Abstract
DOI: http://dx.doi.org/10.4038/sljog.v34i5.4891 Sri Lanka Journal of Obstetrics and Gynaecology 2012; 34 Supplement: 1-130
Highlights
In Sri Lank apost partum haemorrhage (PPH) accounted for 12.7% of maternal deaths in 2008
Of the 61 cases of PPH, 97% were identified by the need for blood or colloid transfusion
Deaths due to PPH reflected the tip of the iceberg
Summary
In Sri Lank apost partum haemorrhage (PPH) accounted for 12.7% of maternal deaths in 2008. Case summary A 37 year old patient who has undergone subtotal hysterectomy after her 4th child birth due to postpartum haemorraghe in 2005 presented with on and off abdominal pain for 3 weeks and per vaginal bleeding for 3 days duration. Her ultrasound scan revealed that right sided adnexal mass with minimal amount of free fluid in pouch of Douglas. Case History A 33 year old mother of two children presented with secondary amenorrhea, progressive weight gain, acne and hirsutism for two years.
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