After Her Son Was Born By Caesarean Section Alison Started To Bleed She Did Not Realise She Was
Really calm. Really calm, yes, yes. It was to be honest the whole time the room was, never felt any sense of panic or even, I never really got a sense that there was anything particularly wrong. So they had taken my husband and baby out. And I just, my main memory was laying there, thinking Ive been here for quite a long time . Is that right? Because Id not done it before, you dont know that thats not right.
And were there a lot of people in the room?Sally’ Amy’Sally’
So I took, the midwife that had been with us, put in the kind of cot, incubator thing and she was fine throughout. She was, she was kind of, they werent at all worried about her, or anything. And I kind of sat in the corridor. You know, just outside while they gave you a blood transfusion. While they were giving her blood, and but in the meantime Amys Mum who sat in the kind of reception area could hear them ordering blood for someone and knew Because wed been in there a couple of hours by this point. You were in theatre for almost thr
Will Postpartum Haemorrhage Affect My Pregnancies In The Future
You are at increased risk of having another postpartum haemorrhage next time. Its very important to tell your medical team during your next pregnancy, so they can try to prevent it from happening again.
If youre worried about the possibility of a postpartum haemorrhage in future pregnancies, it can help to talk to your doctor or midwife so they can explain what happened.
What Are The Symptoms Of Postpartum Hemorrhage
The following are the most common symptoms of postpartum hemorrhage. However, each woman may experience symptoms differently. Symptoms may include:
- uncontrolled bleeding
- swelling and pain in tissues in the vaginal and perineal area
The symptoms of postpartum hemorrhage may resemble other conditions or medical problems. Always consult your physician for a diagnosis.
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Lose Weight To Reverse Disease
Excess body fat and obesity can lead to many common chronic health problems, such as diabetes, high blood pressure and erectile dysfunction. Obesity occurs when you have too much body fat for your height.
You dont have to live with obesity-related health problems forever. You can actually reverse some diseases like diabetes and high blood pressure with weight loss, says Jonathan M. Sardina, D.O., a family medicine physician with Riverside Internal Medicine Associates of Gloucester.
Doctors use Body Mass Index , a measure of weight compared to height, to screen for excess weight and obesity. You can use the Centers for Disease Control and Preventions calculator to find your BMI.
- Obese: BMI is 30.0 or higher
- Overweight: BMI is 25.0 to 29.9
- Healthy Weight: BMI is 18.5 to 24.9
- Underweight: BMI of 18.5 or lower
Quantitative Assessment Of Obstetric Blood Loss In Obstetric Hemorrhage Bundles
Success of quality improvement initiatives is dependent upon many factors including efficacy of the intervention, duration of the project, and extent of adoption. Reports from multihospital collaboratives have had conflicting results. Early outcome data from a study of regional hospitals working on nursing teams implementation of bundle elements did not show a reduction in hemorrhage-related severe maternal morbidity but reported that additional time was needed for implementation given no participating hospitals had yet completed implementation of the strategies 27. Additionally, a recent analysis from New Yorks Safe Motherhood Initiative did not show a difference in hemorrhage-related morbidity 1 year after initiation of a hemorrhage initiative 40. Conversely, a mandated implementation of an eight-component hemorrhage protocol based on the hemorrhage safety bundle that included quantitative blood loss measurement in 29 hospitals within a multistate regional health system found a significant reduction in use of blood products when assessed 10 months after implementation of the protocol 28.
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What Are Potential Complications Of Postpartum Hemorrhage
Postpartum hemorrhage is responsible for approximately 10 percent of all pregnancy-related deaths. While most women recover well from postpartum hemorrhage, an untreated postpartum hemorrhage can lead to a severe drop in blood pressure that can cut off blood flow to vital organs and lead to shock and even death. The loss of large amounts of blood can make you feel faint, breathless, dizzy or cause your heart to speed up.
How Much Blood Does A Woman Lose During Natural Child Birth
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What Are The Risks Of Treatment For Hemorrhaging
Procedures used to treat hemorrhage arent usually associated with long-term risks. Even if you need sutures on your uterus, infertility shouldnt occur. However, in the rare instance of needing a hysterectomy, you wont be able to have another baby.
If you need a blood transfusion, its possible to have an allergic reaction to the transfusion. With todays lab testing methods, this is rare.
How Do I Know If I’m Hemorrhaging Postpartum
The most common symptom of postpartum hemorrhage is persistent, excessive bleeding after delivery.
Other signs of PPH are:
- Nausea or vomiting.
- Worsening abdominal or pelvic pain.
Be honest with your healthcare providers about how youre feeling after delivery. In some cases, PPH doesnt cause symptoms until after youve left the hospital. Contact your healthcare provider immediately if you feel any of the symptoms above in the days or weeks after giving birth.
