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Postpartum bleeding: what you need to know || Dr.Amita Shah

Postpartum bleeding what do you need to know, Signs and Symptoms of Postpartum Hemorrhage, Phases of Postpartum Bleeding: Lochia Rubra, Lochia Serosa, Lochia Alba, Factors Contributing to Postpartum Hemorrhage

Understanding Postpartum Bleeding and Lochia

It is typical to have postpartum bleeding after giving birth to your child. The bloody discharge you’re experiencing is known as lochia. Within a week of giving birth, it will become pinkish, then white or yellow after around 10 days. Lochia may persist anywhere from four to six weeks, although it should be less bloody after two weeks. It might appear and disappear for around two months.

Postpartum haemorrhage refers to heavy and uncontrollable bleeding after giving delivery. It is more probable in the case of a caesarean birth (C-section). Other variables may also increase the likelihood of postpartum bleeding. If this occurs, you must get medical attention as quickly as possible to stop the bleeding.

Dr Amita Shah is one of the leading gynaecologists in Gurgaon. She runs her clinic in Palam vihar by the name of Global Women’s Clinic. One can contact her for all Pregnancy and postpartum care-related issues.

Types of Postpartum Bleeding

There are three phases of common postpartum bleeding, all of which are natural and anticipated after delivery. These phases are as follows:

  • Lochia rubra: The initial stage of postpartum bleeding is Lochia rubra. It lasts approximately a week after birth and is the most severe, with bright crimson bleeding and blood clots to be anticipated.
  • Lochia serosa: The second stage of postpartum bleeding may continue anywhere from two to six weeks. Blood flow slows and thins, frequently becoming a pink or brown tint instead of a brilliant red.
  • Lochia alba: During this stage of postpartum bleeding, blood is replaced by a white or yellowish discharge.

You will begin the third stage of labour once your baby is born. This occurs when the placenta separates from the uterine wall and is ejected via the vagina. However, the placenta isn’t the only tissue that is no longer required once your kid is born. In the weeks after birth, your body will progressively eliminate blood cells, extra fluid, and tissue.

Bleeding is also caused by the repair of the uterine wall in the location where the placenta is separated. The bleeding slows as the tissue recovers. Excessive bleeding might indicate a problem with the healing process.

Factors Contributing to Postpartum Hemorrhage

When a baby is born, the uterus generally contracts and pushes the placenta out. These contractions put pressure on the blood arteries in the region where the placenta is connected after the placenta is delivered. These blood veins bleed easily if the uterus does not contract firmly enough. The most prevalent cause of postpartum bleeding is this. Bleeding is also possible if small portions of the placenta remain connected.

Postpartum haemorrhage may also be caused by the following factors:

(a). Tear in the cervix or vaginal tissues

(b). A tear in a uterine blood artery

(c). Bleeding into a pelvic cavity or buried tissue region. A hematoma is a collection of blood. It commonly occurs in the vulva or vagina.

(d). Blood clotting issues

(e). Placenta issues

Who is prone to postpartum haemorrhage?

Some women are more vulnerable to postpartum haemorrhage than others. The following conditions may raise the risk:

(a). Abruption of the placenta. This is the first stage of placental separation from the uterus.

(b). Placenta previa. This occurs when the placenta covers or is close to the cervix opening.

(c). Overdistended uterus. This occurs when the uterus is bigger than usual due to an excess of amniotic fluid or a large foetus.

(d). Multiple-baby pregnancy

(e). Pregnancy high blood pressure problems

(f). Prolonged labour

(g). Infection

(h). Obesity

(i). Forceps or vacuum-assisted delivery may be used.

Signs and Symptoms of Postpartum Hemorrhage

The following are the most prevalent signs of postpartum haemorrhage:

(a). Uncontrolled bleeding

(b). Reduced blood pressure

(c). Heart rate has increased.

(d). Red blood cell count decreases

(e). Swelling and discomfort in the vagina and surrounding region if bleeding is caused by a hematoma

Postpartum haemorrhage symptoms might mimic those of other medical disorders. For a diagnosis, always consult your healthcare practitioner.

