4T, danger of bleeding after childbirth is normal

Birth of a baby is a risky process for both mother and baby. Postpartum hemorrhage is a risk of frightening complications. This bleeding is one of the main causes of maternal death after giving birth.

A person is called postpartum hemorrhage if blood loss is greater than 500 ml after a normal delivery, or more than 1000 ml when born by cesarean section.

This condition can occur less than 24 hours after birth or after major postpartum hemorrhage. However, it can also occur in periods of more than 24 hours to 12 weeks after giving birth. This is called secondary postpartum hemorrhage.

Postpartum hemorrhage

There are four main causes of primary postpartum hemorrhage. The most common cause is lack of uterine tone or uterine atony, a condition of the uterus that cannot contract properly to stop bleeding. Other causes include trauma to the birth canal, placenta or blood clots, and coagulation disorders.

1. Tone your uterus

70% of the causes of postpartum hemorrhage are due to tone disorders or uterine contractions. Under normal circumstances, with sufficiently strong uterine contractions, blood vessels will be closed and bleeding will stop. If the blood vessels remain open, bleeding will continue.

Certain conditions that cause uterine contractions to interfere, including:

Excessive part of the uterus. This can happen if you have had twins or are very large. In addition, excess amniotic fluid also causes stretching of the uterus.
Normal work that is too long or too fast can weaken the contraction of the muscles of the uterus. Delivery more than 20 hours to the person giving birth to the first child and more than 14 hours to give birth to the second child, etc.
If you give anesthetics to the mother during labor, the uterine muscles will relax and it will be difficult to contract properly after the baby is born.
Membrane infection

2. Trauma to the birth canal

This condition occurs during normal work. Genital tract trauma is usually in the form of tears in the vagina. This condition occurs during normal delivery. During labor, it is sometimes necessary to accidentally cut or episiotomy to enlarge the birth canal. Tears can also occur in the cervical area.

If trauma to the genital tract is not immediately detected and stitches are performed, the mother can continue to experience bleeding.

3. Tissue - retained placenta and remaining placenta

Placental retention is a condition in which the placenta cannot be removed more than 30 minutes after the baby is born. This situation causes the uterus can not contract properly. Placental retention can cause postpartum hemorrhage. In addition, the placenta that is left in the uterus can cause infection in the mother.

After the placenta has been removed, the doctor or herbalist will check whether the placenta is complete. This action is carried out because of the remaining placenta, which is also capable of causing postpartum hemorrhage. The underlying mechanism is the same as placental retention.

Postpartum hemorrhage caused by this placental problem will stop if the remaining placenta or placenta is successfully removed. The doctor will try to stimulate uterine contractions or remove the placenta manually. The second method has a higher risk of infection.

4. Thrombin - blood clotting disorders

Postpartum hemorrhage caused by blood clotting abnormalities is the rarest cause. Often, a mother is not aware of this disease until the bleeding is stopped.

The diagnosis of blood clotting disorders can be made by examining blood clotting factors and platelets. If this is bleeding, fresh frozen plasma must be prepared, consisting of a blood transfusion containing blood clotting factors.