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To speed the resorption of a vaginal hematoma, warm baths can help or aplying a heating pad. That soften up the blood clot making it easier to move into the body.
This can take time however so unfortunately patience and time is needed.
She should have been given some pain medication if the hematoma is large. otherwise a combination of ibuprofen at 800mg every 8 hours (with food) and Tylenol as per package instructions should be used.
If she's unable to use the bathroom, in extreme situations, the hematoma can be "evacuated", although this isn't the first choice. The reason is that the blood clot is acting like a tamponade to stop further bleeding and removing the clot can cause bleeding to restart.
If she's still having a lot of trouble, she should be seen by the OB before the usual routine 6 week post-partum check-up.
It may be helpful to have it examined again to make sure it's on the right track and perhaps she needs a prescription narcotic pain medication.
Vaginal hematomas are unfortunate, painful and the blood clot can take more time to resorb than we like .
I hope this information has been reassuring and helpful.
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