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Is It Normal For Blood To Pour Out During Miscarriage
Bleeding can occur in light or heavy amounts after a miscarriage. It is the process through which the fetal tissue and blood are expelled from your body, and it may last for about two weeks. Note that its also common to have bleeding in the first trimester, so bleeding does not mean you definitely had a miscarriage.
Its Important To Keep An Eye On Your Blood Loss In The Weeks After Giving Birth
Its possible to get secondary postpartum haemorrhage, which is abnormal or heavy bleeding between 24 hours and 12 weeks after giving birth. Its often associated with an infection, and sometimes with part of the placenta remaining in the womb .
Symptoms include:
- Feeling shaky, feverish, and generally ill.
- Having lochia with an offensive smell.
- Heavier than expected bleeding, or bleeding that becomes heavier rather than lighter over time.
If you have any of these symptoms, you should speak to your GP or health visitor immediately . Treatment for an infection includes antibiotics, so remind the health professional if you are breastfeeding so they can select the most appropriate antibiotic.
Severe pain in the womb in the six weeks after birth could be a sign of a serious infection called , and should be treated with urgency because it can be life-threatening . Other symptoms of sepsis include a high or low temperature, vomiting, diarrhoea, a rash and offensive discharge . If you are experiencing these symptoms, go straight to the emergency department, say that you have recently given birth, and ask if this could be sepsis.
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Treatment For Postpartum Hemorrhage:
Specific treatment for postpartum hemorrhage will be determined by your physician based on:
- your pregnancy, overall health and medical history
- extent of the condition
- your tolerance for specific medications, procedures or therapies
- expectations for the course of the condition
- your opinion or preference
The aim of treatment of postpartum hemorrhage is to find and stop the cause of the bleeding as quickly as possible. Treatment for postpartum hemorrhage may include:
- manual massage of the uterus .
- removal of placental pieces that remain in the uterus.
- examination of the uterus and other pelvic tissues.
- packing the uterus with sponges and sterile materials .
- tying-off of bleeding blood vessels.
- laparotomy – surgery to open the abdomen to find the cause of the bleeding.
- hysterectomy – surgical removal of the uterus in most cases, this is a last resort.
Replacing lost blood and fluids is important in treating postpartum hemorrhage. Intravenous fluids, blood, and blood products may be given rapidly to prevent shock. The mother may also receive oxygen by mask.
Postpartum hemorrhage can be quite serious. However, quickly detecting and treating the cause of bleeding can often lead to a full recovery.
Get a second opinion
Why Do Women Not Deliver At The Health Facility
The respondents mentioned benefits of giving birth at the health facility and being cared for by a trained health worker. However, they also mentioned problems like lack of birth preparedness, lack of transport, delivering at night and fear of mis-treatment at the hands of health workers. The respondents cited these factors as barriers to delivering at the health facility. They said that giving birth at home was cheaper than in a health facility. The latter involved transport costs, paying for the delivery and purchase of particular items to be used at hospital.
Sometimes I hear other women say that there is no money, let me go to the TBA. The TBA will get her money in installments, which cannot be the case when you go to the hospital.
Sometimes, labour started at night and transport to the health facility at that time was a challenge. In other cases, labour progressed quickly and there was no time to get to the health facility. A mother of two described how transportation difficulties prevented her from giving birth at the hospital.
Previous negative experiences at the hospital were other reasons women preferred to deliver at home. The poor attitude of the health workers discouraged women from wanting to give birth at the health facilities.
The nurses are very rude to the mothers in labour. So you make a decision to stay at home.
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What Are The Complications Associated With Postpartum Hemorrhaging
Blood loss can cause you to experience:
- anemia, or low blood levels
- dizziness upon standing
Its easy to mistake these symptoms for what typically happens in the postpartum period.
Severe instances of bleeding can cause very serious complications. These can include myocardial ischemia, or a lack of oxygen to the heart, and even death.
Extra Calories Cause Obesity And Health Problems
While many factors contribute to obesity, eating too much and not moving enough are the primary causes. When you eat more calories than you need, your body stores the excess calories for later in the form of fat.
Extra calories from large portions and foods such as soda, desserts and fried foods, strain your vital organs, including the liver, pancreas and heart. They cannot keep up with processing all the calories.
Fat accumulates around the midsection, under the skin and around vital organs such as blood vessels and the liver. Those deposits can lead to fatty liver and heart disease. In addition, the extra weight puts pressure on your heart and lungs, which have to work harder to deliver blood and oxygen.
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Why Does Postpartum Bleeding Happen
The blood and vaginal discharge that you experience in the postpartum period is known as lochia, and its a typical part of the postpartum healing process. Youll experience this type of bleeding regardless of whether you delivered vaginally or via C-section.
