Written by Dr.M.D.Mazumdar, MD
Collection of blood anywhere in the vulvar region is called vulvar hematoma. Although vulvar haematomas can occur after an injury to the vulva due to any cause, it is commonly seen after the vaginal delivery of a baby.
A Vulvar hematoma can occur either spontaneously or after improper repair of an episiotomy wound. Blood from the rupture of the deep veins of this region collects in a closed space with no opening for it to drain out. The collected blood causes the area to swell with severe pain.
Vulvar hematomas are more common with instrumental deliveries like Forceps deliveries or vaccum aspirations - forceps deliveries being more risky.
An episiotomy decreases the risks of a vulvar hematoma by increasing the size of the opening of the vagina.
But hematomas can also occur after an episiotomy has been done if the blood vessels have not been adequately ligated during the repair.
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The aim of treatment is to ligate the bleeding blood vessels as early as possible and support the patient with IV drips and medicines so that she does not go into shock.
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