How to deal with severe bleeding in postpartum women

Postpartum hemorrhage is a very critical problem. If not handled properly, it can easily affect the life and health of the mother. There are many reasons that can lead to postpartum hemorrhage. The most common one is weak uterine contractions. Some women may be very nervous during the delivery process and do not have enough confidence in childbirth, which leads to uncoordinated uterine contractions after delivery and finally causes maternal hemorrhage. The following are the emergency treatment methods for postpartum hemorrhage.

Postpartum hemorrhage includes three periods: from fetal delivery to placental delivery, from placental delivery to 2 hours after delivery, and from 2 hours to 24 hours after delivery. It mostly occurs in the first two periods. Postpartum hemorrhage is one of the important causes of maternal mortality and ranks first in my country. Once a mother has postpartum hemorrhage, the prognosis is serious. If the shock is severe and lasts for a long time, even if she is rescued, she may still suffer from serious sequelae of secondary anterior pituitary dysfunction. Therefore, special attention should be paid to prevention and treatment.

Stimulate uterine contraction Abdominal massage of the uterus is the simplest and most effective way to induce uterine contraction to reduce bleeding. After the bleeding stops, intermittent and evenly rhythmic massage is still required to prevent the uterus from relaxing and bleeding again. If necessary, place one hand on the anterior vault of the vagina to press against the anterior wall of the uterus, and use the other hand to press the posterior wall of the uterus on the abdomen while massaging at the same time. Hysterectomy is the most effective means of controlling obstetric hemorrhage. Various hemostatic measures had no obvious effect and the bleeding could not be controlled. While blood transfusion and anti-shock treatment were being given, subtotal or total hysterectomy was performed.

Among the phenomenon of postpartum hemorrhage, 20% is caused by placental factors, such as retained placenta. This phenomenon will affect normal uterine contractions and further lead to uterine atony, thereby indirectly causing postpartum hemorrhage. Some women may have uterine hypoplasia, uterine malformation, or even uterine fibroids, which can also cause postpartum hemorrhage.