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Federación Mexicana de Ginecología y Obstetricia, A.C.

2020, Number 01

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Ginecol Obstet Mex 2020; 88 (01)

Vulvar edema management with cold therapy in the immediate puerperium: A case series

Espinosa-García CM, Rodríguez-Colorado ES, Granados-Martínez V, Ramírez-Isarraraz C, Gorbea-Chávez V

Language: Spanish
References: 11
Page: 8-13
PDF size: 223.08 Kb.


ABSTRACT

Objective: The aim of this study is to describe the outcomes of patients with vulvar edema, who received treatment with cold therapy during the puerperium.
Materials and Methods: Observational, descriptive and retrospective study consisting of the review of the clinical records of patients diagnosed with postpartum vulvar edema treated in 2018 at the Isidro Espinosa de los Reyes National Institute of Perinatology. Comorbidities, laboratory reports, treatments performed, and their outcome were analyzed.
Results: Four cases of vulvar edema were reported in the puerperium of primitive patients, with an average age of 20 years, three with instrumented delivery. None with macrosomic fetus. Two patients required middle lateral episiotomy and one suffered a third-degree tear. All with associated comorbidities. All were treated with cold therapy, anti-inflammatory, furosemide or intravenous albumin. At 48 hours after starting treatment, all patients reported improvement, with an average hospital stay of 3 days.
Conclusions: Treatment with cold therapy decreased vulvar edema; it is a procedure of easy application and without adverse events.


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