundus Following a Cesarean Delivery
- Case 64 A 25-Year-Old with Post-cesarean Endometritis and Fever Unresponsive to Antibiotics
- Case 65 A 40-Year-Old with Severe Obesity and Painful Right Pedal Edema
- Case 66 A 20-Year-Old 3 Weeks’ Postpartum Presents with Anhedonia and Insomnia
- Case 67 A 40-Year-Old 1 Week after Vaginal Delivery Presents with Shortness of Breath and Orthopnea
- Case 68 A 30-Year-Old with Postural Headache 12 Hours after a Vaginal Delivery with Use of an Epidural
- Case 69 A 35-Year-Old Develops Agitation, Dyspnea, Hypotension, and Cardiovascular Collapse Immediately Postpartum
- Case 70 A 25-Year-Old Presents with Bright Red Vaginal Bleeding 3 Weeks’ Postpartum
- Case 71 A 25-Year-Old Presents Immediately Postpartum with Severe Pubic Pain Limiting Ambulation
- Case 72 A 20-Year-Old with Right Breast Pain and Fever while Breast-Feeding
- Case 73 A 25-Year-Old 6 Hours’ Postpartum with Severe Hypertension, Seizures, and Confusion
- Section 8 Fetal Complications
- Section 9 Placental Complications
- Section 10 Complications of the Cord, Amnion, and Gravid Uterus
- Section 11 Psychosocial Considerations
- Index
- References
Summary
Postpartum hemorrhage (PPH) is the most common cause of maternal mortality worldwide and uterine atony is the most common cause of PPH. Timely diagnosis and prompt intervention are crucial to manage this potentially life-threatening condition. Early blood product replacement and interventions aimed at reducing bleeding and restoring uterine contractility are key components of treatment. A progression of medical therapy, uterine compression, and surgical intervention may be needed to resolve the PPH. A standardized approach to management of PPH due to atony can help improve outcomes. The Alliance for Innovation on Maternal Health provides information regarding care bundles addressing a multidisciplinary approach to treating PPH and may be a resource for labor and delivery units in their efforts to improve care.
Information
- Type
- Chapter
- Information
- Pregnancy ComplicationsA Case-Based Approach, pp. 193 - 195Publisher: Cambridge University PressPrint publication year: 2025
References
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Hayman, RG, Arulkumaran, S, Steer, PJ. Uterine Compression Sutures: Surgical Management of Postpartum Hemorrhage. Obstet Gynecol. 2002;99:502–506.Google ScholarPubMed
B-Lynch, C, Coker, A, Lawal, AH, Abu, J. Cowen, MJ. The B-Lynch Surgical Technique for the Control of Massive Postpartum Hemorrhage: An Alternative to Hysterectomy? Five Cases Reported. Br J Obstet Gynaecol. 1997;104:372–375.CrossRefGoogle ScholarPubMed
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