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Severe bleeding from a pregnancy tumor. A case report

P H Wang1, H T Chao, W L Lee

  • 1Department of Obstetrics and Gynecology, Veterans General Hospital-Taipei, National Yang-Ming University School of Medicine, Taiwan.

The Journal of Reproductive Medicine
|June 1, 1997
PubMed
Summary

Pregnancy tumors, a rare complication of gingivitis, can cause severe bleeding. Prompt intervention, including potential labor induction, may be necessary, with symptoms resolving postpartum. Maintaining oral hygiene is crucial for prevention.

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Area of Science:

  • Obstetrics and Gynecology
  • Periodontology
  • Oral Pathology

Background:

  • Pregnancy gingivitis, also known as a pregnancy tumor, is a benign condition characterized by gingival hyperplasia.
  • While typically benign, it can rarely lead to severe, unmanageable bleeding during gestation.
  • This report details a single case of a pregnancy tumor with significant hemorrhagic complications.

Observation:

  • A 28-year-old woman in her third trimester presented with a pregnancy granuloma causing recurrent, severe gingival bleeding for two weeks.
  • Conservative measures failed to control the bleeding, necessitating labor induction at 37 weeks due to the severity of hemorrhage.
  • An emergency cesarean section was performed due to fetal distress during labor induction.

Findings:

  • The patient delivered a healthy infant, and the gingival bleeding ceased spontaneously five days postpartum.

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  • The pregnancy granuloma significantly decreased in size by four weeks postpartum.
  • The case highlights the potential for severe bleeding and the need for individualized management strategies.

    • Implications:

    • Strict oral hygiene, including plaque and debris removal with soft toothbrushes, is vital for preventing pregnancy tumors.
    • Management of severe bleeding may range from supportive care and dental prophylaxis to blood transfusion or pregnancy termination in critical cases.
    • This case underscores the importance of considering severe oral complications during pregnancy and tailoring interventions to patient and fetal well-being.