Vaginal haematoma as a postpartum complication: a case report
Vaginal haematoma as a postpartum complication: a case report

Summary/Abstract: Background: Postpartum hematoma is a complication of the early postpartum period connected with natural childbirth. It can occur as a result of episiotomy or perineal tearing during labor and may require transvaginal hematoma evacuation surgery. Early recognition, diagnosis, and treatment have an impact on the condition of the patient and determine how long they need to stay in the hospital.Aim of the study: To investigate the specificity of the diagnostic and treatment procedures, and understand the role of the midwife in patient care, following transvaginal hematoma evacuation surgery.Case study: Data for the case study of a 30-year-old female was obtained by analyzing medical documentation collected during hospitalization and by interviewing and observing the patient. The patient had a perineal incision during labor, and two hours later was diagnosed with a 10 cm vaginal hematoma over the sutured incision site. The patient was then qualified for transvaginal hematoma evacuation surgery.Conclusions: Management of vaginal hematoma treatment has not changed significantly, however, improved diagnostic methods have been identified. The role of the medical staff, particularly the midwife, is crucial. Indeed, midwives caring for patients should recognize the symptoms of hematoma as early as possible to allow for rapid intervention and prevent serious complications.

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