Vulvar hematomas are extremely rare and have not been extensively reported. Nulliparity, prolonged second stage of labor, instrumental delivery, big baby (> 4 kg), genital tract varicosities and maternal age > 29 years are some risk factors. Although conservative management or observation is an option, complications, including difficult delivery and excessive vaginal bleeding, may occur.Early recognition and prompt management are the key to reducing morbidity. There is no published information on the risk of recurrence in subsequent deliveries.

Authors: Naik Shilpa N, Thakur Ruchi,Verma Akanksha

Key Words: Vulvar hematoma, vulvar varicosities, precipitate delivery, surgical evacuation