Commentary Open Access
Volume 3 | Issue 1 | DOI: https://doi.org/10.33696/haematology.3.045

Postpartum Shock Following Vulvovaginal Haematoma, Rare but Keeps Coming: The Complete Case Report

  • 1Department of Obstetrics, Gynaecology and Perinatology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife. Osun State, Nigeria.
  • 2Department of Obstetrics and Gynaecology, Afe Babalola University Multi-System Hospital, Ado – Ekiti. Ekiti State, Nigeria
+ Affiliations - Affiliations

Corresponding Author

Ayegbusi E.O, folaturabbny@gmail.com

Received Date: March 08, 2022

Accepted Date: April 27, 2022


Vulvovaginal hematoma is not very common in modern obstetric practice due to increasing care, management and careful observation of mothers during and following delivery but when it occurs it can rapidly evolve into a life-threatening condition if it is not noticed early or managed promptly.

Among others, and if not in shock patient commonly presents with significant perineal pain and, depending on the location, there is always visible swelling, the index patient presented in shock 8 hours following unsupervised delivery.

The primary goals of management include prompt commencement of resuscitation, prevention of further blood loss, minimize tissue damage, relieve pain, and reduce the risk of infection. Management generally however, could be conservative for small blood collections, but surgery is usually inevitable when it is acute and rapidly expand in size.


Vulvovaginal, Haematoma, Episiotomy, Shock, Exploration, Figure-of eight

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