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Postpartum haemorrhage due to a laceration in the endocervical canal; three case reports
N W Schuitemaker1, M R Mackenzie
1Department of Gynaecology and Obstetrics, Bronovo Hospital, The Hague, The Netherlands.
European Journal of Obstetrics, Gynecology, and Reproductive Biology
|February 1, 1989
Insights
Severe postpartum hemorrhage can result from internal os lacerations. This critical finding emphasizes considering cervical tears in postpartum bleeding cases.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
Background:
- Postpartum hemorrhage (PPH) is a leading cause of maternal mortality globally.
- Timely diagnosis and management of PPH are crucial for patient outcomes.
Observation:
- This report details three distinct cases of severe PPH.
- Each case involved a laceration within the endocervical canal at the internal os level.
Findings:
- The underlying causes of these internal os lacerations varied across the presented cases.
- Internal os lacerations represent a significant, albeit potentially overlooked, etiology for severe PPH.
Implications:
- Clinicians should maintain a high index of suspicion for internal os lacerations when managing PPH.
- Recognizing this specific injury can guide appropriate diagnostic and therapeutic interventions, improving PPH management.
Abstract:
Three cases of severe postpartum haemorrhage due to a laceration in the endocervical canal at the level of the internal os are described. The cause of the laceration differed in all cases. Whenever postpartum haemorrhage occurs the possibility of a laceration in the internal os must be considered.