Postpartum Hemorrhage Symptoms and Treatment

Postpartum Hemorrhage

Bleeding after giving birth is normal but excessive bleeding or postpartum hemorrhage can be a problem. Postpartum hemorrhage symptoms and treatment will be discussed in this post.

It is normal to experience bleeding after giving birth. Regardless of whether you have vaginal delivery or cesarean delivery, you will experience bleeding after giving birth. With this uterine bleeding, you pass away the blood and tissue that helped grow the baby. Bleeding after delivery is normal in the first days after giving birth to the baby, but excessive bleeding or postpartum hemorrhage can be a problem. If severe bleeding after childbirth continues, you need to visit your doctor.


Normal bleeding after childbirth

The blood should be bright red and you may see some clots in the first few days after giving birth to your baby. The amount should be to the extent that can be controlled by the pad that is given to you in the hospital and can then be restrained by the usual menstrual pad. When you bring the baby home, this bleeding increases because you have more mobility. If the blood is bothering you, try not to move too much and rest a little.

Also, if you bleed when you stand up, it is normal. This is because your vagina is restoring its original shape. When you sit or fall asleep, the blood is collected in a cup-shaped storage in your vagina and falls out when you stand or sit up.

After about 10 days, your bleeding should be reduced. You may also experience mild bleeding or spotting for 6 weeks after delivery. Remember, you are only allowed to use ordinary menstrual pads. Putting the tampon may cause infection.

You should see your doctor if you experience postpartum hemorrhage symptoms.

Heavy bleeding after the giving birth is called postpartum hemorrhage. 5% of women experience this problem. Postpartum hemorrhage usually occurs in the first 24 hours after delivery, but some women experience it for 12 weeks after the baby’s birth.

Postpartum hemorrhage is a serious problem. It may cause a severe drop in your blood pressure. If the blood pressure is too low, your body organs will not get enough blood and a shock to your body may occur, which is very dangerous. Therefore, you should contact your doctor if you have any of the postpartum hemorrhage symptoms.

Postpartum hemorrhage Symptoms

Call any emergency department if you have any of these signs or symptoms.

  • Bleeding red blood after three days following delivery
  • Big clumps
  • Bleeding that soaks a normal sanitary pad in an hour and does not stop.
  • Blurred vision
  • Feeling cold
  • Cold sweat
  • High blood rate
  • Weakness
  • Nausea
  • Fainting

Postpartum Hemorrhage

Postpartum hemorrhage causes

Certain cases can increase the likelihood of postpartum hemorrhage. If you had bleeding in your previous childbirth, it is likely that you will experiencing it again. For unknown reasons, Asian and Spanish women are more likely to experience postpartum hemorrhage symptoms.

The most common cause of postpartum hemorrhage is something that is called uterine insufficiency. Typically, the uterus contracts after delivery to stop bleeding where the placenta is located. You may experience postpartum bleeding if:

  • You have given birth to twins or triplets or more.
  • Have a baby weighing more than 8 pounds
  • Had a long labor
  • Have had many children


Other reasons that may increase the likelihood of postpartum hemorrhage include:

  • Damage to the uterus, when the uterus is torn during delivery.
  • Cesarean section: In cesarean section, the risk of postpartum hemorrhage is higher than vaginal delivery.
  • Cervical rupture or delivery channel rupture during delivery
  • General anesthesia which may be necessary in the cesarean section.
  • Oxytocin or Pitocin, a medicine that is injected for the induction of labor.
  • High blood pressure and protein excretion in the urine during pregnancy
  • Obesity
  • Placenta complications


Postpartum hemorrhage treatment

There are different treatments for postpartum hemorrhage. Your doctor will determine which method is best for you. You may be prescribed one of postpartum hemorrhage treatments:

Medications that help with uterine contraction

Uterine massage

Removing parts of the placenta that are still in the womb.

Performing laparotomy surgery to find out the cause of bleeding and stopping it

Blood transfusion, to compensate for the loss of body blood

Hysterectomy or removal of the uterus

Doing surgery to close the blood vessels in the womb

Putting a device called a Bakri balloon inside the uterus which adds pressure to reduce bleeding.

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