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Disastrous delayed postpartum hemorrhage after 3 days of Shenghua decoction treatment


1 Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, New Taipei, Taiwan
2 Department of Pathology, Far Eastern Memorial Hospital, New Taipei, Taiwan
3 Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, New Taipei; Department of Obstetrics and Gynecology, National Taiwan University, College of Medicine and National Taiwan University Hospital, Taipei, Taiwan
4 Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, New Taipei; Department of Obstetrics and Gynecology, National Taiwan University, College of Medicine and National Taiwan University Hospital, Taipei; Graduate School of Biotechnology and Bioengineering, Yuan Ze University, Taoyuan, Taiwan

Correspondence Address:
Sheng-Mou Hsiao,
Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, 21, Section 2, Nanya South Road, Banqiao District, New Taipei
Taiwan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tcmj.tcmj_192_19

Taiwanese women frequently receive Shenghua decoction treatment for uterus involution. However, prolonged Shenghua decoction treatment can be detrimental. Herein, we report the case of a woman with disastrous postpartum hemorrhage after prolonged Shenghua decoction treatment. A 36-year-old woman underwent scheduled cesarean delivery due to cephalopelvic disproportion. On the 8th postpartum day, she started taking Shenghua decoction twice per day. Massive vaginal bleeding was noted after 3 days of Shenghua decoction treatment. Emergency hysterectomy was performed due to severe hypotension and refractory postpartum hemorrhage. Despite being rare, disastrous delayed postpartum hemorrhage could occur after 3 days of Shenghua decoction treatment. Further research might be needed to clarify the relationship between prolonged Shenghua decoction treatment and delayed postpartum hemorrhage.


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