You need the contents of the uterus to be cleared out, so the bleeding is normal, says Mimi Niles, PhD, MPH, a certified nurse midwife and assistant professor and faculty fellow at the NYU Rory Meyers College of Nursing.
In other words, your body needs to dispel the blood and remaining tissue that lined your uterus while you were pregnant. The area where the placenta was attached to the uterine wall will need to heal, too.
The amount of postpartum bleeding should diminish each day, but you may nevertheless find the quantity of blood surprising.
How A Woman Feels After A Miscarriage
Caring for the body becomes caring for the new life. A miscarriage can breach this sense of self-trust and self-compassion. Afterward, women may feel a range of negative emotions toward their bodies, including anger, guilt, disappointment, or frustration with themselves for being unable to continue the pregnancy.
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Preference For Home Births
A factor that has been found in many developing countries to discourage women from having their deliveries at the health facilities is the poor attitude of some health workers . Previous negative experience at the health facility may influence the choice of home birth, and may contribute to delay in seeking health care. As in previous studies , we found that the onset of labour at night, and precipitate labour in some women prevented them reaching the health facility. Getting to the health facility at night was a challenge when communities depended on motor bikes as a means of transport. In some areas the motor bikes riders do not move at night because of insecurity. Women living far from a health facility, whose onset of labour pains started at night, or have precipitate labour, most often have home births as their ultimate choice.
Why Is It So Easy To Get Pregnant After A Miscarriage
You may be surprised to learn that you can get pregnant after a miscarriage without even having a normal menstrual period. How? Well, after you miscarry, your body starts the process of getting back into its usual reproductive routine. This means that youll experience ovulation before getting another period.
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What Happens If You Have A Miscarriage And Dont Go To The Doctor
If you decide not to treat your miscarriage, see your doctor. He or she will watch you closely during the time you wait for the miscarriage to complete. If you have heavy bleeding or infection during a miscarriage, you will likely need surgery to empty your uterus. Medicine makes the uterus squeeze and empty.
Who Is Most At Risk For Postpartum Hemorrhage
Some pregnancy complications can increase your risk for postpartum hemorrhage, including:
- Having a uterus that doesnt contract well after birth. Uterine contractions help stop the bleeding from the area where the placenta breaks away from the uterus.
- Having a uterus that becomes overdistended. This can be due to twins or multiples or a large baby.
- Uterine inversion, a rare childbirth complication that occurs when part of the uterine wall collapses and turns inside out.
- Uterine rupture, when an area of the uterine wall tears during labor.
- Placenta previa, a pregnancy complication in which the placenta implants low in the uterus.
- Placenta abruption, when the placenta separates from the uterine wall before delivery.
- Hydramnios, a condition in which too much amniotic fluid builds up during pregnancy.
- Taking drugs or herbs that interfere with blood clotting, such as aspirin, ibuprofen, ginkgo biloba or large doses of vitamin E.
About one in five postpartum hemorrhages occur in women with no risk factors.
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Is Miscarriage Pain Worse Than Labor
Early loss
If you miscarry naturally, even in the early weeks of pregnancy, you are likely to have period-like cramps that can be extremely painful. This is because the uterus is tightly squeezing to push its contents out, like it does in labour and some women do experience contractions not unlike labour.
How Much Blood Loss Usually Occurs During Childbirth
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How Do Doctors Treat Postpartum Hemorrhage
Healthcare providers treat PPH as an emergency in most cases. Stopping the source of the bleeding as fast as possible and replacing blood volume are the goals of treating postpartum hemorrhage.
Some of the treatments used are:
- Uterine massage to help the muscles of your uterus contract.
- Medication to stimulate contractions.
- Uterine artery embolization.
- Blood transfusion.
In rare cases, or when other methods fail, your healthcare provider may perform a laparotomy or a hysterectomy. A laparotomy is when your surgeon makes an incision in your abdomen to locate the source of bleeding.
Can Postpartum Haemorrhage Cause Any Other Problems
If you lose a lot of blood, you might develop anaemia. Your doctor can check this with a blood test. You may need to have iron therapy or a blood transfusion.
Sometimes breastfeeding is more difficult after a postpartum haemorrhage. Speak to your midwife if you are having trouble with breastfeeding.
If youve had a postpartum haemorrhage you have a higher risk of developing a blood clot. Its important to stay active and drink plenty of water. Speak to your doctor to see if theres anything else you should do to prevent blood clots.
People whose labour didn’t go to plan may feel negative emotions about their birth experience. You may feel upset or anxious about what happened. It can help to talk to someone.
You can seek advice or support from:
- The medical team who cared for you during your postpartum haemorrhage
- Your doctor or midwife
- pain, redness or swelling in your leg
You should also see your doctor if youre feeling very tired or anxious.
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