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[Secondary postpartum hemorrhage].

C Y Akladios1, N Sananes1, A Gaudineau1

  • 1Département de gynécologie-obstétrique, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg, France.

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|December 3, 2014
PubMed
Summary
This summary is machine-generated.

Secondary postpartum hemorrhage (HSPP) is defined as bleeding 24 hours to 6 weeks after birth. Management involves identifying the cause, often retained placental fragments or endometritis, and appropriate treatment.

Keywords:
Delayed postpartum hemorrhageEndometritisEndométriteFragments placentairesHémorragie du post-partum retardéeHémorragie du post-partum secondairePlacentaPlacental remnantPostpartum bleedingSecondary postpartum hemorrhage

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health

Background:

  • Secondary postpartum hemorrhage (HSPP) is a significant cause of maternal morbidity.
  • Limited research exists on HSPP despite its clinical importance.

Purpose of the Study:

  • To define secondary postpartum hemorrhage (HSPP).
  • To discuss the primary etiologies of HSPP.
  • To propose a management strategy for HSPP.

Main Methods:

  • A bibliographic review was conducted.
  • Keywords used included: secondary postpartum hemorrhage, delayed postpartum hemorrhage, postpartum bleeding, placental remnant, placental, and hysteroscopy.

Main Results:

  • HSPP is defined as bleeding between 24 hours and 6 weeks postpartum requiring intervention.
  • Common causes include retained placental fragments and endometritis.
  • Management strategies vary based on etiology and bleeding severity, including antibiotics, uterotonics, and potentially suction curettage or hysteroscopy.

Conclusions:

  • HSPP is an understudied but important cause of maternal morbidity.
  • Effective management necessitates a thorough etiological evaluation for targeted treatment.