Does postpartum hemorrhage affect appetite?

Written by Liu Wen Li
Obstetrics
Updated on December 24, 2024
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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.

Other Voices

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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.

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Written by Du Rui Xia
Obstetrics
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Postpartum constipation and bleeding from the anus what's going on?

When constipation occurs after childbirth and there is anal bleeding, it may be due to fissures caused by constipation or hemorrhoids causing blood vessel rupture and bleeding. Postpartum, due to the reduced activity of the mother and the consumption of too refined foods, waste cannot be smoothly expelled, leading to difficulty in defecation due to fecal impaction. During straining, this might cause rupture of the anus or fissures, or lead to hemorrhoids by disrupting local blood circulation. It is advisable to go to the hospital for a check-up to see if it is serious, and if necessary, treatment to stop the bleeding may be required.

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Written by Liu Wei Jie
Obstetrics
1min 16sec home-news-image

The difference between postpartum hemorrhage and menstruation

The difference between postpartum hemorrhage and menstruation varies whether it is a vaginal delivery or a cesarean section. The timing of postpartum bleeding varies, and it also relates to postpartum lochia. If the bleeding occurs within 24 hours, it is called severe postpartum hemorrhage; most frequently, we encounter bleeding after 24 hours. Typically, for vaginal deliveries, bleeding occurs within seven days. In cesarean sections, due to the uterine incision, healing is needed, and the duration of bleeding varies by individual and health, commonly lasting from one to two months post-operation. Postpartum bleeding is due to incomplete healing of the uterine lining, which is different from menstrual bleeding. Menstrual bleeding is usually heavier in the initial days and the blood is dark red with a cyclic pattern. In contrast, postpartum bleeding does not have a cyclic nature; it usually consists of fresh red or dark blood, whereas menstrual bleeding typically involves dark blood.

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Written by Zhang Lu
Obstetrics
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Should the uterus be removed due to severe postpartum hemorrhage?

Whether postpartum hemorrhage requires hysterectomy primarily depends on the severity of the hemorrhage and the specific causes of the postpartum hemorrhage. First, if the amount of postpartum hemorrhage is very substantial, leading to conditions like DIC in the pregnant woman, and if not removing the uterus may cause ongoing bleeding, it is essential to remove the uterus quickly to reduce vaginal bleeding. Second, if the postpartum hemorrhage is caused by issues like amniotic fluid embolism or poor contraction of the uterus, and conservative treatments are ineffective, it is also necessary to make a prompt decision to remove the uterus.

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Written by Zhao Li Li
Obstetrics
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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.