THE ROLE OF POSTPARTUM VAGINAL BRUISING IN THE DEVELOPMENT OF ACUTE MASSIVE BLOOD LOSS
https://doi.org/10.21886/2219-8075-2013-4-118-122
Abstract
Purpose: To estimate the efficiency of the ultrasound diagnosis of postpartum vaginal hematoma in women with varicose veins of the lower extremities
Materials and Methods: 120 women with varicose veins of the lower extremities were examined. In 2 hours after birth for women was conducted transperineal ultrasound - research by vaginal and perineal ultrasound scanner PHILLIPS HD- 11.
Results: Vaginal hematoma was detected in 31 (25.8%) women , and only 10 (8 %) had a damage of integrity of the mucous membrane. The study found that vaginal hematoma size 10,1±3,6 cm at the beginning of the formation can be asymptomatic , which may cause underestimation of the total blood loss in women with postpartum hemorrhage due to a variety of other competing causes.
Summary: The use of analgesia in labor hinders timely diagnosis of postpartum hematomas of vulva and vagina.
About the Authors
V. A. Novikova
Kuban State Medical University
Russian Federation
Russian Federation
Department of Obstetrics, Gynecology and Perinatology Faculty of Postgraduate Education
4 Sedin st., Krasnodar, 350063E. V. Aseeva
Kuban State Medical University
Russian Federation
Russian Federation
Department of Obstetrics, Gynecology and Perinatology Faculty of Postgraduate Education
4 Sedin st., Krasnodar, 350063K. V. Filina
Kuban State Medical University
Russian Federation
Russian Federation
Department of Obstetrics, Gynecology and Perinatology Faculty of Postgraduate Education
4 Sedin st., Krasnodar, 350063F. Sh. Kazibekova
Kuban State Medical University
Russian Federation
Russian Federation
Department of Obstetrics, Gynecology and Perinatology Faculty of Postgraduate Education
4 Sedin st., Krasnodar, 350063V. A. Horolskij
Kuban State Medical University
Russian Federation
Russian Federation
Department of Obstetrics, Gynecology and Perinatology Faculty of Postgraduate Education
4 Sedin st., Krasnodar, 350063References
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Review
For citations:
Novikova V.A., Aseeva E.V., Filina K.V., Kazibekova F.Sh., Horolskij V.A. THE ROLE OF POSTPARTUM VAGINAL BRUISING IN THE DEVELOPMENT OF ACUTE MASSIVE BLOOD LOSS. Medical Herald of the South of Russia. 2013;(4):118-122. (In Russ.) https://doi.org/10.21886/2219-8075-2013-4-118-122
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