Are you aware of postpartum hemorrhage?

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Postpartum hemorrhage is defined as the condition of bleeding than the normal amount of blood after the child birth. Most of the women have this condition of hemorrhage. It is most commonly seen during the caesarean births. PPH is mostly seen after the delivery of placenta and sometimes it can even happen later.

Causes:

The underlying physiology for PPH includes the contraction of uterus for pushing the placenta out after the birth of the baby.  After the placenta is pushed out this pressure is put over the blood vessels in the area where the placenta is present. At this time if the uterus doesn’t contract strong, the blood vessels continue to bleed freely. Some other minor causes of PPH include:

  • Blood clot disorders
  • Presence of tears in the uterus blood vessels
  • Bleeding in pelvis
  • Placenta problems

Risk factors:

The most commonly seen risk factors of postpartum hemorrhage are placental abruption, placenta previa, multiple baby pregnancy,  high blood pressure during the pregnancy, prolonged labor, obesity, infection and having many births previously.

Symptoms:

  • Uncontrolled bleeding
  • Decreased blood pressure
  • Increased heart rate
  • Decrease in the red blood cell count
  • Swelling and pain in the vagina and nearby area if bleeding is from a hematoma

Treatment:

There are many methods for the treatment of postpartum hemorrhage. Some of the commonly used methods include Medicines or massages that stimulate the uterine contractions, cleaning the uterus by removing the placental pieces, using the bakri balloon, Laparotomy, hysterectomy and replacing lost blood and fluids.

As the condition of PPH leads to loss of blood than the normal, it can lead to sudden drop of blood pressure which in turn leads to shock and death when left untreated. So it is the biological condition which should be treated for the cause of bleeding which will lead to a recovery.   


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