Álvarez-Silvares E, García-Lavandeira S, Rubio-Cid P, Arias-Santos MD

Language: Spanish
References: 15
Page: 361-367
PDF size: 320.61 Kb.

ABSTRACT

Background: Placental subinvolution bed is an entity recognized as a cause of late postpartum hemorrhage, but its true incidence is unknown and published series collected a few cases.
Objetive: To review cases with the pathological diagnosis of “uterine subinvolution bed” that occurred in the last 10 years in our center. Knowing the incidence, risk factors, treatment and complications.
Methods: Historical analysis of 3 patients with histologically confirmed subinvolution the placental bed in the University Hospital Complex of Ourense (Spain) between January 2004 and 2014. Bibliographic review via PubMed MEDLINE search under the terms and Ovid: Subinvolution of the Placental Site, Subinvolution of the uteroplacental arteries in the human placental bed, Subinvolution of the placental bed.
Results: We found an overall incidence of uterine subinvolution bed of 0.18 per thousand and all of them were enrolled as late postpartum hemorrhage, being the etiology of 6.12% of them.
Conclusion: Uterine subinvolution bed is a rare but with high maternal mortality and morbidity process, which is necessary to know to suspect the diagnosis, which is only confirmed by histology.

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