Allison Gutierrez
Obstetrics & Gynecologist at Naval Hospital Yokosuka, United States of AmericaTitle: Treatment Strategies for Obstetric Puerperal Genital Hematomas: A Case Series
Abstract
Background: Puerperal genital hematoma is an infrequent but potentially life-threatening complication of childbirth. There are three approaches to care: expectant management, surgical evacuation, or uterine artery embolization.
Cases: This retrospective case series compares the clinical courses of three patients who developed puerperal genital hematoma and were managed differently. We report the length of time to complete resolution of the hematomas and the associated morbidities for each patient.
Conclusion: All three management approaches of puerperal genital hematoma can be effective. Among our three patients, surgical intervention of the puerperal genital hematoma provided the most prompt and definitive management with resolution of all symptoms in 9 days, compared with 3 weeks for expectant management and 20 weeks for treatment with uterine artery embolization. Intervention should be individualized based on the patient's symptoms, stability, and desires with consideration of the hematoma size and location as well as available institutional resources.
Biography
Allison Gutierrez received her
Bachelor of Science from the University of California, Santa Cruz where she
graduated Cum Laude with a major in Health Science and a minor in Chemistry in
2013. From there, she was a research assistant at the University of California,
Davis from 2013 to 2014. She joined the United States Navy in 2014 to serve as
a physician after completion of her degree. She attended Drexel University,
College of Medicine in Philadelphia, PA and received her Doctor of Medicine
degree in 2018. Lieutenant Gutierrez completed her Obstetrics and Gynecology
internship and residency at the Naval Medical Readiness and Training Center,
Portsmouth in 2022. She is currently
stationed at Naval Hospital Yokosuka, Japan as an Obstetrician and Gynecologist