{
    "abstract": "Considering the laceration of the inner layer of the myometrium as an important and controllable cause of bleeding during childbirth can lead to saving the mother's life.\nLaceration of the inner layer of the myometrium can cause massive bleeding during and after childbirth, which can lead to the death of the mother if it is not diagnosed in time.we presented a rare case of massive intrapartum bleeding following myometrial laceration that diagnosed correctly and the patient survived with in-time treatments. The patient was a 26-year-old woman who was under observation for term pregnancy and complaint of rupture of membranes (ROM) and vaginal bleeding. Following the spontaneous course of labor and without receiving oxytocin, during the normal course of labor, she was with an estimated total blood loss of 750\u2009mL bleeding, which despite the normal fetal heart rate and with the mother's indication for cesarean section, was transferred to the operating room and underwent cesarean section. During the cesarean section, the amniotic fluid was clear, after the removal of the placenta, severe and clear bleeding was flowing from the posterior wall of the uterus, which was caused by the laceration of the inner layer of the myometrium in the posterior wall of the lower segment of the uterus. The myometrial laceration was repaired with absorbable continuous locked sutures and hemostasis was established, and then the patient used uterotonic drugs, and after monitoring, the patient was discharged from the hospital in good condition.",
    "authors": [
        {
            "affiliation": "Department of Obstetrics and Gynecologists, School of Medicine, Kamali Hospital Alborz University of Medical Sciences Karaj Iran.",
            "firstname": "Bahareh",
            "initials": "B",
            "lastname": "Khakifirooz"
        },
        {
            "affiliation": "Kamali Hospital Alborz Iran.",
            "firstname": "Arian",
            "initials": "A",
            "lastname": "Shojaei"
        },
        {
            "affiliation": "Alborz Office of Universal Scientific Education and Research Network (USERN) Alborz University of Medical Sciences Karaj Iran.",
            "firstname": "Amirhossein",
            "initials": "A",
            "lastname": "Hajialigol"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 2024 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.",
    "doi": "10.1002/ccr3.8373",
    "journal": "Clinical case reports",
    "keywords": [
        "increased intrauterine pressure",
        "inner myometrial laceration",
        "intrapartum hemorrhage",
        "labor"
    ],
    "methods": null,
    "publication_date": "2024-01-04",
    "pubmed_id": "38173883\n25731692\n26026917\n25923024\n19515148\n10696956\n12066941\n27235667\n28456372\n37665570\n26456511\n16572915",
    "results": null,
    "title": "A rare case of massive intrapartum hemorrhage followed by inner myometrial laceration during a vaginal delivery: A\u00a0case report.",
    "xml": "<Element 'PubmedArticle' at 0x788504105a30>"
}