After the delivery of baby, there is bleeding from the uterine bed from
where the placenta is detached. This bleeding is stopped by effective
contraction of the uterus. Bleeding after delivery may continue for about a
month but becomes lesser in amount and pinkish in the later days. It consists of
bood and shedding of the uterine lining. Excessive post delivery bleeding is an
important clinical situation which can have some serious consequences on the
health of the woman if not managed properly at the right time .It can occur
either after a vaginal birth or following cesarean section.
In medical terms
Post delivery bleeding has been defined as excessive if the blood loss following
vaginal delivery is more than 500ml or in case of C Section more than 1 Litre.
But sometimes blood loss even less than this cut off may be poorly tolerated by
the mother if she is anemic. It is a clinical emergency which has to be dealt
with immediately in the form of fixed protocol. This is defined as PPH(Post
Partum Haemorrhage) drill which has to be followed by the attending obstetrician
along with the team members.
There can be different causes of excessive
bleeding after delivery which can be according to the time period of
presentation after delivery. Excessive bleeding within 24 hours of delivery is
called primary postpartum hemorrhage or bleeding. If it occurs after 24 hrs till
6 weeks of delivery it is known as secondary hemorrhage or bleeding. Immediately
after delivery of the baby Gareth Bale
Jersey , the uterus starts contracting and retracting,the placenta
separates and the natural process of contracting of the uterus stops the
bleeding. For the uterus to contract effectively, the placenta should be
completely removed. If the uterus is contracted properly then trauma to genital
organs has to be ruled out like uterus Fabio
Coentrao Jersey , cervix and vagina or from episiotomy. Sometimes
there may be a delay in the delivery of placenta which may be more than 1hour
leading to excessive bleeding. Postdelivery bleeding after 24hours of delivery
is usually due to infection in uterus or other parts of genital tract. It may
also be due to retained bits of placenta or membranes.
There are other
causes that intensify the bleeding post delivery such as presence of coagulation
defects, multiple pregnancy, excessive liquor Danilo
Jersey ,pre existing anaemia, preence of uterine fibroids, uterine
malformation or prolonged labour. Also infection due to prolonged leaking is a
contributing factor.
MANAGEMENT
Management of postdelivery bleeding
involves an aggressive approach which includes resuscitation of the compromised
mother and also to find out the cause of bleeding. This involves oxygen
administration Dani Ceballos
Jersey , bimanual massage of uterus, immediate intravenous fluid
administration and certain injections to contract the uterus which can stop the
bleeding. If the blood loss is excessive, the woman might need blood
transfusion. If the bleeding persists even after massage and injections then
there may be some retained placental tissue or there might be a traumatic cause
for which the patient needs to be shifted to the operating room and complete
exploration of the genital tract is required by an expert and experienced
assistants for evidence of any injury. Any laceration or tear can be repaired
and one should look out for any blood collection(hematoma).
CONSEQUENCES
Excessive bleeding after delivery is an important cause of
maternal morbidity and mortality worldwide. It is taking a high toll especially
in the rural population due to lack of proper care during pregnancy and
delivery. Absence of blood transfusion facilities and ignorance of illiterate
women are contributing factors. Excessive bleeding may cause
infection Dani Carvajal
Jersey , blood transfusion reactions, thrombosis and failed
lactation. Late complication may be a deficiency of hormones due to deficient
blood supply to pituitary gland during shock.
PREVENTION OF POST DELIVERY BLEEDING
It is very important that one is in
good health at time of delivery. Proper attention should be paid to nutrition
and a balanced diet should be taken daily. Also green leafy vegetables and
fruits should be included. Apart from this, one should take all the supplements
pres I. Cheap Jerseys
Online Cheap Jerseys
Wholesale Cheap NFL
Jerseys Cheap Jerseys China
Wholesale Cheap NHL
Jerseys Cheap NFL Jerseys From
China Cheap Soccer
Jerseys Cheap New MLB
Jerseys Cheap College
Jerseys Cheap Replica Soccer
Jerseys
