What is postpartum hemorrhage?
Postpartum hemorrhage is more bleeding than normal after the birth of a baby. About 1 in 100 to 5 in 100 women have postpartum hemorrhage. It is more likely with a cesarean birth. It most often happens after the placenta is delivered, but it can also happen later.
What causes postpartum hemorrhage?
Once a baby is delivered, the uterus normally contracts and pushes out the placenta. After the placenta is delivered, these contractions help put pressure on the bleeding vessels in the area where the placenta was attached. If the uterus does not contract strongly enough, these blood vessels bleed freely. This is the most common cause of postpartum hemorrhage. If small pieces of the placenta stay attached, bleeding is also likely.
Postpartum hemorrhage may also be caused by:
- Tear in the cervix or tissues of the vagina
- Tear in a blood vessel in the uterus
- Bleeding into a hidden tissue area or space in the pelvis. This mass of blood is called a hematoma. It is usually in the vulva or vagina.
- Blood clotting disorders
- Placenta problems
Who is at risk for postpartum hemorrhage?
Some women are at greater risk for postpartum hemorrhage than others. Conditions that may increase the risk include:
- Placental abruption. The early detachment of the placenta from the uterus.
- Placenta previa. The placenta covers or is near the opening of the cervix.
- Overdistended uterus. The uterus is larger than normal because of too much amniotic fluid or a large baby.
- Multiple pregnancy
- High blood pressure disorders of pregnancy
- Having many previous births
- Prolonged labor
- Use of forceps or vacuum-assisted delivery
- Being of Asian or Hispanic ethnic background
What are the symptoms of postpartum hemorrhage?
These are the most common symptoms of postpartum hemorrhage:
- Uncontrolled bleeding
- Decreased blood pressure
- Increased heart rate
- Decrease in the red blood cell count
- Swelling and pain in the vagina and nearby area if bleeding is from a hematoma
The symptoms of postpartum hemorrhage may look like other health conditions. Always see your healthcare provider for a diagnosis.
How is postpartum hemorrhage diagnosed?
Your healthcare provider will review your health history and do a physical exam. Lab tests often help with the diagnosis. Other tests may include:
- Estimate of how much blood you have lost
- Measuring pulse and blood pressure
- Red blood cell count
- Clotting factors in the blood
How is postpartum hemorrhage treated?
The aim of treatment of postpartum hemorrhage is to find and stop the cause of the bleeding as soon as possible. Treatment may include:
- Medicine or uterine massage to stimulate uterine contractions
- Removing pieces of the placenta that remain in the uterus
- Exam of the uterus and other pelvic tissues, the vagina, and the vulva to look for areas that may need repair
- Bakri balloon or a Foley catheter to put pressure on the bleeding inside the uterus. Your healthcare provider may pack the uterus with sponges and sterile materials. This may be done if a Bakri balloon or Foley catheter is not available.
- Laparotomy. This is surgery to open the abdomen to find the cause of bleeding.
- Tying off or sealing bleeding blood vessels. This is done using uterine compression sutures, special gel, glue, or coils. The surgery is done during a laparotomy.
- Hysterectomy. This is surgery to remove the uterus. In most cases, this is a last resort.
Replacing lost blood and fluids is important in treating postpartum hemorrhage. You may quickly be given IV (intravenous) fluids, blood, and blood products to prevent shock. Oxygen may also help.
Postpartum hemorrhage can be quite serious. But when your provider quickly finds and treats the cause of bleeding, you often will be able to recover fully.
What are the complications of postpartum hemorrhage?
Losing lots of blood quickly can cause a severe drop in your blood pressure. This may lead to shock and death if not treated.
Can postpartum hemorrhage be prevented?
It’s important to know before delivery what puts you at risk for postpartum hemorrhage. It is important to have emergency care available in case it is needed at the time of delivery and after birth. Early care can reduce the amount of blood loss.
When should I call my healthcare provider?
Most cases of postpartum hemorrhage occur at delivery or soon after. But you may bleed heavily after you go home from the hospital. If this happens, call your healthcare provider right away.
Key points about postpartum hemorrhage
- Postpartum hemorrhage is heavy bleeding after the birth of your baby.
- Losing lots of blood quickly can cause a severe drop in your blood pressure. It may lead to shock and death if not treated.
- The most common cause of postpartum hemorrhage is when the uterus does not contract enough after delivery.
- Quickly finding and treating the cause of bleeding can often lead to a full recovery.
Tips to help you get the most from a visit to your healthcare provider:
- Know the reason for your visit and what you want to happen.
- Before your visit, write down questions you want answered.
- Bring someone with you to help you ask questions and remember what your provider tells you.
- At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
- Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
- Ask if your condition can be treated in other ways.
- Know why a test or procedure is recommended and what the results could mean.
- Know what to expect if you do not take the medicine or have the test or procedure.
- If you have a follow-up appointment, write down the date, time, and purpose for that visit.
- Know how you can contact your provider if you have questions.
1351Baby shower guest sign in ideas
1607Girl baby shower favors ideas
2533Boy baby shower decorations ideas
1791TOP 10 Girl baby shower themes ideas for 2017
600Baby shower fruit tray ideas
3923Baby shower snack ideas pinterest
1909Purchase The Special Twin Baby Shower Cakes From Your Local Stores
4291High tea baby shower ideas – 10 ways to have a High tea baby shower party!
4319Baby shower afternoon tea ideas
2553TOP 10 Baby girl baby shower food ideas
2463Baby shower ideas pinterest boy
4315Baby shower centerpieces ideas pictures – 10 methods to brighten your baby shower party
554Welcoming a Baby Angel in Style with the Best Baby shower souvenir ideas
218710 Useful Triplet baby shower ideas for you!
2041Planning a Baby shower program ideas – detailed guide
3165Baby shower charades ideas
4327Baby shower onesie ideas – 10 secrets to know
2137Bumble bee themed baby shower ideas – 10 tips for good party!
648Free baby shower games ideas
22631Week 31 of Pregnancy – Growing and Growing
186Neutral baby shower ideas
2455Baby shower ideas for second baby
4165Baby shower games for girls ideas
384Baby shower raffle ideas
2107Elephant baby shower decoration ideas
414Rustic baby shower ideas
3359Baby shower food ideas for summer
4247Crazy baby shower ideas
4149Lion king baby shower favor ideas
2443Baby shower party gift ideas
800Surprise baby shower ideas
2531Fun baby shower gift ideas
3817Different baby shower games ideas
1503Baby shower table decorations ideas
2121Party ideas for baby shower
23784E Coli and Salmonella and Tapeworms, Oh My!