Take the vaginal hematoma, perineum

The article was professionally consulted with Doctor Pham Thi Mai Nhung - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec International Hospital Da Nang.

Vaginal and perineal hematoma is one of the common complications after childbirth, especially in women who give birth prematurely, give birth quickly, have an episiotomy, increase blood vessels in the perineum, and coagulation. In the case of vaginal hematoma, large perineal hematoma, the patient needs to have gynecological surgery to remove the hematoma.

1. Postpartum vaginal hematoma symptoms

Vaginal hematoma, perineal hematoma often have no specific symptoms. The mother does not feel any pain. If you look closely, you will notice a heavy feeling in the vagina and vulva. Vaginal hematoma, perineum will cause a feeling of wanting to push similar to when you want to push because the blood mass is inserted in front of the rectum.
Although there are no specific symptoms, but vaginal hematoma can be easily detected with the naked eye when observing the vagina. Some cases are more difficult to detect, and must be diagnosed through vaginal examination and valve placement.

Rạch tầng sinh môn khi sinh thường — Máu tụ âm đạo, tầng sinh môn thường không gây đau đớn cho sản phụ

2. Vaginal hematoma, perineal hematoma is dangerous?

Vaginal hematoma, perineal hematoma can progress in 2 directions:
Firstly, the hematoma is small in size and can dissolve on its own, shrinking in size after a few weeks. Gradually, the hematoma left only a very small and hard mass, the patient felt pain when manipulating. Second, the hematoma gradually increases in size and then swells and ruptures causing massive bleeding. When measuring, it may shock pregnant women because they lose too much blood, lose blood too quickly.

3. Treatment of vaginal and perineal hematoma

In case the hematoma does not enlarge, the patient does not need an injection, the blood mass hardly affects the patient's life.
Cases that need intervention to treat hematomas include:
Hematomas tend to increase in size and speed at a rapid rate Breaking large blood vessels

Chụp số hóa xóa nền chống chỉ định cho người mắc bệnh rối loạn đông máu — Người bệnh được chỉ định chích khi kích thước khối máu tụ tăng nhanh chóng

The hematoma causes pain to the patient The hematoma is infected, infected, has a fistula... After examining, based on the actual situation, the doctor will give advice and directions for treatment. suitable treatment for pregnant women.

4. Remove vaginal hematoma, perineal hematoma

The doctor will perform an injection of the hematoma at the highest point of the blood clot. Prick a small hole, through this small hole squeeze all the blood out and then insert another impregnated gauze inside. The gauze is left in the blood mass for 24 h. After that, pregnant women need to use antibiotics prescribed by the doctor.
In case the hematoma breaks, it needs to be cut open to get the blood clot and then sutured with an X-stitch to stop the bleeding. After tying the blood vessels, insert gauze soaked in antibiotics and thrombose for 24 hours.

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Bài viết này được viết cho người đọc tại Sài Gòn, Hà Nội, Hồ Chí Minh, Phú Quốc, Nha Trang, Hạ Long, Hải Phòng, Đà Nẵng.