International Journal of Obstetrics and Gynecology

International Journal of Obstetrics and Gynecology ISSN: 2736-1594Vol. 9 (1), pp. 001-005, January, 2021. © International Scholars Journals

Full Length Research Paper

Couvelaire uterus: literature review and description of technique for conservative management

Marina Bartolomeu de Carvalho1, Rachel Freitas Lopes Nunes1, Felipe José de Paiva Rocha2, Raíza de Almeida Aguiar3, Daniela Guimarães Discacciati4, Álvaro Luiz Lage Alves5 and Mário Dias Correa Junior6

1Resident in Gynecology and Obstetrics, Clinical Hospital, Federal University of Minas Gerais.

2Resident of Gynecology and Obstetrics, Sofia Feldman Hospital.

3Gynecology and Obstetrics at the Sofia Feldman Hospital.

4Gynecology and Obstetrics, Clinical Hospital, Federal University of Minas Gerais.

5Adjunct Professor of Gynecology and Obstetrics, Medical Sciences School of Minas Gerais. Obstetrician at Sofia Feldman Hospital and Clinical Hospital of the Federal University of Minas Gerais. PhD in Gynecology and Obstetrics, Federal University of Minas Gerais.

6Associate Professor of Gynecology and Obstetrics, Federal University of Minas Gerais. PhD in Gynecology and Obstetrics, Federal University of Minas Gerais.

Abstract

Accepted 11 November, 2019

Abstract 

Couvelaire uterus is a severe complication of placental abruption. For decades, the standard treatment for Couvelaire's uterus was hysterectomy. However, the traditional concept that myometrial bleeding interferes with uterine contractility resulting in atony is no longer justified and hysterectomy may not always be necessary. The objective of the present work is to describe a technique used for uterine conservation in two cases of uteroplacental apoplexy.

Keywords: Postpartum haemorrhage; uterine artery; maternal mortality; fertility preservation.


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International Journal of Obstetrics and Gynecology

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