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Postpartum bleeding.

POSTOPERATIVE DIAGNOSIS: Postpartum bleeding with retained products of conception.

PROCEDURE: Suction dilatation and curettage.



INDICATIONS: The patient is a 31-year-old white female who had a spontaneous delivery on 12/20/2009, who presented to the office two days prior to surgery complaining of increased bleeding and ultrasound noted a large amount of clot, possible products of conception on ultrasound. The risks, benefits, and alternatives were discussed, and the patient consented to the procedure.

DESCRIPTION OF PROCEDURE: The patient was brought to the operating room and prepped and draped in the dorsal lithotomy position. The anterior lip of the cervix was grasped with a tenaculum, and the cervix was dilated enough to allow an 8-mm suction curette. Suction curetting was performed which noted minimal tissue and some clotting. On sharp curetting, it was felt that there was a piece of tissue on the left edge which was sharply curetted out. Suction curetting then removed a second piece of tissue from the same area. The patient was hemostatic. There was a small amount of bleeding in the procedure. She was sent to the recovery room in stable condition.