Postpartum Hemorrhage Prevention Measures

Written by Du Rui Xia
Obstetrics
Updated on August 31, 2024
00:00
00:00

Postpartum hemorrhage can cause significant harm to a woman's body and, in severe cases, can even pose a threat to the patient's life. Therefore, it is crucial to implement preventative measures for postpartum hemorrhage. During prenatal check-ups, it is important to assess whether the pregnant woman has any risks for bleeding, such as checking if her coagulation function is normal. Additionally, it is essential to check for any serious comorbidities, such as hepatitis, renal failure, or other hematological diseases. These conditions should be treated before pregnancy. It is also advised to give birth in a reputable hospital, where the delivery can be conducted under the guidance of experienced doctors in a well-equipped facility. This can help alleviate the tension of the pregnant woman, contributing to a smoother delivery process. Moreover, within the first two hours after childbirth, careful monitoring of vaginal bleeding is necessary. If there is a significant amount of vaginal bleeding, timely hemostatic treatment should be administered.

Other Voices

doctor image
home-news-image
Written by Tang Mei Xiang
Obstetrics and Gynecology
1min 18sec home-news-image

Postpartum hemorrhage causes

Postpartum hemorrhage (PPH) has four primary causes: 1. Lacerations from difficult labor; 2. Placental factors; 3. Uterine atony; 4. Coagulopathy. Immediately after childbirth, if there is bright red bleeding that includes blood clots, this is considered to be caused by soft birth canal lacerations. Approximately 10 to 15 minutes after delivery of the fetus, if significant bleeding occurs, placental factors should be considered. After the placenta is delivered, if the placenta and membranes are found to be intact and there is still vaginal bleeding, or if there is intermittent heavy vaginal bleeding, and the uterus feels soft and poorly defined upon light palpation, uterine atony should be considered as a likely cause of the heavy bleeding. Lastly, coagulopathy, which leads to continuous, dark red bleeding without clots, can also cause severe postpartum hemorrhage.

doctor image
home-news-image
Written by Tang Mei Xiang
Obstetrics and Gynecology
1min 34sec home-news-image

Postpartum Hemorrhage Etiology

The causes of postpartum hemorrhage can be broadly summarized into four main factors: 1) Inadequate uterine contraction. 2) Lacerations in the soft birth canal. 3) Placental factors. 4) Coagulation dysfunction. The most common cause in clinical settings is inadequate uterine contraction. The manifestation of inadequate uterine contraction primarily appears as the placenta and membranes being expelled intact postpartum, no injuries in the soft birth canal, and an unclear uterine contour upon palpation. The uterus becomes firm when massaged and softens when the massage stops. This condition is indicative of postpartum hemorrhage caused by inadequate uterine contraction. Postpartum hemorrhage due to lacerations in the soft birth canal typically presents as immediate bleeding following the delivery of the baby. The blood is bright red and may contain clots, which mostly suggests lacerations in the soft birth canal. If significant bleeding occurs about five to ten minutes after the delivery of the placenta and baby, this is generally considered to be related to placental factors. If the bleeding is unclotted and continuous, this severe hemorrhage might be due to a coagulation dysfunction.

doctor image
home-news-image
Written by Zhang Lu
Obstetrics
57sec home-news-image

How many days does postpartum bleeding lochia last?

Postpartum lochia refers to the need for the contents of the uterine cavity to be expelled over a certain period of time after childbirth. Postpartum lochia generally lasts about six to eight weeks and is divided into three stages: bloody lochia, serous lochia, and white lochia. The first stage, known as bloody lochia, primarily involves the expulsion of accumulated blood in the uterine cavity. Postpartum bleeding lochia generally lasts about one week after childbirth. During this week, the amount of bleeding gradually decreases, and the color changes from bright red to dark red and then to black. Generally, it is believed that postpartum bleeding lochia should not exceed two weeks. If bleeding lochia persists beyond two weeks, an ultrasound should be conducted to determine whether there are any remnants in the uterine cavity, along with a vaginal examination to check for any abnormalities in the cervix and vaginal walls.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
45sec home-news-image

How long will it take for postpartum anal fissure bleeding to heal?

Generally, anal fissures that occur postpartum may heal on their own within about a week. For more severe cases, timely surgical treatment is necessary. The specific recovery time also depends on the physical condition of the mother, such as nutritional status, diet, and everyday habits—whether her diet is balanced, whether she drinks enough water, etc., all of which can affect the recovery and progression of the condition. If postpartum women improve their diet by eating more fresh vegetables and fruits, drinking more soups, and developing regular bowel habits to alleviate constipation, the anal fissures can also improve on their own.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
44sec home-news-image

How long does it take to recover from postpartum hemorrhage?

Postpartum hemorrhage is a relatively common and serious complication clinically, but how long does it take to recover from postpartum hemorrhage? This depends on the physical condition of the mother. Typically, recovery takes about 4-6 weeks after delivery. Women with weaker constitutions may take longer to recover. When postpartum hemorrhage occurs, appropriate measures should be taken based on the cause. If there are lacerations in the birth canal, timely suturing is necessary. Additionally, if there is weak uterine contraction, medications that stimulate uterine contraction should be used to promote contraction and stop the bleeding.