OB-GYN-L Messages for December, 2007: Re: secondary post partum hemorrhage

Re: secondary post partum hemorrhage

From: FRANCES WREN

fwren@shaw.ca

Sat Dec 29 23:02:57 2007

hope not too.... good luck' frances wren MD

>----- Original Message -----
From: tirupati seshasai <drseshasai@yahoo.co.in> Date: Saturday, December 29, 2007 4:46 pm Subject: secondary post partum hemorrhage To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>

> A 31 years aged primi gravida at 40 weeks delivered with
> vacuum extraction indication persistant occipito
> posterior. the neonate and mother were healthy and discharged.
> on 7Th postnatal day at 3.00am she was brought with bleeding
> vaginally. On examination the episiotomy sight is healthy
> and the uterus is around 8 to 10 weeks size and bleeding from
> the cervical os seen continuously and clots were evacuted.
> suspecting fragments of placental products a gentle D&C
> done. but no products seen. The haematological exam is
> normal.She was appearing pal our so blood transfused. with in 10
> minutes the bleeding stopped. the usg of pelvis shown as normal study,
>
> on 14Th day of post natal day again she reported with
> heavy bleeding. on examination the bleeding is from the cervical
> canal profusely bleeding.
>
> the haematological exam is with in normal limits,
> she was transfused with 2 paints of B Positive freshly
> collected blood and the bleeding stopped with in 30 minutes.
> in this case I found DISSEMINATED INTRAVASCULAR
> COAGULATION OR SUB ACUTE INFECTION which made to struggle to
> save the mother.
> Hope she won't report on 21st post natal day with hemorrhage.
>
> ---------------------------------
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><DIV>frances wren MD ----- Original Message ----- From: tirupati seshasai <drseshasai@yahoo.co.in> Date: Saturday, December 29, 2007 4:46 pm Subject: secondary post partum hemorrhage To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >  A 31 years aged primi gravida at 40 weeks delivered with > vacuum extraction  indication persistant occipito > posterior. the neonate and mother were healthy and discharged. > on 7Th postnatal day at 3.00am she was brought with bleeding > vaginally.  On examination the episiotomy sight is healthy > and the uterus is around 8 to 10 weeks size and bleeding from > the cervical os seen continuously and clots were evacuted. >   suspecting fragments of placental products a gentle D&C > done. but no products  seen. The haematological exam is > normal.She was appearing pal our so blood transfused. with in 10 > minutes the bleeding stopped. the usg of pelvis shown as normal study, >    >   on 14Th day of post natal day again she reported with > heavy bleeding. on examination the bleeding is from the cervical > canal profusely bleeding. >    &gt�
59;   the haematological exam is with in normal limits, >   she was transfused with 2 paints of B Positive freshly > collected blood and the bleeding stopped with in 30 minutes. >   in this case I found DISSEMINATED INTRAVASCULAR > COAGULATION OR SUB ACUTE INFECTION which made to struggle to > save the mother. >   Hope she won't report on 21st post natal day with hemorrhage. > > > >        > --------------------------------- >  Meet people who discuss and share your passions=2E=26nbsp=3B =3CBR=3E=26gt=3B Join them now=2E= ------------------------ >  Meet people who discu=3C/DIV=3E ------------------------ >  Meet people who discu ----5427aa792304a482f43b7--

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