Massive Postpartum Hemorrhage Following Inner Myometrial Laceration: A Case Report

Postpartum hemorrhage has many different etiologies. The aim of this report is to introduce a case of massive postpartum hemorrhage following inner myometrial laceration.Case presentation: A 36-year-old woman G4 P3 had spontaneous normal vaginal delivery. A 3650 gr infant was born , immediately massive postpartum hemorrhage occurred. After evaluation of different etiologies of postpartum hemorrhage, laparatomy was performed. An inner myometrial laceration was found in the lower uterine segment. It was repaired and hemorrhage was controlled.Conclusion: Uterotonic agents could increase the intrauterine pressure and make inner myometrial laceration which cause the massive postpartum hemorrhage. As the differential diagnosis of postpartum hemorrhage, inner myometrial laceration must be considered in this situation. Early evaluation and repair of inner myometrial laceration could control the postpartum hemorrhage without hysterectomy

کلیدواژه ها:

Postpartum hemorrhage ، Laceration ، Uterine rupture ، Transfusion