Pregnancy And Childbirth / / August 12, 2017
obstetric complications: bleeding after childbirth
important role ultrasound plays in the prevention of late postpartum hemorrhage (any more than 2 hours after delivery of the placenta with all shells), as ultrasound reveals the uterine cavity residuesplacental tissue, pieces of membranes, which are the main causes of these complications.We are talking about the late postpartum period, ieabout 6-8 weeks after birth.
Early detection of changes in the uterus on ultrasound allows time to make the correct diagnosis and appropriate treatment.Such changes include:
- presence in the uterine cavity of a large number of blood clots, the absence of the dynamics of their isolation;
- expansion of the uterus (in the normal uterine cavity has a slit-like shape);
- presence of residues in the cavity of the placental tissue and / or pieces of membranes;
- mismatch size of the uterus as possible after the birth occurred.
Bleeding postpartum occur most often in the presence of residues in the cavity of the uterus placental tissue, fetal membranes.Upon separation of the placenta rupture of uterine vessels that connect the uterus to the placenta takes place at the level of their restrictions, where they have a spiral structure.
This feature of their structure gives vessels an opportunity to contract and move into the deeper muscle layers, where they are further compressed by the muscle tissue of the uterus.
Simultaneously with these processes occur thrombosis in small vessels, leading to stop bleeding.In the normal course puerperium these processes occur simultaneously.
If the uterine cavity are pieces of the placenta or fetal membranes, they interfere with these processes and bleeding occurs.Such bleeding begins suddenly and at the same time is characterized by a large blood loss.Prevent this complication is possible with timely conduct ultrasound, ie,2-3-day after birth.
If ultrasound study for any reason has not been carried out, and bleeding occurred after discharge from the maternity hospital, the woman should see a doctor immediately.Typically such postpartum bleeding occurs without apparent cause, but may be associated with physical activity, even minor, as well as sexual contact.
This profuse bleeding and is not accompanied by any pain.Do not try to stop postpartum bleeding yourself, asin the home make it virtually impossible.