How to treat abnormal postpartum bleeding

If a woman experiences abnormal bleeding after childbirth, it is most likely caused by weak uterine contractions. Of course, it may also be caused by damage to the birth canal due to rough operation during delivery. Postpartum hemorrhage may also occur if a woman has placenta previa or coagulation disorders after delivery. In rare cases, postpartum uterine inversion can also cause postpartum hemorrhage. No matter what, postpartum hemorrhage should not be underestimated and should be treated actively.

If postpartum bleeding is caused by uterine contraction problems, there are many ways to treat it.

Carboprost tromethamine is a prostaglandin F2α derivative that causes coordinated and powerful contractions of the entire uterus. It is contraindicated for patients with asthma, heart disease and glaucoma, and should be used with caution by patients with hypertension. Common side effects include nausea, vomiting, diarrhea, etc.

Misoprostol is a derivative of prostaglandin PGE1, which causes powerful contraction of the entire uterus. However, misoprostol has significant side effects, with nausea, vomiting, diarrhea, chills and fever being the most common. It should be used with caution in patients with hypertension, active heart, liver and kidney disease, and adrenal cortical insufficiency, and is contraindicated in patients with glaucoma, asthma, and allergies.

When the above treatments are ineffective, uterine cavity packing with gauze compression can be performed to stop bleeding in order to preserve the uterus or reduce preoperative blood loss. Pay attention to filling the uterine cavity from the fundus and both side corners. Fill it tightly without leaving any gaps to achieve the purpose of compression and hemostasis. If the bleeding stops, the gauze can be removed after 24 to 48 hours. Antibiotics are needed to prevent infection after packing, and uterotonics should be injected before removal.

In fact, there are many ways to treat postpartum hemorrhage, such as ligation of bilateral uterine arteries, transcatheter arterial embolization, hysterectomy, etc. If postpartum vaginal bleeding is caused by birth canal injury, it is necessary to find the injured area in time and perform sutures or other hemostatic treatments. If retained placenta causes bleeding, it should be removed promptly.