How much bleeding is considered postpartum hemorrhage?

Written by Yue Hua
Obstetrics and Gynecology
Updated on September 18, 2024
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Postpartum hemorrhage refers to a condition where, if the patient has vaginal delivery, the bleeding exceeds 500 milliliters within 24 hours after the fetus is delivered. If the delivery is via cesarean section, the bleeding exceeds 1000 milliliters, which is considered significant postpartum hemorrhage. The primary cause is mostly related to poor uterine contractions. Due to inadequate muscle contractions of the uterus, the blood vessels in the uterine muscle layer remain open, leading to bleeding. Another cause relates to placental factors, such as when the placenta is not entirely expelled, leading to remnants of the placenta and membranes remaining in the uterine cavity, which can also cause postpartum bleeding.

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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.

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Can there still be heavy bleeding one year after childbirth?

Under normal circumstances, postpartum hemorrhage is one of the serious obstetric complications that can endanger the life of the mother. It is most commonly due to poor uterine contraction after childbirth, causing bleeding, and generally occurs within 24 hours after childbirth or as late postpartum hemorrhage occurring more than ten days after childbirth. If a year has passed since childbirth, there generally will not be instances of severe hemorrhage. It is advised to undergo an ultrasound examination within 42 days after childbirth to confirm whether the recovery of the uterus and its appendages is satisfactory. If the uterus has recovered back to its normal pre-pregnancy state, it generally will not cause severe hemorrhage.

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What are the causes of postpartum hemorrhage?

Under normal circumstances, postpartum hemorrhage is one of the most severe complications that can occur during childbirth. Postpartum hemorrhage can be caused by several reasons: The first is mainly due to uterine atony leading to bleeding, which is relatively common and generally requires the administration of potent oxytocics to promote uterine contraction; The second is mainly due to local tears in the vagina or cervix leading to bleeding; The third is primarily caused by issues such as placental adhesion or implantation; The fourth is due to disorders in the body's coagulation function, leading to uncontrolled bleeding.

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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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Postpartum hemorrhage uterine suturing method

If postpartum hemorrhage occurs, it is foremost important to actively seek the specific causes of the bleeding to achieve timely and rapid hemostasis. It is also necessary to quickly replenish blood volume to prevent shock and infection. Meanwhile, if there is localized bleeding, active local suturing treatment should be pursued to control the bleeding. Normally, if the postpartum bleeding is light, suturing the uterus in the conventional way will suffice. However, if the bleeding is caused by uterine atony or similar reasons and oxytocics are ineffective, procedures like ascending ligation of the uterine arteries or uterine compression sutures and binding can be performed to effectively stop the bleeding.