What causes hematoma post c-section? - Online Doctor Chats
I had a planned C-sect on Oct. 18, 2013, and had some hemorrhaging afterwards that was controlled with uterine massage and three infusions of Oxytocin and an injection of methergine.I developed a hematoma about apple-sized just below my umbilicus while still in the hospital.At my follow up visit (6 weeks) with my OB doctor,I expressed concern about the hematoma, as it had not decreased in size.She suggested that it may take 6 months for it to reabsorb.I have now had 3 menstrual cycles (which are heavier than before pregnancy) and the hematoma has not changed or may even be slighter bigger.I am concerned that it may be more than a hematoma or something that needs drained?I also am a registered nurse!
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It is an unusual case
of developing a hematoma post c-section
I thought so too...my doctor did make mention of the possibility of a hernia, but no imaging studies have been ordered.
If it is hernia. it must be having a source
If it is just a plain cyst it can be drained...which is diagnostic and threapeutic
yes, it is also much more noticeable when I am standing than when I lie down
Is it reducible?
Have you tried deep palpation to check for its source?
but does not hurt, just causes pressure sometimes
yes, i have tried palpation but can't seem to find the bottom of it, it seems fairly superficial and a little high to be uterine in nature
it is a couple inches above my C-sect incision
Then it may either be in skin or fascia
what would be the cause of something like that?
It mostly happens as a result of trauma
In your case it developed as a result of incision
Most hematomas resolve spontaneously
how long should i give it then? It has been almost 5 months...
Sometimes they may spread
You can always ask for an ultrasound
but if it is hematoma for sure then it will resolve
I think it is time to ask for ultrasound
will ultrasound be able to differentiate between hematoma and hernia?
It may also be an abscess
I was worried about an abscess but have had no signs of infection...
Even hematomas can cause fever
Do you have any?
Is it above the rectus muscle or below it?
It is of superficial variety
seems to be...when I stand I can see the location it sticking out, an uneven mass
After ultrasound you may check with your doctor if it can be drained
ok, i will make an appointment with my primary care doctor...my OB doc is out on maternity leave, which confounds the problem!
A hematoma means that a blood vessel is bleeding
Your gp should be able to take care of it
Do you have any other question?
no thank you so much
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