Abstract

HERNANDEZ CABRERA, Yoan; DIAZ PUEBLA, Jorge Luis; SOLER MORFA, Claudia Pilar  and  RUIZ HERNANDEZ, Marioly. Pregnancy after conservative surgery of the uterus after postpartum obstetric hemorrhage. Presentation of a case. Medisur [online]. 2020, vol.18, n.4, pp.726-732.  Epub Aug 02, 2020. ISSN 1727-897X.

Pregnancy is a natural process that must be conceived without complications; however, fatal obstetric outcomes in previous pregnancies are important markers of an increased risk of maternal and perinatal morbidity and mortality in future pregnancies. Postpartum obstetric hemorrhage is one of the most frequent and severe complications of the peripartum; As a useful therapeutic alternative in these cases, conservative surgical management of the uterus allows fertility to be maintained in women with unsatisfied parity, and improves their quality of life, although in many cases, for various reasons, this is not possible. The case of a 26-year-old patient is presented, with an obstetric history of three pregnancies, one delivery and one abortion (provoked); and a history of hemorrhagic obstetric complication in previous pregnancy due to uterine atony, which required conservative surgical treatment with combined techniques (Hayman, Ho-Cho compression sutures and bilateral ligation of the uterine arteries). Two years later, she attended obstetric services with a 16-week gestation (high obstetric risk). This article aims to present the report of a patient in whom the conception of a pregnancy was achieved after performing conservative surgery on the uterus.

Keywords : Pregnancy; postpartum hemorrhage; obstetric surgical procedures; conservative treatment.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )