How to treat postpartum hemorrhage

The concept of eugenics is deeply rooted in today's society, so many new parents do a lot of homework for their babies before they arrive. From this aspect, pre-pregnancy preparation, fetal education during pregnancy, and care of newborns will all be covered in books, but they may not know so much about some aspects of pregnant women, and they may not know much about issues such as postpartum hemorrhage. So let's learn about the treatment of postpartum hemorrhage.

(I) Stop bleeding

1. Uterine atony bleeding

(1) 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.

(2) Use of uterotonics

(3) Sterile gauze packing

(4) Ligation of the ascending branches of the bilateral uterine arteries and the internal iliac arteries. The above measures can preserve the uterus and maintain reproductive function.

(5) 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.

2. Bleeding caused by retained placenta or residual placental membranes

If the placenta has not been detached after more than 30 minutes after the fetus is delivered despite general treatment, or if there is heavy bleeding, the placenta should be removed manually as soon as possible. The placenta accreta should not be forcibly removed manually. If bleeding is heavy, total or subtotal hysterectomy is performed.

3. Bleeding caused by soft birth canal injury

4. Bleeding caused by coagulation dysfunction, the blood is bright red and does not coagulate.

5. Uterine inversion

A transvaginal uterine inversion reduction was attempted under general anesthesia.

2. Prevention and treatment of shock

When postpartum hemorrhage occurs, while stopping the bleeding, you should also give fluids and blood transfusions as appropriate, pay attention to keeping warm, and give appropriate amounts of sedatives to prevent shock. Once shock occurs, first aid should be given as if it is hemorrhagic shock. The amount and speed of blood transfusion should be determined according to the degree of shock and blood loss. Before blood transfusion, balanced salt, low molecular weight dextran, glucose and normal saline can be used to temporarily maintain blood volume.

3. Prevention of infection

Due to excessive blood loss, decreased body resistance, and frequent vaginal and intrauterine operations, mothers are prone to postpartum infection and should actively prevent and treat it.

The above is a relatively detailed introduction to the treatment of postpartum hemorrhage. I believe that after reading it, everyone will have some understanding of this issue. Of course, these are not done by yourself, because medical staff will treat it, but it is very necessary to understand something in this regard, so as not to be blindly nervous and affect the mood of the mother.