Post-Partum Hematoma

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Abstract
IN REVIEWING discussions on intra-partum and post-partum complications in the obstetric textbooks one finds little space allotted to hematomas. A survey of the literature discloses 188 cases of paravaginal hematoma reported from 1554 to 1948. The incidence varies from 1:1951 deliveries reported by Moschkow1 to 1:7000 by De Lee.2 The immediate vulvar type is the most common. In a review of 1250 deliveries 3 cases of hematoma were found: the first was vulvar, requiring removal of episiotomy sutures, evacuation of the clot and resuturing two hours after delivery; the second was vulvar, requiring removal of sutures, evacuation of the clot . . .

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