Australasian Medical Journal
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Postpartum Hematoma of the Labia Majora: A Rare Case Report and Review of Recommendations
Get PDFIntroduction: Postpartum vulvar hematomas are rare but potentially severe complications that can occur without evident risk factors, impacting maternal prognosis. Methods: We report the case of a 35-year-old multiparous woman (P7G7) who presented on the 5th day postpartum with a painful hematoma of the labia majora following an unassisted vaginal delivery at home without instrumentation or episiotomy. Clinical examination and perineal ultrasound confirmed a moderate-sized encapsulated hematoma, managed conservatively with symptomatic treatment, prophylactic antibiotics, and close monitoring. Results: The hematoma resolved nearly completely by the 15th day postpartum, with the patient resuming normal activities without complications. Discussion: This case highlights the importance of rapid diagnosis and individualized management to minimize complications. We discuss pathophysiology, therapeutic options—which remain non-consensual—and recommendations based on current literature. Conclusion: Early diagnosis and conservative management are key for moderate vulvar hematomas, emphasizing the need for structured postpartum follow-up
Short Communication
No full textDear Readers, Season’s greetings! This issue includes a selection of original research paper. In addition, we take this opportunity to reflect on and honour the collective contribution made by our author, reviewers, and editorial team throughout the year
THANK YOU NOTE
Get PDFDear Readers, It is with great pleasure that I present to you the latest issue of the Australasian Medical Journal (AMJ) for the year 2025. Since its establishment in 2008, AMJ has maintained a consistent publication schedule of twelve issues per year, committed to disseminating scholarly, systematic, and peer-reviewed research. Each issue features a diverse range of article types, including original research, review articles, case reports, case studies, letters to the editor, commentaries, and expert opinions
THANK YOU NOTE
Get PDFDear Readers, It is with great pleasure that I present to you the latest issue of the Australasian Medical Journal (AMJ) for the year 2025. Since its establishment in 2008, AMJ has maintained a consistent publication schedule of twelve issues per year, committed to disseminating scholarly, systematic, and peer-reviewed research. Each issue features a diverse range of article types, including original research, review articles, case reports, case studies, letters to the editor, commentaries, and expert opinions
Hysteroscopy in a Secondary Maternity Hospital: Indications, Outcomes, and Complications
Get PDFBackground: Hysteroscopy is a cornerstone for diagnosing and treating intrauterine pathologies, yet data from secondary maternity settings are limited. Objective: To describe the indications, findings, interventions, and complications of diagnostic and operative hysteroscopy in a secondary maternity hospital. Methods: A retrospective study of 332 women undergoing hysteroscopy at Menzel Temim Regional Hospital (level IIB) from January 2018 to December 2020. Data on demographics, indications, imaging, hysteroscopic findings, interventions, and complications were extracted from medical records. Descriptive statistics summarized outcomes. Results: Mean age was 46.9 ± 9.8 years; 48.6% were premenopausal. Abnormal uterine bleeding (AUB) was the primary indication (48.2%), followed by pelvic pain (27.5%) and infertility (12.7%). Diagnostic hysteroscopy (90.4%) identified endometrial hypertrophy (20.2%), polyps (18.4%), and fibroids (7.8%); 12.6% were normal or inconclusive. Operative hysteroscopy (27.4%) included polypectomy (10.9%), myomectomy (4.8%), and adhesiolysis (3.0%). Complications occurred in 4%, including uterine perforation (1.5%) and hemorrhage (0.6%). General anesthesia was used in 84.6%, and saline irrigation in 89.8%. No TURP syndrome was reported. Conclusion: Hysteroscopy effectively diagnosed and managed intrauterine pathologies in a secondary setting, with AUB driving most procedures and low complication rates. Integrating ultrasound guidance and local anesthesia could enhance outcomes
EDITOR’S NOTE
Get PDFWe are delighted to present the sixth edition of the Australasian Medical Journal (AMJ) for 2025