Female circumcision: a risk factor in postpartum haemorrhage

A major postpartum haemorrhage occurred in a patient with a previous history of female circumcision. Following assisted vaginal delivery 6 litre blood loss occurred as a result of tears to the vagina and perineum. The tears were sutured, followed by insertion of vaginal packs. Replacement fluid ther...

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Bibliographic Details
Published inJournal of postgraduate medicine (Bombay) Vol. 38; no. 3; pp. 136 - 137
Main Authors McSwiney, M M, Saunders, P R
Format Journal Article
LanguageEnglish
Published India 01.07.1992
Subjects
Adult
Circumcision, Male
Culture
Episiotomy
Female
Humans
Male
Perineum - injuries
Postpartum Hemorrhage - etiology
Postpartum Hemorrhage - therapy
Pregnancy
Risk Factors
Vagina - injuries
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Summary:A major postpartum haemorrhage occurred in a patient with a previous history of female circumcision. Following assisted vaginal delivery 6 litre blood loss occurred as a result of tears to the vagina and perineum. The tears were sutured, followed by insertion of vaginal packs. Replacement fluid therapy was given. To reduce the incidence of tears and accompanying haemorrhage, it is advisable to perform two episiotomies viz. anterior and midline posterior or mediolateral.
Bibliography:ObjectType-Case Study-2
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ISSN:0022-3859