What are the warning signs of postpartum hemorrhage?

Written by Liu Wei Jie
Obstetrics
Updated on September 24, 2024
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Postpartum hemorrhage generally does not have warning signs but usually has precipitating factors. These factors include maternal fear, psychological tension, macrosomia or twin pregnancy, as well as conditions like uterine fibroids, placental abruption, or placenta previa. In cases of placenta previa during a cesarean section, there is a high likelihood of severe bleeding. There is only one condition that might signal an impending postpartum hemorrhage, which is placental abruption. If placental abruption occurs, it can cause severe abdominal pain along with issues of hypertension during pregnancy. If a person with pregnancy-induced hypertension experiences severe abdominal pain, this could be a precursor to postpartum hemorrhage.

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Written by Liu Wen Li
Obstetrics
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Does postpartum hemorrhage affect appetite?

Postpartum hemorrhage can be significant, leading to anemia, which in turn affects appetite. After anemia occurs, the blood supply to the gastrointestinal tract is reduced, causing relative hypoxia and impacting the function of the gastrointestinal tract, thereby affecting appetite. If the postpartum bleeding is minimal and consists only of normal lochia, it generally does not affect appetite. Furthermore, whether postpartum hemorrhage affects appetite also greatly depends on individual differences. Regardless of its impact on appetite, postpartum recovery requires comprehensive and adequate energy intake to ensure physical recovery and milk secretion. Therefore, it is important to eat more and include a diet rich in protein and nutrients for better recovery.

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Written by Zhao Li Li
Obstetrics
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Can I eat donkey-hide gelatin after severe postpartum hemorrhage?

During the entire process of postpartum hemorrhage, it is still necessary to promptly understand the specific causes of the postpartum hemorrhage in order to treat the condition accordingly. Normally, after a major postpartum hemorrhage, it is first necessary to promptly ascertain the specific value of hemoglobin. If the hemoglobin is low, causing severe anemia, it is also recommended to promptly supplement with red blood cells or plasma to improve the blood condition of the body. During major postpartum hemorrhage, oral administration of donkey-hide gelatin can also have a very good regulatory effect on the body, achieving the effect of replenishing qi and blood.

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Written by Liu Wei Jie
Obstetrics
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Does postpartum hemorrhage count as dystocia?

Postpartum hemorrhage is one of the very important causes that endanger the lives of mothers. Although hemorrhage is not considered as dystocia, conditions of dystocia can induce severe hemorrhage. This is because complications such as trauma to the birth canal and uterine atony might occur after dystocia. These issues are triggers for severe postpartum hemorrhage. Even in normal cesarean sections, there can be cases of severe postpartum hemorrhage, thus postpartum hemorrhage is not counted as dystocia, but dystocia can easily induce severe postpartum hemorrhage.

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Written by Liu Wei Jie
Obstetrics
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The most common cause of postpartum hemorrhage

Postpartum hemorrhage is divided into two scenarios. The first type occurs within 24 hours after childbirth and is seen in four situations. The first is due to inadequate uterine contraction, the second is trauma to the soft birth canal, the third concerns placental factors, and the fourth involves coagulation disorders. The second type of hemorrhage is late postpartum bleeding, which occurs one to two months after childbirth. This can be associated with postpartum infections, slow recovery of physical condition postpartum, retained products, and poor healing of cesarean section scars.

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Written by Zhang Yin Xing
Obstetrics
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Does postpartum breastfeeding cause bleeding?

Bleeding caused by postpartum breastfeeding generally occurs within 42 days after delivery, during which the mother has lochia secretion. Breastfeeding promotes the secretion of oxytocin, which acts on the uterus and causes it to contract, facilitating the expulsion of lochia and aiding in the recovery of the uterus. Typically, by 42 days postpartum, the uterus has returned to its non-pregnant size and the expulsion of lochia is essentially complete. Subsequent breastfeeding is not directly related to vaginal bleeding. Another situation is due to the increase in prolactin during lactation; menstrual periods may not have fully resumed in women who are breastfeeding, and abnormal uterine bleeding may occur. As long as the amount and duration of bleeding do not exceed normal menstrual flow, no special treatment is needed.