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Postpartum Hemorrhage

Postpartum Hemorrhage - Frequently Asked Questions


Q: Which doctor should I consult for postpartum hemorrhage?

A: One must consult a gynecologist or an obstetrician for postpartum hemorrhage.

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Q: What are the various procedures by which bleeding can be stopped?

A: The various procedures for stoppage of bleeding are:

    Bimanual compression in which pressure is exerted by both hands to pack the uterus. Tight intrauterine packing. Balloon tamponade. Surgical methods like Ligation of uterine arteries and B-Lynch compression sutures.

Q: What are the adverse effects of postpartum hemorrhage?

A: Severe postpartum hemorrhage can lead to severe hypovolemia leading to coma and even death.

Q: What is manual removal of placenta?

A: When the placenta is retained and does not get delivered using massage or oxytocin drip and is the cause of PPH, it sometimes needs to be delivered under anesthesia by the obstetrician and this is called manual removal of placenta.

Q: I read that animals eat their placenta after delivery. Why do they do this – any reason?

A: Animals eat their placentas after giving birth to get the hormones from the placenta to help control the bleeding. In fact, in some remote locations, this practice can be modified and placenta can be washed and small pieces can be placed inside the mouth of the mother for the hormones to be absorbed to cause contraction of the blood vessels and stop the bleeding.

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