分娩時の腟乃至外陰血腫に就て

概要

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Statistical investigation has been made on the vaginal or labial hematomas occuring at the time of delivery in our hospital. The results obtained are summarized as follows: 1. The paravaginal or labial hematoma was found mostly in primipara, particularly in elderly primipara, appearing for the most part immediately after delivery; in a small number in puerperium and only once before delivery. 2. There is no connection with the duration of delivery or the weight of the fetus. 3. The hematomas are as large as an egg or fist; sometimes as large as a head of fetus. 4. When ruptured, it is subject to the secondary infection. The rupture was found in 10 cases out of 24, 5 cases of which were complicated by secondary infection. It was further associated with pains, disorders in urination or defecation and the accumulaitions of lochia in uterine cavity. 5. When the rupttre fails, conservative treatment is preferable. But when it happens, excision of the hematoma is indicated in view of the preventions of the secondary infection. 6. Prognosis is favorable with proper treatment.
社団法人日本産科婦人科学会の論文
1951-12-01