Skip to main content Accessibility help
×
Hostname: page-component-cb9f654ff-qc88w Total loading time: 0 Render date: 2025-09-01T03:44:21.025Z Has data issue: false hasContentIssue false

Case 70 - A 25-Year-Old Presents with Bright Red Vaginal Bleeding 3 Weeks’ Postpartum

from Section 7 - Postpartum

Published online by Cambridge University Press:  08 April 2025

Peter F. Schnatz
Affiliation:
The Reading Hospital, Pennsylvania
D. Yvette LaCoursiere
Affiliation:
University of California, San Diego
Christopher M. Morosky
Affiliation:
University of Connecticut School of Medicine
Jonathan Schaffir
Affiliation:
The Ohio State University College of Medicine
Vanessa Torbenson
Affiliation:
Mayo Clinic Alix School of Medicine
David Chelmow
Affiliation:
Virginia Commonwealth School of Medicine
Get access

Summary

This case presents the case of a patient with heavy postpartum bleeding remote from delivery with ultrasound findings, suggesting retained products of conception. The case describes the classic presentation of hemorrhage secondary to retained products of conception, tools used to diagnose this condition (physical exam, laboratory tests, and imaging studies), and the need for surgical intervention in the setting of hemodynamic instability and complications one may encounter (uterine perforation, hemorrhage, and infection).

Information

Type
Chapter
Information
Pregnancy Complications
A Case-Based Approach
, pp. 215 - 217
Publisher: Cambridge University Press
Print publication year: 2025

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

Wolman, I, Altman, E, Faith, G, et al. Combined Clinical and Ultrasonographic Work-up for the Diagnosis of Retained Products of Conception. Fertil Steril. 2009;92:1162.CrossRefGoogle ScholarPubMed
Kamaya, A, Petrovitch, I, Chen, B, et al. Retained Products of Conception: Spectrum of Color Doppler Findings. J Ultrasound Med. 2009;28:1031.Google ScholarPubMed
Sellmyer, MA, Desser, TS, Maturen, KE, et al. Physiologic, Histologic, and Imaging Features of Retained Products of Conception. Radiographics. 2013;33:781.Google ScholarPubMed
Richards, EG, Rehmer, JM, Falcone, T. Perforation during Gynecological Procedures. JAMA. 2023;329(11):933934.Google ScholarPubMed
American College of Obstetricians and Gynecologists. ACOG Practice Bulletin: Clinical Management Guidelines for Obstetrician-Gynecologists Number 76, October 2006: Postpartum Hemorrhage. Obstet Gynecol. 2006;108(4):10391047.Google Scholar
Fox, R, Aitken, G, Mooney, SS. Management of Secondary Postpartum Haemorrhage: A Systematic Review. Eur J Obstet Gynecol Reprod Biol. 2023;282:116123.CrossRefGoogle ScholarPubMed
Ahonen, J, Stefanovic, V, Lassila, R. Management of Post-partum Haemorrhage. Acta Anaesthesiol Scand. 2010;54(10):11641178.CrossRefGoogle ScholarPubMed
Lissauer, D, Wilson, A, Hewitt, CA, et al. A Randomized Trial of Prophylactic Antibiotics for Miscarriage Surgery. N Engl J Med. 2019;380(11):10121021.Google ScholarPubMed
Low, N, Mueller, M, Van Vliet, HA, et al. Perioperative Antibiotics to Prevent Infection after First-Trimester Abortion. Cochrane Database Syst Rev. 2012;(3):CD005217.CrossRefGoogle Scholar

Accessibility standard: Unknown

Accessibility compliance for the PDF of this book is currently unknown and may be updated in the future.

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge-org.demo.remotlog.com is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×