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A 35-year-old G3P1A1, VBAC patient, presented in the clinic with severe rectal pain a few hours following uncomplicated vaginal delivery with small mediolateral episiotomy. In initial findings, patient was hypotensive and tachycardic. The hemoglobin (Hb) measurements were low (postpartum to 8.6 g/dL). Episiotomy was reopened 2 hour later after delivery. Huge right pelvic hematoma, approximately 12 cm diameter, was drained and multiple tight sutures were carefully replaced every layer of perineum and bleeding was taken under control
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Citil Ayse (2023) studied this question.
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