Principles of management of postpartum hemorrhage

We all know that the process of childbirth is particularly dangerous. Some women choose cesarean section to reduce the risk of childbirth. Some women choose natural childbirth to strengthen the immunity of the fetus in the future. However, women who give birth naturally are prone to heavy bleeding. So what are the principles for treating postpartum hemorrhage in women? The following editor will introduce to you

1. Soft birth canal laceration: The effective measure to stop bleeding is timely and accurate repair and suturing. Cervical lacerations should be sutured with intestinal suture. The first stitch should start slightly above the top of the laceration, and the last stitch should end 0.5 cm away from the outer end of the cervix. When suturing vaginal lacerations, care should be taken to sew to the bottom to avoid leaving dead space and to avoid the sutures passing through the rectum.

2. Placental factors: Incomplete placental separation, retention and adhesion are removed by manual separation. Use a large scraper to scrape off any remaining residue. Placenta accreta should be examined by laparotomy with the uterus opened, and subtotal hysterectomy should be performed if confirmed. If the placenta is stuck above the uterine constriction ring, ether anesthesia is used to relax the constriction ring and the placenta is removed manually.

Understanding the principles of treatment for postpartum hemorrhage will help to deal with it in a timely manner and avoid dangerous situations.