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All Journal JURNAL ILMIAH KESEHATAN KEPERAWATAN Jurnal Kesehatan Reproduksi JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Jurnal Kesehatan Reproduksi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Kesehatan Holistic Jurnal Keperawatan Respati Yogyakarta Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Journal of Community Empowerment for Health Berita Kedokteran Masyarakat Jurnal Pengabdian Masyarakat Bhinneka Jurnal Keperawatan 'Aisyiyah Community Development in Health Journal Narra X Jurnal Keperawatan Profesional Service Quality (Jurnal Pengabdian Masyarakat)
Shinta Prawitasari
Department Of Obstetrics And Gynaecology, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada/Dr Sardjito Hospital, Yogyakarta, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics Public Health Other

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A Rare Cause of Secondary Postpartum Hemorrhage: Uterine Scar Dehiscence with Cervico-Isthmic Laceration After Repeat Cesarean Section Berns, Annike Ida; Ayuandari, Sarrah; Maliki, Fauzan Achmad; Prawitasari, Shinta; Ariffianto, Adi
JURNAL KESEHATAN REPRODUKSI Vol 13, No 1 (2026)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.118397

Abstract

To describe a rare and atypical case of secondary postpartum hemorrhage (PPH) induced by uterine scar dehiscence in conjunction with an unexplained uterine laceration in the cervico-isthmic region. We report the case of a 29-year-old woman, gravida 2 para 2, who had significant vaginal bleeding and signs of hemorrhagic shock 10 days post-repeated cesarean section. The bleeding was not controlled despite initial resuscitation and medical care. Transabdominal ultrasonography revealed signs of pathology at the previous cesarean scar site. Due to persistent hemodynamic instability, an emergency laparotomy was conducted, exposing active hemorrhage from uterine scar dehiscence, as well as a laceration extending caudally into the cervico-isthmic area, without a clearly identifiable cause. Definitive management required total hysterectomy to achieve hemostasis. This case highlights the importance of consideration of structural causes when medical treatment fails, as early surgical intervention can be life-saving.
Co-Authors Adi Heru Sutomo Adintyo Rahman, Muhammad Nur Adolfina Nilasari Ahsanudin Attamimi Ajeng Arumsari Yayi Pramesti, Ajeng Arumsari Amiruddin Amiruddin anggraini, heni_anggraini Anisa, Tiara Aulia Ardhanu Kusumanto Arfita, Ika Ariawan Soejoenoes Ariffianto, Adi Arumsari, Regina Astuti, Dyah Puji Ayuandari, Sarrah Barirah, Ratih Berns, Annike Ida Beti Wulansari Brantas Prayoga Carla Raymondalexas Marchira Carla Raymondalexas Marchira, Carla Raymondalexas Chairunisa, Ratu Chamy Rahmatiqa Dalri Nur Fidina Diah Rumekti Hadiati Diannisa I E Sangun Efriyan Imantika Eka Mega Sari Ernawati Ernawati Eugenia Maria Alodia Hartono Evi Septiani Fatikha, Amira Nada Fauzan Achmad Maliki Fidina, Dalri Nur Hafizh, Muhammad Raihan Hanif Reza Hanifah Mirzanie Harahap, Sarah Geltri Hardiknas Steven Saneba Herlina Pradjatmo Heru Pradjatmo ika putri ika putri Indraswari, Lathifa N Irwan Taufiqur Rachman Ismail Joko Sutresno Kartika Wijayanti Kartika Wijayanti Kuncoro, Teguh Tri Lathifa N Indraswari Leo Prawirodihardjo Leo Prawirodihardjo Leo Prawirodihardjo Lisa Soldat Ludovikus, Ludovikus Madarina Julia Madarina Julia Mailintina, Yurita Majidah, Nur Aulia Maya Safitri Miftakhul Muslichah Milhan Milhan Milhan Milhan, Milhan Mirzanie, Hanifah Mohammad Hakimi Mora Claramita muhammad hafiizh, muhammad Muhammad Hakimi Muhammad Hakimi Muhammad Lutfi Muhammad Lutfi Muhammad Nurhadi Rahman Muslichah, Miftakhul Nadia Mutiara Zahra Nani Emma Nani Emma Naufal, Hanif Zain Nuring Pangastuti Nuring Pangastuti Nuring Pangastuti, Nuring Ova Emilia Pangastuti †, Nuring Pangastuti†, Nuring Patricia Alika Kurniawan Pradjatmo, Herlina Pramana Pananja Putra Prima Daniyati Kusuma Prima Daniyati Kusuma Putri Sekar Wiyati Rahmaningsih, Ary Ramba, Hardin La Ridwan, Rizal Riris Andono Ahmad Risanto Siswosudarmo Rizal Ridwan Rohmah, Ulfa Nur Rukmono Siswishanto Sangun, Diannisa Ekarumi Enisar Sangun, Diannisa I E Santi Yuliani Saputra, Aldi Sari, Eka Mega Satriagraha, Oky Ardian Shofwal Widad Siswanto Agus Wilopo Soejoenoes, Ariawan Suarti, Ni Made Sumarah Sumarah Sumarah Sumarah Sumarni Sumarni Sumarni Sumarni Sutresno, Ismail Joko Tri Setyaningsih Udayani, Ni Putu Eka Chandra Vicky Admiral Aprizano Wahyudi Istiono Weni Guslia Refti Wenny Wenny Wenny, Wenny Winda Nurmayani M Wisdayanti, Syah R. Yari, Yarwin Yayuk Hartriyanti Yosi Tamara