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In the overall population, resternotomy for bleeding was necessary in 205 patients (5.9 %) and 2067 (59.8 %) required RBC transfusions.
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Blood transfusions were administered in only 0.9% of cases, but no surgical or radiological interventions for bleeding were necessary.
Regarding the whole study population, hospitalization due to bleeding complications was necessary in seven cases for further control and monitoring.
In rural Cambodia, people traditionally believe that maternal bleeding is necessary after delivery.
In light of these findings, it is more than clear that one unified classification for bleeding complications is necessary in the future.
Postsurgical bleeding was determined in both groups according to the WHO bleeding criteria: (grade 0) no bleeding, (grade 1) bleeding under the skin and petechial class, (grade 2) mild bleeding, (grade 3) gross bleeding, and (grade 4) mortal bleeding or annoying bleeding [33].
Three studies reported that suture to control bleeding or transfusion had been necessary in up to 0.8% of women [ 33, 38, 52].
In all patients, bleeding was decreased significantly.
As the woman in our case scenario had cyclic bleeding, endometrial sampling may not have been necessary in the initial management plan, yet less than half the respondents recommended endometrial sampling at any time during her management, even after she did not improve with treatment.
Rapid reversal of anticoagulation may be necessary in patients requiring emergency treatment due to uncontrolled bleeding.
However, if bleeding is severe, controlling the bleeding is a higher priority than stabilizing the fracture, and the careful application of pressure may be necessary.
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