Evidence map›Paper›PMID 41281969›Full record

ArticleCase reports in women's health2025

Severe vulvar varicosities in pregnancy with the detailed sequential clinical course and management considerations: A case report.

Yuka Nomura, Kiichiro Furuya, Koki Hayashi, Airi Kuruma, Saya Yamashita, Yangsil Chang, Kayoko Shikado, Hiroaki Tsubouchi, Kazuhide Ogita

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Case reports in women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yuka NomuraDepartment of Obstetrics and Gynaecology, Rinku General Medical Centre, 2-23, Rinku Ourai-Kita, Izumisano, Osaka 598-0877, Japan.
Kiichiro FuruyaDepartment of Obstetrics and Gynaecology, Rinku General Medical Centre, 2-23, Rinku Ourai-Kita, Izumisano, Osaka 598-0877, Japan.
Koki HayashiDepartment of Obstetrics and Gynaecology, Rinku General Medical Centre, 2-23, Rinku Ourai-Kita, Izumisano, Osaka 598-0877, Japan.
Airi KurumaDepartment of Obstetrics and Gynaecology, Rinku General Medical Centre, 2-23, Rinku Ourai-Kita, Izumisano, Osaka 598-0877, Japan.
Saya YamashitaDepartment of Obstetrics and Gynaecology, Rinku General Medical Centre, 2-23, Rinku Ourai-Kita, Izumisano, Osaka 598-0877, Japan.
Yangsil ChangDepartment of Obstetrics and Gynaecology, Rinku General Medical Centre, 2-23, Rinku Ourai-Kita, Izumisano, Osaka 598-0877, Japan.
Kayoko ShikadoDepartment of Obstetrics and Gynaecology, Rinku General Medical Centre, 2-23, Rinku Ourai-Kita, Izumisano, Osaka 598-0877, Japan.
Hiroaki TsubouchiDepartment of Obstetrics and Gynaecology, Rinku General Medical Centre, 2-23, Rinku Ourai-Kita, Izumisano, Osaka 598-0877, Japan.
Kazuhide OgitaDepartment of Obstetrics and Gynaecology, Rinku General Medical Centre, 2-23, Rinku Ourai-Kita, Izumisano, Osaka 598-0877, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vulvar varicosities occur in approximately 4 % of pregnant women and typically resolve within a few months postpartum without treatment. Careful intrapartum management is essential because of the risk of massive haemorrhage due to dilated veins. Only a few studies have documented detailed changes in vulvar varicosities during the antepartum, intrapartum, and postpartum periods. This report presents the case of a pregnant woman who developed large vulvar varicosities at approximately 20 weeks of gestation. The varicosities increased in size until 28 weeks of gestation and then remained stable until delivery. The patient underwent a successful vaginal delivery, with an estimated blood loss of 1070 mL. Postpartum haemorrhage due to uterine atony was confirmed, and uterine balloon tamponade was performed. Vulvar varicosities regressed rapidly after delivery and continued to diminish progressively over the postpartum period. Complete resolution had been achieved by 1 month postpartum. This report details the progression of vulvar varicosities during the antepartum, intrapartum, and postpartum periods, and highlights the need for appropriate delivery management to prevent complications.

Indexed as

Postpartum haemorrhagePregnancy complicationsThrombosisVulvar varicosities

Identifiers

PMID41281969
PMCPMC12639389

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.