Publication:

Recurrent secondary postpartum haemorrhage due to endometritis: requires 18 units blood transfusion

Postpartum hemorrhage (PPH) represents a serious problem for women and obstetricians. Because of its association with haemorrhagic shock and predisposition to disseminated coagulopathy, it is a leading cause of maternal deaths worldwide. Furthermore, the jeopardy of PPH is rising with the secondary form of PPH occurring between 24 hours and 6 weeks postpartum, when women are already discharged home. The causes of this pathology are severe inflammation (endometritis) inherited coagulation disorders, consumptive coagulopathy, and retained products of conceptions. Others are of rare occurrence, such as vessel subinvolution (VSI) of the placental implantation site, uterine artery pseudo aneurysm, or trauma.