WOMENS-HEALTH Messages for February, 2003: Re: Post partum hemorrhage and hysterectomy related to c section

Re: Post partum hemorrhage and hysterectomy related to c section

From: Marisa Geller MD (anonymous@obgyn.net)
Fri, 7 Feb 2003 16:28:00 -0300

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>From what you are telling me, you have lost a great amount of blood and you
are very lucky to be able to tell your story. 1. Fortunately, the laceration to the uterine artery is not very common. 2. To repair it you have to go on surgery. It can be done by a vascular surgeon or by an OB. 3. I cannot tell you the exact amount of blood that flows to the uterine artery. But, what I can tell you for sure is that you have lost a great amount of blood because, as you said, the uterus is extremely vascular. 4. Bladder tears are not very common. 5. Probably, the labor induction drugs had no effect on the outcome. Marisa Geller M.D. Coordinator Obgyn.net Latina Specialist on Obstetrics and Gynecology Specialist on Fertility and Sterility Buenos Aires Argentina

Note: opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

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>----- Original Message -----
From: Marianne <anonymous@obgyn.net> To: Multiple recipients of list WOMENS-HEALTH <womens-health@mail.medispecialty.com> Sent: Friday, February 07, 2003 7:45 AM Subject: Post partum hemorrhage and hysterectomy related to c section

> Hi.I am 32 yrs old and suffered post partum hemorrhage after emergent
> csection post labor induction at 41 weeks.
>
> I have several questions:
>
> 1) How common is a laceration to the uterine artery? Is 'laceration' a
> loose term possibly implying a tear as well as a surgical laceration?
>
> 2) How would one go about repairing such an occurence? Other than
> surgically stitching it back up, are there other things that could be
> undertaken in such a case? Is a vascular surgeon someone who would be
> consulted to do such a thing or is an OB the person one would expect to
> repair this?
>
> 3) What is the blood flow (approx) to the uterine artery? I understand
> that the uterus is extremely vascular so I was curious as to what an
> approximation of blood flow would be? (my hemoglobin was 13.6 pre labor
> to 3.7 immediately post csection, they went through an extraordinary
> amount of lap pads in the O.R. while attempting repair (obviously
> unsuccessfully) and I was curious as to how quickly the blood flow would
> have to be to show a 10 Gms blood count drop in a matter of a couple
> hours.
>
> 4) Also, how common are bladder tears with regard to c-sec? Or are my
> circumstances extenuating and do not normally call for such a thing?
>
> 5) Could labor induction drugs (i.e. Pitocin) have had any effect on my
> outcome?
>
> It has been over a year and although I am fairly knowledgeable (I am an
> ICU nurse), I have never been too into OB topics until this has happened
> to me and am going through emotional turmoil as well as this
> overwhelming need for knowledge.
>
> Thank you in advance for any response.
> Marianne
>
> My story: http://www.geocities.com/mares1
>

Next message: Marisa Geller MD: "Re: Did it grow"
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Maybe in reply to: Marianne: "Post partum hemorrhage and hysterectomy related to c section"

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