Settlement for delay in placenta removal causing Asherman’s syndrome

Settlement for delay in placenta removal causing Asherman’s syndrome

Settlement for delay in placenta removal causing Asherman’s syndrome for a lady injured in 2023. Asherman’s syndrome develops after trauma to the uterine cavity by destruction of the basal layer of the endometrium. It can can result in menstrual disorders, infertility, and complication during pregnancy and delivery.

Following birth of baby the placenta was not fully removed. Despite checking that it was complete the midwife failed to notice that it was only partially delivered. Following several weeks of pain and infection symptoms it was obvious that something was wrong. Sadly persuading the hospital was an up hill battle until they eventually agreed to a scan. It soon became clear that there were remnants and steps were taken to remove the remaining placenta.

Despite the removal her periods did no return and a year long investigation for the cause considerable sums privately.

Hysteroscopic evaluation revealed severe intrauterine adhesions with complete obliteration of the uterine cavity.

Besides the puerperal uterus, the time of surgical performance is crucial in the risk for adhesion formation. Performing a late surgical intervention, as from 24–48 h after delivery, leads to an increased risk for adhesion formation.