Puerperal hematomas occur in 1–2 per 1000 deliveries and rarely cause maternal mortality. A 21-year-old female patient, gravida 2 parity 2, was admitted to our clinic with bilateral vulvar hematoma after a spontaneous vaginal delivery. Extensive hematomas are primarily treated with surgical debridement. Due to the consistency of hematoma after debridement, primary retention sutures were placed at the vulva and a silicon catheter was placed between the vulva and retention sutures. The patient was hospitalized for five days. The early diagnosis of puerperal hematomas is very important because many complications can be prevented with early diagnosis and treatment
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