Postpartum bleeding are more than 1000 ml of bleeding following the separation of the baby from the mother in the last period of labor. Blood loss during normal vaginal delivery is less than cesarean delivery.
Due to the changes that occur during pregnancy stages, approximately 1-1.5 liters of blood loss can be tolerated because the mother’s blood is more watery.
This is more common in patients who do not receive adequate and balanced nutrition and do not receive iron supplementation treatment. In addition, less blood loss is difficult to tolerate.
4 Major Reason for Bleeding After Pregnancy Stages
1) Uterine atony (inability of the muscles of the uterus): The most important causes of postpartum bleeding are Polyhydroamnion (excessive water), multiple pregnancies, large babies, rapid or prolonged births and myomas. These problems can cause such bleeding.
2) Traumas of the lower part of the genital region: The birth incision (Episiotomy), interventional births, ie forceps or vacuum, depending on the delivery of vaginal walls or cervical bleeding may occur.
3) Uterine rupture: Depending on past uterine surgeries (caesarean section, myoma surgery, intrauterine curtain operations), it is possible to have such bleedings as a result of this operation especially after vaginal delivery and the results may be quite difficult. For this reason, pregnant women who had undergone uterine surgery should consult their doctor if they want to do vaginal delivery.
4) Coagulation disorders: Amniotic fluid embolism, pregnancy-induced hypertension, placental detachment, premature birth, dead pregnancy, the baby remaining in the mother’s womb for a long time can be considered as causes of bleeding.
What can be done to treat postpartum bleeding?
The first step in the management of postpartum bleeding is to correct the patient’s vital signs (blood pressure, pulse) and stop the bleeding. For this reason, the patient will first be given the amount of serum, erythrocytes, so the blood group of all pregnant women who applied to the clinic should be known at the first visit.