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Postpartum Hemorrage

Postpartum Hemorrhage is excess bleeding after the birth of baby. It happens in 5 out of hundred. Postpartum hemorrhage occurs mostly with cesarean births. Generally, the uterus normally contract and spill out the placenta after delivery. These contractions put the pressure on blood vessels especially where the placenta was attached. If the uterus doesn't contract enough, these blood vessels bleed freely. This is main reason of postpartum hemorrhage.

Causes of post-partum hemorrhage

  • Uterine atony
  • Trauma
  • Retain placenta
  • Coagulopathy

Uterine atony: - It is the inability of the uterus to contract and may lead heavy bleeding. Retained placental tissue infections can also cause uterine atony.

Trauma: - any injury to the birth canal which includes the uterus, cervix, the vagina and the perineum.

Retain placenta: - retention of tissue from the placenta of or fetus as well as placental abnormalities can cause abnormal bleeding

Coagulopathy: - This is bleeding disorder when there is the failure of clotting this disease is unknown as Coagulopathy.

Oxytocin is typically used right after the delivery of the baby to prevent PPH. Misoprostol may be used in areas where oxytocin is not available. Nipple stimulation and breastfeeding triggers the release of natural oxytocin in the body, therefore it is thought that encouraging the baby to suckle soon after birth may reduce the risk of postpartum hemorrhage for the mother.

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