RT Journal Article
SR Electronic
T1 Fertility preserving management for postpartum haemorrhage secondary to subinvolution of the placental implantation site
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e245009
DO 10.1136/bcr-2021-245009
VO 14
IS 9
A1 Ruoxing Du
A1 Rebecca Davies
A1 Prasanna Raj Supramaniam
YR 2021
UL http://casereports.bmj.com/content/14/9/e245009.abstract
AB A 40-year-old woman presents with recurrent secondary postpartum haemorrhage (PPH) following her third normal vaginal delivery. Histology from subsequent evacuation of the uterus confirmed that she had subinvolution of the placental implantation site. Hysterectomy is the most common method of managing this condition and recurrent PPH, most often due to significant vaginal bleeding. We present a case of subinvolution of the placental implantation site with recurrent PPH managed with medical treatment alone, to offer a fertility-sparing treatment option.