Postoperative Hematoma in Cesarean Birth

Postoperative Hematoma in Cesarean Birth
July 25, 2011 CuteCoco

Smart women put birth method by Cesarean as the last option when doing a vaginal birth is not possible. This is because a cesarean birth should be done for true medical reason and not because we want to avoid the vaginal birth pain. As it is a surgery, the procedure carries higher risk to the mother and the baby and the recovery takes longer than the natural one. Not only that, complications sometimes happen on the post-surgery period. One of the complication is Postoperative Hematoma.

What is Hematoma?

A hematoma is a pocket of blood collection outside a blood vessel that leaked into tissues where it does not belong. When it happens after a surgery it is called Postoperative Hematoma.


The condition of postoperative hematoma can be recognized if the area around the stitches has these following symptoms:

  • The skin around the affected area is discolouring, changing into deep blue or purple.
  • In some cases hematoma happens without causing any pain but most of the time it comes with pain.
  • The area around the hematoma is swelling and hard when touched.
  • In cases where the hematoma split the wound or the skin, blood can leak outside and makes it look like you are having a bleeding. However the blood that comes out is normally not the fresh one.

The Causes

Postoperative Hematoma happens when a clot that is supposed to close the blood vessel upon completing the procedure falls off and make it bleed. The blood then gets collected and forming a pocket within the post surgical site and its surrounding tissue.

Intake of drugs like aspirin, high blood pressure, vomiting and stress can also trigger hematoma after a surgery.

 Is it dangerous?

In mild cases, postoperative hematoma is only as big as a tiny dot which is reabsorbed on its own. However in more severe cases, the condition gets larger and press the tissue preventing oxygen to reach the skin that leads to the eventual death of the skin. It also invites infection, wound separation and necrosis on poor after-care treatment.

Treatments and Recovery

A surgery would be conducted in a very severe case where  the hematoma is very large and causing a lot of pain and discomfort. The surgery is to reopen the wound, drain out the collected blood and clamp down the blood vessel. In some cases, reopening the wound is not necessary and the treatment is only done by draining out the blood manually. That is by pressing the affected area to pump the blood out and compress the wound with NaCl liquid. When the accumulated blood has finally drained out completely, the doctor will treat the empty pocket (where the bloods used to be) by inserting a topical get to grow back the cells. The hole will be automatically clamped down once the cell has grown.

Mothers with hematoma after a cesarean birth are usually under doctor’s close observation. They are not allowed to change the wound dressing by themselves to avoid infection. The affected area should be kept clean and dry all the time. The dressing should also be kept tight to stop the bleeding.

If you happen to be  the one who has this condition, do not worry because postoperative hematoma is treatable and curable.

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Comments (5)

  1. Sabastion 7 years ago

    Can I just say how refreshing it is to see an article that is not only informative but also considers the emotions of the reader. So many articles leave the reader stressed, whereas your final comment regarding the condition being treatable and curable shows compassion. Nice work. Hopefully some others can follow your lead.

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  4. CAL 2 years ago

    I had a post c-section hematoma. It was huge…my entire abdomen, sides and much of my back down to my pelvis were black and red. The old blood kept the incision from healing and we had to clean it daily for a long time and pack it with gauze. It very slowly healed from the inside out. Meanwhile it got infected and smelled very bad. I also had to go to the ER one night with a very high fever and was put on strong antibiotics. Luckily I ended up ok. It royally sucked though for about 3 months. No doctor explained to me what happened exactly…why did this happen?

  5. Rosie 2 years ago

    4 years ago I had a c section and I got a hematoma in my small intestine had to have surgery again to remove it is that normal

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