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A haematoma or Pelvic hematoma is the name given to a clot of blood which forms on the outside of a blood vessel. It happens after the wall, artery or vein has been damaged and the blood has leaked into tissues where it doesn't belong. A haematoma will vary in size from being a small speck of blood or a larger more significant amount. The body routinely repairs these damages repairs by clotting the blood; if it fails to clot it is called a haemorrhage.
What are the symptoms of Haematoma (Hematoma)?
Symptoms of a haematoma include inflammation, pain, swelling and redness. The symptoms vary depending where they are, their size and whether they cause swelling.
Paravaginal Hematomas (Hematoma)
One unavoidable obstetric complication that is usually due to the rupture of paravaginal veins. Pain, swelling and urine retention are the recognised symptoms of this haematoma.
Puerperal Genital Haematomas (Hematomas)
Puerperal genital haematomas are classed as either infralevator or supralevator haematomas and they occur as a result of childbirth. Signs include pain, restlessness and the inability to pass urine, or the constant need to empty the bowels a few hours after the delivery.
Infralevator Haematomas (Hematomas)
Usually associated with vaginal delivery, this hematoma occurs below the levator ani muscle.
Most often found around the vulva, perineum and lower part of the vagina.
Symptoms of Infralevator Haematomas
Severe pain in the vulva with swelling * Continual bleeding * Urine retention * Discolouration of area
Supralevator haematomas (hematomas)
Not as common as Infralevator haematomas they occur in the broad ligament usually as the result of a tear of the cervix, uterus or vaginal fornix.
They can occur after spontaneous child birth, but more commonly after a difficult caesarean or an operative vaginal birth.
Symptoms of Supralevator Haematomas
Rectal pressure and pain * Enlarged rectum & vagina * Shock * Decreased Blood Pressure
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