Puerperal hematomas are rare, yet often life threatening, complications following vaginal deliveries. The etiology remains broad; however, early recognition is vital in preventing postpartum hemorrhage and maternal death. Our case illustrates treatment of a supralevator hematoma with angiographic embolization following a spontaneous vaginal delivery in a young woman. Her labor course was complicated by persistent occiput posterior presentation that failed spontaneous and manual rotation.
Vaginal delivery, persistent occiput posterior, puerperal hematoma
The authors report no conflict of interest.
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Department of Obstetrics and Gynecology, The University of Iowa Hospitals and Clinics
Fahimuddin FZ, Seid A, Agrawal A. Successful management of a supralevator intraperitoneal puerperal hematoma with angiographic embolization. POG in Press. 2018 November; Article 2 [ 6 p.]. Available from: http://ir.uiowa.edu/pog_in_press/. Free full text article.