Postpartum Hemorrhage PPH causesrisk factorsprevention and treatment

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Postpartum bleeding or postpartum hemorrhage (PPH) is defined as the loss of more than 500 ml or 1,000 ml of blood within the first 24 hours following childbirth. • Some have added the requirement that there also be signs or symptoms of low blood volume for the condition to exist. • Signs and symptoms may initially include: an increased heart rate, feeling faint upon standing, and an increased breath rate. • As more blood is lost, the woman may feel cold, her blood pressure may drop, and she may become restless or unconscious. • The condition can occur up to six weeks following delivery. • The most common cause is poor contraction of the uterus following childbirth. • Not all of the placenta being delivered, a tear of the uterus, or poor blood clotting are other possible causes. • It occurs more commonly in those who: already have a low amount of red blood, are Asian, with bigger or more than one baby, are obese or are older than 40 years of age. • It also occurs more commonly following caesarean sections, those in whom medications are used to start labor, those requiring the use of a vacuum or forceps, and those who have an episiotomy. • Prevention involves decreasing known risk factors including procedures associated with the condition, if possible, and giving the medication oxytocin to stimulate the uterus to contract shortly after the baby is born • Misoprostol may be used instead of oxytocin in resource poor settings. • Treatments may include: intravenous fluids, blood transfusions, and the medication ergotamine to cause further uterine contraction. • Efforts to compress the uterus using the hands may be effective if other treatments do not work. • The aorta may also be compressed by pressing on the abdomen • Show us your support by SUBSCRIBING,LIKING and SHARING. • Connect with us on our website www.medcrine.com • Follow us on twitter @medcrine • Telegram at https://t.me/medcrine

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