[Management of puerperal hematomas]

Puerperal hematoma is a rare complication of the postpartum period remaining imperfectly known. We present an update of knowledge on this particular type of puerperal haemorrhage threatening in some cases maternal prognosis. In vulvovaginal hematomas, the diagnosis relies on clinical findings whereas it requires medical imaging in the retroperitoneal localisations. Therapeutic approach also largely differs according to the localisation of the hematoma. We thus propose a synthesis of the critical care strategies depending on the type of the puerperal hematoma.