TITLE:
Concealed post-partum haemorrhageaemor: A case report
AUTHORS:
Anne De Haan, Noortje Van Oostrum, Page Geert Herman
KEYWORDS:
Concealed Haemorrhage; Rupture of Utero-Ovarian Vessels; Labour
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.3 No.4,
May
22,
2013
ABSTRACT: A
woman with five previous normal vaginal deliveries and a history of right
salpingectomy for ectopic preg-nancyhas sudden pain in term labour, with epidural analgesia. A concurrent worsening
of fetal heart rate pattern with bradycardia urges quick vacuum delivery.
Maternal post-partum pain and hemoglobin (Hb) drop suggest intra-abdominal haemorrhage. The combination of sudden,
strong intra-partum pain and fetal distress should raise the suspicion of
intra-abdominal haemorrhage. After vaginal delivery an accurate follow-up
is mandatory.