md-medicaldata

Authors

Sandra Stanković^1,2 and Jelena Savić<sup>1

1</sup>Centar za ginekologiju i humanu reprodukciju, Vojnomedicinska akademija, Beograd, Srbija
²Medicinski fakultet Vojnomedicinske akademije, Univerzitet odbrane, Beograd, Srbija

 

UDK: 618.39-021.3

The paper was received / Rad primljen: 05.12.2024.

Accepted / Rad prihvaćen: 27.12.2025.

 

Correspondence to:

Sandra Stanković
Tel: 060 3580339
e-mail: stankovicsandrabibi@gmail.com

 

 

Sažetak

 

 

Spontani pobačaj je česta medicinska pojava koja se dešava pre 20. nedelje gestacije, a može imati značajan uticaj na fizičko i psihološko stanje žene. U ranoj trudnoći, simptomi poput krvarenja i bolova mogu ukazivati na spontani pobačaj, a faktori rizika uključuju hromosomske abnormalnosti, hormonalne poremećaje i anatomske nepravilnosti.  Iako je laktacija prirodna pojava nakon porođaja, može uticati na menstrualne cikluse, što povećava rizik od kasne dijagnoze trudnoće i pobačaja. U prikazanom slučaju, pacijentkinja u periodu laktacije javila se sa simptomima vaginalnog krvarenja i bolova. Nakon pregleda, utvrđeno je krvarenje iz spoljašnjeg ušća materice, a nakon kontrakcije materice došlo je do izbacivanja ploda. Instrumentalnom revizijom utvrđeno je prisustvo koagula krvi i delova posteljice u nekrozi. Spontani pobačaj može nastati usled različitih faktora, a klinički pristup uključujući brzo dijagnosticiranje i adekvatno lečenje je ključan za sprečavanje komplikacija. Takođe, pružanje emocionalne podrške ženi koja doživi pobačaj je od velikog značaja za njen psihološki oporavak. Ovaj slučaj ukazuje na važnost  hitnog medicinskog zbrinjavanja  u slučaju vaginalnog krvarenja i bolova, naročito kod žena koje doje i nisu svesne trudnoće, jer pravovremeno prepoznavanje simptoma i adekvatno lečenje mogu značajno smanjiti rizik od komplikacija.

 

Ključne reči:

pobačaj, laktaciona amenoreja,postporođajni period

 

 

 

Abstract

 

Miscarriage is a common medical event that occurs before the 20th week of gestation and can significantly affect a woman’s physical and psychological health. In early pregnancy, symptoms such as bleeding and pain may indicate a miscarriage, and risk factors include chromosomal abnormalities, hormonal disorders, and anatomical irregularities. Although lactation is a natural phenomenon after child birth, it can affect menstrual cycles, which increases the riskof late diagnosis of pregnancy and miscarriage. In the presented case , the patient presented with symptoms of vaginal bleeding and pain during lactation. After examination, the bleeding from external opening of the uterus was found and after the contraction of the uterus, the fetus was expelled. Instrumental revision revealed the presence of blood clots and parts of the placenta in necrosis. Miscarriage can occur due to various factors, and a clinical approach including rapid diagnosis  and adequate treatment is crucial to prevent complication.  Furthermore, providing emotional support to a woman who has experienced a miscarriage is vital for her psychological recovery. This case emphasizes the importance of urgent medical attention in the case of vaginal bleeding and pain, especially in women who are breastfeeding and unaware of their pregnancy, as timely recognition of symptoms and proper treatment can significantly reduce the risk of complications.

 

Key words:

miscarriage, lactational amenorrhea, postpartum

 

 

 

 

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PDF: 11-Stanković S. and Savić J. MD-Medical Data 2025;17(1) 071-073.pdf