Management of late postpartum hemorrhages

Bieńkowski, J.

Ginekologia Polska 50(4): 317-322


ISSN/ISBN: 0017-0011
PMID: 313893
Accession: 068526077

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Opinions concerning procedures in late postpartum hemorrhages are not uniform. The effect of uterine cavity curettage (because of late postpartum hemorrhage) upon the further course of puerperium in comparison with conservative treatment and the evaluation of the state and function of the genital organs after curettage in the following years of life were studied. The observations covered 230 women, treated because of late postpartum hemorrhages in a given lying-in hospital in the yr 1970-1974. In this period 7173 deliveries occurred in that hospital (6549 term deliveries). In the observed group 131 were treated with curettage and 99, conservatively. The Hb concentrations and the red blood cell counts were compared between groups. The values were analyzed (Student t test and Wilcoxon test). A statistically significant smaller Hb and erythrocyte loss was noted in the actively treated group (curettage). The hospital stay in women after primary curettage treatment was 3 days (on average) and in conservatively treated subjects - 3 .times. longer (on average). The basic treatment in cases of late postpartum hemorrhage apparently should be active, with antibiotics administration, with collateral administration of oxytocic drugs.