How long is the critical period for postpartum hemorrhage?

Written by Du Rui Xia
Obstetrics
Updated on February 03, 2025
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Postpartum hemorrhage generally occurs within 24 hours after giving birth, and sometimes it can occur 1-2 weeks postpartum. It is important to pay special attention during this time to see if there is an increase in vaginal secretions or bleeding. Generally, after giving birth, it is necessary to observe in the delivery room for two hours; if there is no bleeding within those two hours, the patient can be moved back to the ward. The main causes of postpartum hemorrhage include poor contraction of the uterus, retained placental tissue, abnormalities in the coagulation function of the woman's blood, and tears in the birth canal.

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Written by Liu Wei Jie
Obstetrics
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The most common cause of postpartum hemorrhage

Postpartum hemorrhage is divided into two scenarios. The first type occurs within 24 hours after childbirth and is seen in four situations. The first is due to inadequate uterine contraction, the second is trauma to the soft birth canal, the third concerns placental factors, and the fourth involves coagulation disorders. The second type of hemorrhage is late postpartum bleeding, which occurs one to two months after childbirth. This can be associated with postpartum infections, slow recovery of physical condition postpartum, retained products, and poor healing of cesarean section scars.

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Written by Zhao Li Li
Obstetrics
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Postpartum hemorrhage patient care

During the process of postpartum hemorrhage, there are several considerations for the care of patients with postpartum hemorrhage. First, during the patient care process, it is necessary to closely monitor whether the contraction of the uterus is good, monitor the height of the uterine fundus, and the specific vaginal bleeding situation. Moreover, it is also necessary to provide a light and nutritious diet, avoiding spicy and irritating foods. Due to the massive bleeding caused by the surgical process, patients are generally weak, so it is recommended to rest more, avoid excessive fatigue, and also avoid looking after the newborn again to prevent various body disorders.

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Written by Du Rui Xia
Obstetrics
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How long does it take to recover from postpartum hemorrhage?

Postpartum hemorrhage is a relatively common and serious complication clinically, but how long does it take to recover from postpartum hemorrhage? This depends on the physical condition of the mother. Typically, recovery takes about 4-6 weeks after delivery. Women with weaker constitutions may take longer to recover. When postpartum hemorrhage occurs, appropriate measures should be taken based on the cause. If there are lacerations in the birth canal, timely suturing is necessary. Additionally, if there is weak uterine contraction, medications that stimulate uterine contraction should be used to promote contraction and stop the bleeding.

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Written by Zhao Li Li
Obstetrics
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Postpartum hemorrhage uterine suturing method

If postpartum hemorrhage occurs, it is foremost important to actively seek the specific causes of the bleeding to achieve timely and rapid hemostasis. It is also necessary to quickly replenish blood volume to prevent shock and infection. Meanwhile, if there is localized bleeding, active local suturing treatment should be pursued to control the bleeding. Normally, if the postpartum bleeding is light, suturing the uterus in the conventional way will suffice. However, if the bleeding is caused by uterine atony or similar reasons and oxytocics are ineffective, procedures like ascending ligation of the uterine arteries or uterine compression sutures and binding can be performed to effectively stop the bleeding.

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Written by Du Rui Xia
Obstetrics
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Is it normal to have ovulation bleeding during postpartum breastfeeding?

During the postpartum breastfeeding period, it is normal for mothers to experience bleeding during ovulation. Most women who bleed during ovulation are affected by fluctuations in hormone levels in the body. The bleeding usually occurs midway between two menstrual periods, and the amount of blood is relatively small and light in color. It usually returns to normal within one to two days, so there is no need to worry when ovulation bleeding occurs. It is important to rest, avoid overwork, enhance nutrition, keep warm, and avoid getting cold. During breastfeeding, it is essential to observe the amount of vaginal bleeding. If menstruation resumes, it is crucial to pay attention to contraception.