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Re: this ever happened to you before?From: Braun, R. Daniel (rbraun@iupui.edu)Mon Mar 8 14:14:21 2004
Wow! Well done. Never seen it. I would guess there shouldn't be a problem with next , but I really have no evidence on that. Dan "Sound is like water. If you drill one hole in the wall the sound will leak right through." - JAY BRAUN, a band member by love, a soundproofer by necessity. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Geffrey Klein, MD Sent: Monday, March 08, 2004 2:45 PM To: Multiple recipients of list OB-GYN-L Subject: OB: this ever happened to you before? Primigravida labored and delivered this AM. I was called to return to the unit 15 min later due to tachycardia and hypotension. No vaginal bleeding, uterus was firm. No perineal hematoma noted. She was very pale and was complaining of shoulder pain. I figured she was having intra-abdominal bleeding. So, stat H/H was drawn and we went to the OR. Just before starting the surgery, her H/H was 7.2/21 (pre del was 11/32) Opened her peritoneal cavity and there was 2 liter of blood. Uterus was exteriorized and there was a brisk bleeder from the posterior right uterus where a plexus of varicose veins was noted. There was no uterine rupture. This was repaired with suture ligation and 4 units of blood were given. Anyone ever had this happen before? What about future pregnancy? Thanks...
-- _______________________ Geffrey H. Klein, MD _______________________ gklein@icsi.net 450 Blossom Suite C Webster, TX 77598
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