Perinatal Genital Hematomas

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Abstract
The incidence of perinatal genital hematoma formation was one in 926 deliveries in this series. Primigravidas, toxemic patients, patients with multiple pregnancy, vulvovaginal varicosities and those requiring instrument deliveries were more prone to this complication. Large baby, prolonged second stage of labor and persistent occipitoposterior position were not associated with an increased incidence of hematoma formation. In this series, 87% occurred after episiotomy or a perineal laceration was sutured. Proper suturing, early diagnosis and therapy, including adequate transfusion, are stressed to reduce morbidity from this unfortunate complication.

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