Causes of heavy bleeding during cesarean section

There are certain differences between cesarean section and natural birth. Generally speaking, it is better for women to choose natural birth. If a cesarean section is performed, not only will the healing time be longer, but there will also be a permanent scar on the abdomen, which is very difficult to recover. Modern medical standards are better, and the probability of internal bleeding during childbirth for women is not that high. What are the common causes of internal bleeding during cesarean section?

Causes of internal bleeding during cesarean section

1. Uterine contraction fatigue and bleeding: Experts point out that uterine contraction fatigue of pregnant women is a major cause of intraoperative bleeding, especially when the fetus is too heavy, there is too little amniotic fluid, the delivery process is prolonged, and there are twins, which are more likely to cause uterine contraction fatigue and increase the probability of intrauterine hemorrhage.

2. Embryonic factors cause bleeding: In summary, it is believed that it may be related to these factors:

Placenta previa refers to the implantation of the embryo on the anterior wall of the lower uterus. If the uterus is cut open at this point during a cesarean section, it can easily damage the embryo and cause internal bleeding.

Incomplete separation of the blood placenta: After the fetus and embryo are delivered, if the embryo is not completely separated, it will cause uterine contractions, leading to internal bleeding that cannot be controlled. Especially for women who have frequently performed intrauterine operations in the past, the degree of endometrial damage will be increased, and they are more likely to develop placenta previa and placenta adhesion, thereby increasing the chance of internal bleeding.

3. Bleeding caused by uterine wound: If the lower uterine wound is torn during the operation, it will cause irreparable internal bleeding. If a tear occurs, the incision edge should be pinched quickly with surgical forceps. At the same time, the tear site should be identified, its original anatomical structure restored, and the bleeding site should be sutured independently first. Only then can the distal side of the suture be opened. During the operation, care should be taken to avoid damaging local tissues.

How to prevent internal bleeding during cesarean section?

Any surgery involves risks, so not only will cesarean section cause internal bleeding, but also external bleeding. However, caesarean sections do not necessarily result in internal bleeding. Generally, when doctors choose to perform a caesarean section on a pregnant woman, they have already made sufficient preparations in advance. Therefore, pregnant women do not need to worry. Even if internal bleeding occurs during surgery, the doctor will actively resolve it.

When pregnant women choose cesarean section, they should cooperate closely with the doctor. Generally, the doctor will ask the pregnant woman some relevant issues before the operation, such as the pregnant woman's medical history and physical condition. Once the doctor understands these conditions, he will make corresponding preparations, which will help reduce the risk of internal bleeding or other sudden diseases during the operation.

If a pregnant woman experiences internal bleeding during a caesarean section, the doctor will usually take measures to replenish blood and qi, usually intravenous treatment. Pregnant women should also pay attention to their diet and lifestyle after a caesarean section, eat more nutritious and light dishes, maintain a good attitude, and not be too emotional. Pregnant women are nervous and anxious, which can easily cause bleeding.