I can see light coming from under the door of the bathroom. Like a hurt puppy, I always hear strange sounds. As I approached, I saw a black puddle on the floor. Suddenly, I am very scared. I slowly opened the door. "My mother, mum, are you OK?" My mother cried at me. "Please call my dear 911. Please hurry." Dear hurry please. I can hear the alarm now. Mom went to an ambulance. My 3 year old brother and I must stay with my neighbor until my father comes to pick us up.
Postpartum hemorrhage is excessive bleeding after birth. About 4% of women are bleeding after birth, and the possibility of cesarean section is great. Bleeding occurs before and after placenta delivery. The average blood loss of a baby after birth in vaginal delivery is about 500 ml (or about half a quart). The average bleeding volume due to Caesarean section is about 1,000 ml (or 1 quart). Most of postpartum bleeding occurs after childbirth, but it may also occur afterwards
Postpartum bleeding management algorithm. Many steps in the diagnosis and treatment of postpartum hemorrhage must be done simultaneously. Although the steps for mothers' recovery are consistent (thick arrows), other actions may differ for practical reasons. (IV = intravenous; IU = international unit; CBC = whole blood count; IM = intramuscular injection; RBC = erythrocyte; ICU = intensive care room) Placental postpartum blood flow should encourage the doctor to examine the uterus with both hands . When the uterus is soft, press one's hand in the vagina and massage it, push the fundus from above with the other hand through the abdominal wall (Fig. 2) 29 massage the back of the uterus with the hands of the abdomen . Vaginal hand massage front
Within the womb, the balloon tamponade can reduce or prevent postpartum bleeding. In about 80% of cases, swollen Sengstaken-Blakemore tubes in the uterus successfully treated postpartum hemorrhage, which is difficult to treat by medical management. This procedure is relatively simple and inexpensive, and the incidence of surgery is low. Bacri balloon is a balloon tamponade designed especially for postpartum bleeding in the uterus. We advise you to manage postpartum bleeding to administer blood products as quickly as necessary. California Maternity Quality Care Collaborative has introduced a detailed stepwise management contract. It describes the four stages of postpartum obstetric bleeding and its application reduces maternal mortality.