Which woman is at greatest risk for early postpartum hemorrhage (pph)?
Postpartum hemorrhage (also called PPH) is when a woman has heavy bleeding after giving birth. It’s a serious but rare condition. It usually happens within 1 day of giving birth, but it can happen up to 12 weeks after having a baby. About 1 to 5 in 100 women who have a baby (1 to 5 percent) have PPH. Show It’s normal to lose some blood after giving birth. Women usually lose about half a quart (500 milliliters) during vaginal birth or about 1 quart (1,000 milliliters) after a cesarean birth (also called c-section). A c-section is surgery in which your baby is born through a cut that your doctor makes in your belly and uterus (womb). With PPH, you can lose much more blood, which is what makes it a dangerous condition. PPH can cause a severe drop in blood pressure. If not treated quickly, this can lead to shock and death. Shock is when your body organs don’t get enough blood flow. When does PPH happen? After your baby is delivered, the uterus normally contracts to push out the placenta. The contractions then help put pressure on bleeding vessels where the placenta was attached in your uterus. The placenta grows in your uterus and supplies the baby with food and oxygen through the umbilical cord. If the contractions are not strong enough, the vessels bleed more. It can also happen if small pieces of the placenta stay attached. How do you know if you have PPH? You may have PPH if you have any of these signs or symptoms. If you do, call your health care provider or 911 right away:
Are some women more likely than others to have PPH? Yes. Things that make you more likely than others to have PPH are called risk factors. Having a risk factor doesn’t mean for sure that you will have PPH, but it may increase your chances. PPH usually happens without warning. But talk to your health care provider about what you can do to help reduce your risk for having PPH. You’re more likely than other women to have PPH if you’ve had it before. This is called having a history of PPH.
Asian and Hispanic women also are more likely than others to have PPH. Conditions that affect the uterus
Conditions that affect the placenta
Conditions during labor and birth
Other conditions
How is PPH tested for and treated? Your provider may use these tests to see if you have PPH or try to find the cause for PPH:
Treatment depends on what’s causing your bleeding. It may include:
Last reviewed March 2020 Who is at risk for postpartum haemorrhage?Risk factors for postpartum hemorrhage among the deliveries were: fetal macrosomia (over 4000 g); pregnancy-induced hypertension; pregnancy generated by assisted reproductive technology; severe vaginal or perineal lacerations; and weight gain over 15 kg during pregnancy.
What is the most common cause of early postpartum hemorrhage?Uterine atony.
This is the most common cause of PPH. It happens when the muscles in your uterus don't contract (tighten) well after birth. Uterine contractions after birth help stop bleeding from the place in the uterus where the placenta breaks away.
What factors increase a women's risk for postpartum hemorrhage?Conditions that may increase the risk for postpartum hemorrhage include the following:. Placental abruption. The early detachment of the placenta from the uterus.. Placenta previa. ... . Overdistended uterus. ... . Multiple pregnancy. ... . Gestational hypertension or preeclampsia. ... . Having many previous births.. Prolonged labor.. Infection.. Which woman is at greatest risk for late postpartum hemorrhage quizlet?Which woman is at greatest risk for late postpartum hemorrhage? Advanced maternal age and placenta accreta are risk factors for development of late postpartum hemorrhage. A woman with a body mass index (BMI) of 30 delivered an infant after 12 hours of labor.
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