Pregnancy is a difficult time for many mothers, and the postpartum period is also an uncomfortable period. Pregnant women are very weak after giving birth and need extra care from their families. Therefore, if you find that a pregnant woman has other discomforts after giving birth, it is best to seek the help of a professional doctor to find out the cause of the discomfort. Postpartum hemorrhage is a common problem for women after childbirth. However, many people do not know the cause of postpartum hemorrhage. The following is an explanation of the cause of postpartum hemorrhage. Bleeding exceeding 500 mL within 24 hours after delivery is called postpartum hemorrhage, 80% of which occurs within 2 hours after delivery. Late postpartum hemorrhage refers to heavy uterine bleeding that occurs during the postpartum period 24 hours after delivery, and is more common 1 to 2 weeks after delivery. Postpartum hemorrhage is a serious complication of delivery and one of the four major causes of maternal mortality. In recent years, postpartum hemorrhage has been the leading cause of maternal mortality in my country, especially in remote and backward areas. The incidence of postpartum hemorrhage accounts for 2% to 3% of the total number of deliveries. Due to the large subjective factors in measuring and collecting the amount of bleeding, the actual incidence is higher. 1. Soft birth canal laceration Soft birth canal lacerations include perineum, vagina, cervix, and lower uterine segment lacerations. Common factors: poor elasticity of vulvar tissue, inflammatory changes of the vulva and vagina; premature delivery, excessive labor force, macrosomia; vaginal surgery to assist delivery; careless examination of the soft birth canal, missing bleeding spots. Incomplete suture and hemostasis, etc. 2. Coagulation disorders Common causes include coagulation disorders caused by placental abruption, amniotic fluid embolism, stillbirth and acute fatty liver of pregnancy. A few are caused by primary blood diseases such as thrombocytopenia, leukemia, aplastic anemia or severe viral hepatitis. 3. Uterine inversion It is rare and is mostly caused by improper management of the third stage of labor, such as excessive pressure on the uterine fundus or forceful traction on the umbilical cord. The above is an explanation of the causes of postpartum hemorrhage. I hope you all understand it, especially postpartum mothers. Do not do things that contradict the above causes, so as to avoid sequelae and long-term pain. I also hope that the family members of the mothers will pay attention and seek medical attention in time if any problems are found. May the mother’s physical condition recover quickly. |
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