Hui‑Hua Chena, Yueh‑Hung Choub, Ho‑Hsiung Lina,c, Sheng‑Mou Hsiaoa,c,d*
aDepartment of Obstetrics and Gynecology, Far Eastern Memorial Hospital, New Taipei, Taiwan, bDepartment of Pathology, Far Eastern Memorial Hospital, New Taipei, Taiwan, cDepartment of Obstetrics and Gynecology, National Taiwan University, College of Medicine and National Taiwan University Hospital, Taipei, Taiwan, dGraduate School of Biotechnology and Bioengineering, Yuan Ze University, Taoyuan, Taiwan
Open Access funded by Buddhist Compassion Relief Tzu Chi Foundation
Abstract
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.
Keywords: Postpartum hemorrhage, Shenghua decoction, Uterine atony
