How To Treat Postpartum Haemorrhage?

Postpartum haemorrhage has a significant risk for women. In addition, they are one of the biggest postpartum complications around the world. What is the cause of them? How can you treat them?

In this article, we will show you the most important aspects of this problem.

What are postpartum haemorrhages?

Postpartum haemorrhage is defined as blood loss greater than 500 ml after vaginal birth. If you had a caesarean section, this increases to 1L blood loss. Worldwide, 75% of postpartum complications come from bleeding.

In addition, postpartum haemorrhage is the leading cause of maternal death in underdeveloped countries. In fact, they cause almost a third of deaths in mothers.

One third of these cases do not have risk factors or known causes. Therefore, we know that postpartum hemorrhage can occur for any woman during any birth. However, there are four common causes of this condition:

• Uterine moratorium: The woman is not allowed to contract the uterine muscles.
• Trauma or injuries to the vagina or cervix.
• Parts of the placenta remain after problems during birth.
• Blood clot.

How to treat postpartum haemorrhage?

It is important to get treatment quickly and effectively to prevent maternal death. Today, there are methods to prevent postpartum hemorrhage in developed countries, and the death rate from this condition is 5%.

Therefore, it is necessary to start interventions. The goal with them is to reduce the number of risk factors.

Actively manage your birth

Giving birth also includes expulsion of the placenta after birth. The more the uterus contracts, the shorter this stage of labor will last. In addition, it will be more efficient. Therefore, this will reduce the risk of bleeding.

This can happen on several different levels. First, they can give you uterotonics. These are substances that cause the uterus to contract and make the birth shorter.

The most common uterotonic preparation is oxytocin. In places where oxytocin is not available, doctors may use other drugs such as misoprostol. In addition, your doctor should check your stomach once in a while to make sure it is contracting properly.

Other steps doctors can take include squeezing the umbilical cord early with contraction of the placenta. However, this is a controversial practice.

Prevent the middle flesh from cracking

The perineum is located between the genitals and the anus. In uncontrolled births, it is common for women to rupture in this area. Therefore, it can lead to bleeding after birth. This is why some women get an episiotomy. This technique creates a small, controlled crack in the perineum area.

Episiotomy is also effective in preventing uncontrolled bleeding. However, they are also useful for preventing future problems. For example, they can prevent things like pain or poor scarring.

Detect and treat anemia during pregnancy

Anemia can worsen postpartum haemorrhage. Therefore, diagnosing and treating anemia is also a way to prevent extra bleeding.

However, the treatment of anemia may depend more on the timely prevention of supplements, but not on the amount of supplements. Thus, we recommend that all pregnant women take supplements of iron and folic acid and start with this no later than the ninth week of pregnancy. Talk to your doctor for the correct dose.

Minimize rupture of the perineum in assisted births

Sometimes doctors may need to use special tools to help a woman give birth. They should choose instruments that cause the least possible damage. Therefore, the evidence suggests that if you need an assisted birth, you should choose a suction cup first.

Blood transfusion

Postpartum hemorrhage can cause you to lose a lot of blood. Therefore, it is important to get a blood transfusion to compensate for the blood loss.

Concluding thoughts on postpartum haemorrhage

Postpartum hemorrhage is one of the most common obstetric complications in the world that causes maternal death. Since all women are at risk of suffering from them, it is important to maintain control throughout pregnancy.

In addition, it is important to get help as soon as possible to ensure the best prognosis.