Four major causes of postpartum hemorrhage
The causes of postpartum hemorrhage are uterine inertia, placental factors, laceration of soft birth canal and coagulation dysfunction in turn. These factors can cause and effect each other and influence each other.
1, uterine atony
The most common cause of postpartum hemorrhage. All factors affecting uterine contraction can cause postpartum hemorrhage caused by uterine atony. Common factors are:
(1) Systemic factors: The parturient is extremely nervous, excessively afraid of delivery, especially lacking sufficient confidence in vaginal delivery; Excessive use of sedatives, anesthetics or uterine contraction inhibitors after delivery; Combined with chronic systemic diseases; Physical weakness can cause uterine contraction weakness.
(2) Obstetric factors: Prolonged labor, excessive physical exertion or accelerated delivery can cause uterine atony. Obstetric complications and complications such as placenta previa, placental abruption, hypertensive disorder complicating pregnancy, intrauterine infection, etc. It may be uterine weakness caused by uterine muscle edema or oozing blood.
(3) Uterine factors: dysplasia of uterine muscle fibers, such as uterine malformation or hysteromyoma; Excessive stretching of uterine fibers, such as macrosomia, multiple pregnancies and polyhydramnios; Coin collection of damaged uterus, such as cesarean section, uterine perforation and other uterine surgery history; Too many births and times can cause uterine atony.
2. Placental factors
According to placental abruption, the types of postpartum hemorrhage caused by placental factors are:
(1) Placenta retention: After the fetus is delivered, the placenta should be delivered out of the body within 30 minutes. If it is still not discharged, it will affect the closure of blood sinus on the surface of placental abruption, leading to postpartum hemorrhage.
(2) Placenta adhesion: refers to that the placenta adheres to the uterine wall in whole or in part, and cannot be peeled off by itself. Repeated induced abortion, endometritis or decidual dysplasia are common causes. If it is a complete calendar year, there is generally no bleeding; If there is partial adhesion, the blood sinus on the surface of partial placental detachment will open, and the placenta retention will affect uterine contraction and cause postpartum hemorrhage.
(3) Placental implantation: Placental villi are implanted into the myometrium of uterus. The implanted sinus is partially open, and the bleeding is not easy to stop.
(4) Placenta-fetal membrane residue: Most placental lobules or accessory placentas remain in the uterine cavity, and sometimes some placentas fall off and blood sinuses are open, and the placenta retention affects uterine contraction, causing postpartum hemorrhage.
3, soft birth canal laceration
The characteristic of hemorrhage is that it occurs after the delivery of the fetus, which is different from postpartum hemorrhage caused by uterine fatigue. The blood flowing from the soft birth canal laceration can coagulate itself. If the laceration damages the arteriole, the color of the blood is bright red. Rupture of the birth canal during delivery is usually related to the following factors:
(1) The elasticity of vulva tissue is poor;
(2) urgent labor, excessive productivity and huge children;
(3) The operation of guiding operation and midwifery is not standardized;
(4) When the perineum is cut and sutured, the bleeding is not completely stopped, and the laceration of the cervix or vaginal vault can be found in time.
4. Coagulation dysfunction
Maternal coagulation dysfunction can be seen in:
(1) Complications related to obstetrics, such as amniotic fluid embolism, hypertensive disorder complicating pregnancy, placental abruption and stillbirth, can all be complicated with DIC.
(2) Maternal women with hematological diseases, such as aplastic anemia. Because of coagulation disorder, it can cause uncontrollable bleeding of postpartum incision and uterine sinus, which is characterized by blood coagulation.
How long can you recover after delivery?
Most women will undergo great changes after pregnancy. Not only the stomach, but also the arms, thighs and face have grown a lot of meat. After giving birth to a child, I can finally get back into shape with peace of mind. Many young mothers can easily regain their slim figure after giving birth, and some mothers throw away their bodies to keep them pregnant. So, how long will it take to get back into shape after delivery?
How long will it take to get back into shape after delivery?
As for how long it will take to recover after delivery, it depends on one's physical fitness. Experts suggest that reasonable weight loss should start after postpartum breastfeeding. Early and long-term bodybuilding exercises will lead to severe relaxation of pelvic ligaments, which will lead to uterine prolapse, urinary incontinence and difficulty in defecation. Premature dieting of new mothers after delivery will inevitably affect the quality and quantity of breast milk, which will indirectly affect the baby's pelvic widening. Except the adjustment of physiological structure, the other three points can be improved through exercise and diet, but a long-term and good step-by-step way is needed. If it is for the sake of speed, it can of course be solved by convenient operation.
How to recover after childbirth
1, light diet. Eat less salt and don't eat too greasy food. Eat green products to decompose fat before meals. This combination has the best slimming effect. You don't eat midnight snack or stay up late every day. You should take vitamins, protein, etc. Eat a balanced diet and reduce the intake of fat and calories. Try to eat low-fat milk, yogurt, cheese and other dairy products and fruits and vegetables; Eat less greasy food, such as meat, fish, butter and animal protein.
2. Postpartum gymnastics. This is a postpartum recovery exercise that postpartum mothers often like to do. Proper gymnastics movements can promote the recovery of puerperal body; Increase gastrointestinal peristalsis; Promote uterine involution; Strengthening the elasticity of the ligaments of abdominal muscles, vaginal wall muscles and pelvic floor muscles can effectively prevent gynecological diseases such as uterine prolapse and vaginal wall bulging, and can also reshape the beautiful posture. Exercise can be done selectively on 1 day during puerperium.
The above is the introduction of "how long can you recover after delivery", which depends on your physical fitness. Some mothers lose weight easily even if they don't go on a diet. Some mothers can only regain their figure by controlling diet and proper exercise. Postpartum women are weak, so don't exercise and diet too early, and wait until their vitality recovers.