Post delivery haemorrhage is nothing but
excessive bleeding after giving birth. Read on to find tips for preventing post
Apart from timely medical intervention,
awareness is a major factor that can play a big role in preventing post
delivery haemorrhage. Commonly known as excessive and uncontrolled bleeding
this condition is known to claim an estimated figure of over 150000 women every
Despite medical advancement, there are
cases where post delivery haemorrhage is unavoidable. And in many of the
developing countries, childbirth takes place in the home environment or the
local clinics where the facilities of emergency medical intervention and
equipments are lacking. Successful prevention usually comprises of timely
emergency referrals, immediate obstetric care, prompt blood transfusion, and
not to forget emergency surgery.
Ideal Prevention Strategy
A timely and efficient medical
intervention is often found to be the most effective mechanism to prevent post
delivery haemorrhage. The process initiates with the active management of the
third stage of labour. There are three principal factors that define this
active management strategy, which needs to be managed in tandem –
- The appropriate uterotonic drug must be administered on time. In most of the cases, the doctors prefer oxytocin.
- Dealing with the placenta during delivery, or in other words, the delivery of the placenta itself. This is an assistance mechanism which is termed as Controlled Cord Traction.
- After the placenta is delivered, the uterus needs to be massaged effectively.
According to research, such timely and
efficient intervention can successfully prevent post delivery haemorrhage in
over 50% of the potential cases, that otherwise come across as unprepared
This is on the part of the care-giving.
It has been observed in many cases that post
delivery haemorrhage is caused by the very
factor which could have actually prevented it. The reference is towards the
delivery of the placenta. Many doctors due to inadequate experience tend to
rush the delivery of the placenta. The intervillous vessels must be allowed to
get a chance to contract which in turn can effectively prevent post delivery
haemorrhage. But if the delivery of the placenta is rushed, the vessels are
deprived of this chance, and thus the flow of blood spirals out of control.
The over-manipulation of the uterus must
also be avoided at all costs. This is often does to facilitate placental
delivery. Such manipulation causes the lobes to be left behind in the uterine
lining which can potentially hamper the normal contraction of the uterus. In
order to prevent this condition and control post delivery haemorrhage, the
doctors must manually remove the lobes.
The doctor needs to study the woman on
whether she is showing signs of uterine atony. Since this one of the major
causes leading to post delivery haemorrhage, the condition can be anticipated
if the woman has been in labour for a long time. Or there is a precipitous labour.
Moderate to acute uterine fatigue is the most common resultant effect in both
the cases. This can partially separate the placenta. Therefore, the doctor has
to study the labour patterns and stay prepared for the condition so that he or
she can deal with it effectively. Again the doctor also needs to check whether
the woman has not displaced her uterus by keeping her bladder full, during or
shortly after delivery.
In conclusion, a simple way to prevent post
delivery haemorrhage that is in the hands of the woman is by taking care of her
diet. This entails a good prenatal
nutrition and taking in adequate
supplements. In certain studies it has been observed that women who incorporate
nettles, red raspberry and liquid chlorophyll are found to have a safe
delivery. Even Spectrum 2C multivitamins are effective in this regard. This is the
most that a woman can do to prevent the haemorrhage as the rest of her medical
conditions are beyond her power. The secret is to maintain a good health, with
high energy levels to fight the stress of childbirth and have an adequate
amount of blood to meet the probable loss.