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PPH

Postpartum

PPH, or Postpartum Hemorrhage, is a potentially serious complication that occurs after childbirth, characterized by excessive bleeding from the birth canal. It is a leading cause of maternal mortality worldwide and requires prompt medical attention.

  • Uterine Atony: Failure of the uterus to contract after childbirth, leading to inability to control bleeding.
  • Tear or Injury: Tears in the birth canal, cervix, or uterus during childbirth.
  • Retained Placental Tissue: Incomplete expulsion of the placenta or fragments.
  • Coagulation Disorders: Conditions that affect blood clotting ability.

Symptoms

Symptoms of PPH may include:

  • Excessive or prolonged bleeding after childbirth.
  • Feeling dizzy, lightheaded, or faint.
  • Rapid heart rate (tachycardia) or low blood pressure.
  • Pale skin or feeling cold.

Diagnosis and Treatment

Diagnosing PPH involves monitoring the amount of blood loss and assessing the mother’s vital signs. Treatment aims to control bleeding and stabilize the mother’s condition, and may include:

  • Medications: Oxytocin or other uterotonic medications to stimulate uterine contractions.
  • Manual Techniques: Massaging the uterus or manually removing placental tissue.
  • Surgical Interventions: In severe cases, surgery may be necessary to stop bleeding, such as uterine artery embolization or hysterectomy.