{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T02:51:39Z","timestamp":1771469499028,"version":"3.50.1"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T00:00:00Z","timestamp":1646006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T00:00:00Z","timestamp":1646006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Postpartum spontaneous vulvar hematoma is a rare complication of childbirth that can potentially cause maternal death if not managed properly and in a timely manner.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case summary<\/jats:title>\n                <jats:p>We present the case of maternal near miss secondary to postpartum hemorrhage secondary to vulvar hematoma after home delivery in a 28-year-old para IV mother from rural Ethiopia. The case was surgically managed under spinal analgesia. The mother and her newborn were discharged on the fourth postprocedure day.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Neglected and inappropriately managed postpartum vulvar hematoma can cause significant maternal morbidity; therefore, timely surgical exploration, ligation of bleeding vessels, and obliteration of dead space can avert severe maternal complications<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-022-03281-2","type":"journal-article","created":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T00:02:26Z","timestamp":1646006546000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Postpartum spontaneous vulvar hematoma as a cause of maternal near miss: a\u00a0case report and review of the\u00a0literature"],"prefix":"10.1186","volume":"16","author":[{"given":"Temesgen","family":"Tilahun","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaga","family":"Wakgari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aschalew","family":"Legesse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rut","family":"Oljira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,2,28]]},"reference":[{"key":"3281_CR1","unstructured":"World Health Organization. Evaluating the quality of care for severe pregnancy complications: the WHO near-miss approach for maternal health. 2011."},{"key":"3281_CR2","doi-asserted-by":"publisher","first-page":"S29","DOI":"10.1016\/j.ijgo.2014.08.003","volume":"127","author":"Y Gebrehiwot","year":"2014","unstructured":"Gebrehiwot Y, Tewolde BT. Improving maternity care in Ethiopia through facility-based review of maternal deaths and near misses. Int J Gynecol Obstet. 2014;127:S29-34.","journal-title":"Int J Gynecol Obstet"},{"issue":"11","key":"3281_CR3","doi-asserted-by":"publisher","first-page":"e0207350","DOI":"10.1371\/journal.pone.0207350","volume":"13","author":"AK Tura","year":"2018","unstructured":"Tura AK, Zwart J, van Roosmalen J, Stekelenburg J, van den Akker T, Scherjon S. Severe maternal outcomes in eastern Ethiopia: application of the adapted maternal near miss tool. PLoS ONE. 2018;13(11):e0207350.","journal-title":"PLoS ONE"},{"key":"3281_CR4","unstructured":"Wormer KC, Jamil RT, Bryant SB. Acute Postpartum Hemorrhage. [Updated 2021 Jul 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK499988\/."},{"key":"3281_CR5","doi-asserted-by":"publisher","unstructured":"Anass E et\u00a0al. Post-partum hemorrhagic shock following puerperal hematoma. PAMJ Clin Med. 2020;3(43). https:\/\/doi.org\/10.11604\/pamj-cm.2020.3.43.2310.","DOI":"10.11604\/pamj-cm.2020.3.43.2310"},{"key":"3281_CR6","unstructured":"Oong GC, Eruo FU. Vulvar Hematoma. [Updated 2021 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021.\u00a0Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK560753\/."},{"key":"3281_CR7","doi-asserted-by":"publisher","first-page":"314","DOI":"10.11604\/pamj.2019.33.314.19488","volume":"33","author":"AA Mangwi","year":"2019","unstructured":"Mangwi AA, Ebasone PV, Aroke D, Ngek LT, Nji AS. Non-obstetric vulva hematomas in a low resource setting: two case reports. Pan Afr Med J. 2019;33:314.","journal-title":"Pan Afr Med J"},{"issue":"2","key":"3281_CR8","doi-asserted-by":"publisher","first-page":"168","DOI":"10.5468\/ogs.2014.57.2.168","volume":"57","author":"HR Hong","year":"2014","unstructured":"Hong HR, Hwang KR, Kim SA, et\u00a0al. A case of vulvar hematoma with rupture of pseudoaneurysm of a pudendal artery. Obstet Gynecol Sci. 2014;57(2):168\u201371. https:\/\/doi.org\/10.5468\/ogs.2014.57.2.168.","journal-title":"Obstet Gynecol Sci."},{"issue":"Supplement 1","key":"3281_CR9","first-page":"e2021041","volume":"92","author":"C Gulbasi","year":"2021","unstructured":"Gulbasi C, et\u00a0al. Surgical management and clinical follow-up of post-coital severe vulvar hematoma in a 14-year-old adolescent girl: a case presentation. Acta Biomed. 2021;92(Supplement 1):e2021041.","journal-title":"Acta Biomed"},{"key":"3281_CR10","doi-asserted-by":"publisher","first-page":"163","DOI":"10.4274\/tjod.galenos.2021.43958","volume":"18","author":"S Shivhare","year":"2021","unstructured":"Shivhare S, et\u00a0al. Endovascular management of episiotomy site hematoma. Turk J Obstet Gynecol. 2021;18:163\u20136.","journal-title":"Turk J Obstet Gynecol"},{"issue":"5","key":"3281_CR11","first-page":"48","volume":"16","author":"Y Gurtovaya","year":"2013","unstructured":"Gurtovaya Y, Hanna H, Wagley A. Spontaneous intrapartum vulvar hematoma. Midwives. 2013;16(5):48\u20139.","journal-title":"Midwives"},{"issue":"03","key":"3281_CR12","doi-asserted-by":"publisher","first-page":"083","DOI":"10.30574\/gscarr.2021.6.3.0036","volume":"06","author":"C Orugbom Ndu-Akinla","year":"2021","unstructured":"Orugbom Ndu-Akinla C, Paul Dienye N, Owajionyi Dienye P. Vulvovaginal haematoma presenting in the puerperium: a case report. 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The study protocol is performed per the relevant guidelines.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors report no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"85"}}