Hemorrhage can happen up to 30 days after delivery, but most of it happens up to 48 hours after delivery.
Hemorrhage, this word without any other words can cause fear and also make a bad impression. Hemorrhage in general is the loss of blood through a body organ and can be a reason of concern for doctors when postpartum hemorrhage occurs. Childbirth is a delicate event for the female body. The uterus housed a baby for nine months, fed, nourished and oxygenated. The uterus grows to 45 times its original size and immediately after delivery, it begins to contract to return to its initial size. The problem is when these contractions do not happen as they should and the bleeding becomes heavy, even turning into a postpartum hemorrhage.
Postpartum hemorrhage can initiate several problems for the mother, including leading to death, so it is necessary to be treated as soon as possible, even invasive procedures to preserve the mother’s life. Heavy bleeding often begins shortly after the placenta leaves the uterus. Even in the maternity ward, abundant bleeding is seen by the woman or professionals who accompany her after the baby is born. But postpartum hemorrhage can also happen even a month after the procedure . All this is because the uterus is still contracting slowly and not returning to its previous form because it contains remains of placenta from childbirth.
But the most common form of hemorrhage is still what happens 24 to 48 hours after delivery. The body is made to produce oxytocin, the hormone that causes these contractions to happen if there is a deficiency, the body cannot make the ideal contracture leading to postpartum hemorrhage. Hemorrhage is considered to be an amount equal to or greater than 500ml of blood, which would lead to two points:
Blood transfusion: Procedure that replaces body blood so that other organs are not harmed by low oxygenation.
Check the need for hysterectomy: Sometimes the removal of the uterus is necessary to preserve the woman’s life, due to postpartum uterine hemorrhage.
In most cases of postpartum hemorrhage, using intravenous oxytocin can force contractions to begin and bleeding to stop quickly. But the doctor must be aware and if the bleeding returns, you may have to use other techniques such as uterine massage to help contractions.
What are the causes of postpartum hemorrhage?
There are several causes of postpartum hemorrhage. The most recurrent is the low hormone that makes this stimulation for contraction of the uterus. Difficulty in clotting is also a recurring factor. It is advisable that the doctor who accompanies the prenatal period order clotting tests before delivery to check the capacity and, if necessary, use appropriate medications on the day of delivery. Some medications also contribute to bleeding , as well as some that make the blood thinner, infantile ASA to control thrombophilia or prevent stroke is one of them. Women who take these drugs should stop taking them about three weeks before delivery occurs to prevent bleeding.
Muscle-rich, magnesium-relaxing medication also contributes to excessive bleeding. So you should see your doctor regarding any medication you are taking. The size that the uterus reaches during pregnancy can also be a factor that helps postpartum uterine bleeding. In this case, the doctor will determine the application of muscle contractors to abort greater risks.
There is also known as secondary postpartum hemorrhage, it happens after the apparent recovery. The menstrual flow after leaving the hospital can seem to be exaggerated, which requires changing the pads constantly. If this happens, it is indicated that the parturient seek maternity to ascertain the need to treat this condition. It is advisable to have absolute rest, sexual abstinence and to avoid going up and down stairs during recovery from childbirth. Taking weight also helps to prevent secondary bleeding from happening. Postpartum bleeding tends to reduce a lot on the third day after birth, if there is no reduction or increase in flow with the presence of clots, it is best to consult a doctor.
My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.
Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.