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Updated: May 22, 2026

Particle Agglutination Method for Poliovirus Identification
Published on: April 20, 2011
Postpartum vaginal agglutination: a case report
Tera Frederick Howard1, Christina Lewicky-Gaupp
1Department of Obstetrics and Gynecology, Northwestern University, Chicago, IL, USA. Tera.f.Howard@gmail.com
Background:
Vaginal agglutination after spontaneous vaginal delivery has not been previously described in the medical literature.
Case:
A healthy 35-year-old Gravida 2 Para 2002 had a normal, spontaneous vaginal delivery. At her 8-week postpartum visit, a speculum could not be inserted into her vagina secondary to significant foreshortening. She was breastfeeding at the time. She ultimately underwent scar tissue takedown in the operating room, with subsequent vaginal estrogen and dilator use.
Conclusions:
Postpartum vaginal agglutination after spontaneous delivery is rare, and this case highlights an interesting complication of vaginal delivery in a hypoestrogenic state.
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