CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

A 29 years old female has a collection of blood in the area between her pelvic peritoneum and perineal skin after her first delivery. Of the following, which is the management that should be undertaken?
  1. Cold compression
  2. Blood transfusion
  3. Analgesic administration
  4. All of the above
Explanation
Answer: D - All of the above
A pelvic hematoma is caused by blood pooled in the area between the pelvic peritoneum and perineal skin, and there are two types (intralevator and supralevator). Causes of pelvic hematoma include:
Management of pelvic hematoma includes:
1) Cold compression
2) I.V. fluid administration
3) Prophylactic antibiotic administration
4) Analgesic administration
5) Laparotomy
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