Diagnosis and Tests

Your healthcare professional will go over your medical history and do a physical checkup. Lab tests are often used to aid in the diagnosis. Other possible tests include:

(a). Estimate the amount of blood you’ve lost

(b). Pulse and blood pressure readings

(c). The number of red blood cells

(d). The presence of clotting factors in the blood

Treatment Options for Postpartum Hemorrhage Prevention

The goal of postpartum haemorrhage therapy is to identify and stop the source of the bleeding as quickly as feasible. Treatment options may include:

(a). To promote uterine contractions, use medicine or uterine massage.

(b). Removing placental fragments that have remained in the uterus

(c). Examine the uterus and other pelvic tissues, as well as the vagina and the vulva, for regions that may need repair.

(d). To provide pressure to the bleeding within the uterus, a Bakri balloon or a Foley catheter may be used. Your doctor may fill the uterus with sponges and other sterile materials. If a Bakri balloon or Foley catheter is not accessible, this may be done.

(e). Laparotomy. This is surgery to open the abdomen and determine the source of the bleeding. Tying off or closing swollen blood vessels This is accomplished with the use of uterine compression sutures, specific gel, adhesive, or coils. The procedure is carried out during a laparotomy.

(f). Hysterectomy. This is uterine removal surgery. Most of the time, this is the last option. Replacing lost blood and fluids is critical in the treatment of postpartum haemorrhage. To avoid shock, you may be given IV (intravenous) fluids, blood, and blood products as soon as possible. Oxygen may also be beneficial.

(g). Postpartum haemorrhage may be fatal. However, if your provider swiftly identifies and addresses the source of the bleeding, you may be able to recover completely.

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Ankush Gaur
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Geeta Upadhyay
Geeta Upadhyay
I would highly recommend Dr Amita Shah to anyone in need of a gynaecologist. She is incredibly professional and always takes care of her patients. I have never had an issue with her and she has always been very responsive to my needs. I would definitely recommend her to anyone in need of a gynaecologist!
Sandeep Ranga
Sandeep Ranga
I had been suffering from severe pain and heavy bleeding for so many years.My ultrasound showed a large cyst in the uterus .All doctors had advised open surgery but Dr Amita Shah advised Laparoscopic surgery.Surgery was very smooth,I had no pain and my recovery was very fast.I am very thankful to Dr Amita Shah.She is a very skilled surgeon and very polite and gentle with her patients.Highly recommended for Laparoscopic surgery.
I have made all the pregnancy visits to Dr. Amita Shah, and my end-to-end experience with her has been wonderful. I was someone who was absolutely terrified of needles, but with Dr. Amita Shah's constant guidance and good consultation, I could overcome a lot of my stress and worries related to delivery as well as during the pregnancy phase. Both the doctor and her clinic staff are helpful and amiable. She was all ears when it came to even the tiniest of details and issues, listened calmly and resolved all my issues. She was also constantly available via phone and WhatsApp to clear any doubts that popped up in my head in addition to the in-clinic visits where she eased my mind and resolved plenty of my concerns. At the time of my delivery, she offered complete mental support and her presence itself offered calmness to me. I highly recommend Dr. Amita Shah for her professionalism, empathy and supportive attitude. By God's grace, we are blessed with a baby girl in December, and I have been on the path to a smooth and fast recovery since then.
monika agarwal
monika agarwal
My end to end experience with Dr. Amita Shah has been very amazing. I found her trustworthy in the very first visit. The medications very limited and She handled the emergency of water break very diligently and ensured safe delivery of my baby. She is calm, positive and considerate and will make your pregnancy journey beautifuI with no stress. I highly recommend Dr Amita Shah.
M Grewal
M Grewal
I have been visiting Dr Amita for 11 years now. She has helped deliver my kids and then for few other concerns. She is very kind, empathetic, and very gentle. She understands and a great listener. Trust her completely.
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Zoya Khan
I consulted Dr Amita for my Scar Endometriosis, she not only understood my problem but at the same time explained the entire ailment in detail. She assisted me at every step, her calm demeanour and patience made it very comfortable for me. The best part was she was so approachable although the process. I became a fan of her the way she did my dressings, removed my drain pipe with no pain extremely softly, she has magic in her hands .The best gynaecologist I have ever met. God Bless her always. Thank you so much.
Suchismita Adhikari
Suchismita Adhikari
Our experience with Dr Amita mam and her clinical expertise has been fabulous. Her staff, Ms Komal and Ms. Ashu are very kind and cooperative. Dr. Amita operated on my mother with such finnese. Explained each and every step in detail. She is a very good gynaecologist. Happy we found her to treat my mom.