What are the clinical manifestations of postpartum hemorrhage?

After becoming a mother, every woman's heart must be filled with excitement and joy, but at this time, you must not relax your vigilance, especially after giving birth, it is very easy to have postpartum hemorrhage, especially right after giving birth, the mother has not completely escaped the danger period, so if postpartum hemorrhage occurs, what are the clinical manifestations? How should we judge it? Let me tell you.

Clinical manifestations

Postpartum hemorrhage usually occurs within 2 hours after the delivery of the fetus, and can occur before, after, or both before and after the delivery of the placenta. Vaginal bleeding can be heavy bleeding in a short period of time, or it can be light bleeding that continues for a long time. It is usually overt, but there are also cases of occult bleeding.

The main clinical manifestations are vaginal bleeding, hemorrhagic shock, and secondary anemia. If excessive blood loss occurs, disseminated intravascular coagulation may occur. The severity of symptoms varies depending on the amount and rate of blood loss and whether anemia is present. Heavy bleeding in a short period of time can cause shock rapidly. It should be noted that in the early stages of shock, due to the body's compensatory mechanism, the patient's vital signs such as pulse and blood pressure may be within the normal range. However, close monitoring is still required at this time, early identification of risk factors, assessment of bleeding volume and active treatment. In clinical practice, people often only pay attention to the patient when blood loss reaches a certain level and decompensation symptoms such as increased pulse and decreased blood pressure appear, thus losing the best time for treatment. In addition, if the mother already suffers from anemia, shock may occur even if the bleeding is not much, and it is not easy to correct. Therefore, every parturient must be carefully observed and analyzed to avoid delaying the rescue.

diagnosis

The key to diagnosing postpartum hemorrhage is the correct measurement and estimation of blood loss. The commonly used methods for estimating blood loss in clinical practice include: volume method; weighing method; area method; shock index, etc. Inaccurate measurement of blood loss will result in loss of the best time to rescue postpartum hemorrhage. Sudden, massive postpartum hemorrhage is easily noticed and diagnosed early, while slow, continuous, small amounts of bleeding (such as long suture time for soft birth canal lacerations) and undetected hematomas are often important reasons for delayed diagnosis and treatment.

The above content is the main symptoms of postpartum hemorrhage. In addition, we should also pay attention to being vigilant after giving birth. If there is excessive bleeding, it should be diagnosed as soon as possible. In the postpartum diet, it is also recommended that you should eat more blood-enriching foods, such as animal liver.