Original | Pregnancy
There is no danger
The luckiest thing in the delivery room!
The process of childbirth is really thrilling.
It is a super lucky thing to be able to give birth to a baby smoothly and safely, but there will always be some mothers who will be in danger.
Fortunately, medicine can now control most childbirth complications.
A while ago, TVB actress Zhong Jiaxin shared her dangerous experience when she gave birth to her daughter in an interview with the media.
Although it has been a long time, in retrospect, I still have palpitations.
When giving birth to a daughter, Zhong Jiaxin, like all new mothers, had no experience, did not understand the feeling of contractions, and could only listen to the doctor's instructions, and the uterine opening was opened to five fingers to be hospitalized.
At the beginning of the symptoms, Zhong Jiaxin thought of eating breakfast first and then going to the hospital, but because of the sudden redness, he was rushed to the hospital by his family.
When the hospitalization was done, the uterine opening had been opened to 8 fingers, and for his own labor, Zhong Jiaxin described it like this: Giving birth is like a large watermelon to pass through a small hole, which is very difficult and hard.
Everyone thought it would be good to be born, but for Zhong Jiaxin, after giving birth, it was even more dangerous, and when she got up to go to the toilet, her lower body suddenly bled.
Bleeding too much, Zhong Jiaxin directly fainted in the bathroom, frightening her husband to scream to find a doctor.
Although after rescue, the bleeding was controlled, but Zhong Jiaxin also recuperated for two months before he could walk normally.
It is said that women giving birth to children is like walking through a ghost door, even if it is the mother who comes out with a smooth smile, it is also the result of a race with death!
No matter what the process is, there is no danger, it is the happiest thing!
Postpartum haemorrhage
That was the closest I came to death!
Postpartum hemorrhage, a thing that makes the delivery room tense instantly, if you can't find the bleeding point in time, the consequences really dare not think.
In the middle of January this year, actress Sun Iridium recorded her own production video, seeing red, hospitalization, contractions, inducing labor, painless.... Everything is going on normally.
But shortly after giving birth to the baby, all the machines in the delivery room made a dripping sound, and everyone in the delivery room instantly became nervous.
It's postpartum haemorrhage! The baby is also infected with the lungs due to premature rupture of amniotic fluid, and is notified of the critical illness!
Because of excessive blood loss, Sun Iridium's eyes became blurry, and she vaguely heard the doctor say: Iridium Iridium, don't sleep! Don't sleep! Blood loss 1400cc, hurry up and transfer blood from the blood bank!
Fortunately, after the doctor's rescue, the bleeding point was found and the bleeding was successfully stopped, and Sun Iridium and the baby were unharmed!
In the pregnancy microblog, there are also many dangerous experiences shared by mothers, a mother said: sudden bleeding after childbirth, the doctor said that if you can't stop the bleeding, you have to cut off the uterus to stop the bleeding, it's okay.
There is also a mother, because of postpartum bleeding, not only used up the blood of the hospital blood bank, but also adjusted the blood from other hospitals, and finally did not stop, it is best to cut the uterus and save a life!
Postpartum hemorrhage, there is a netizen said: once encountered is nine deaths, very dangerous!
Is the number one factor contributing to maternal mortality!
The World Health Organization has released a set of data:
Globally, 536 000 women die each year.
In other words, about 1500 pregnant women die from pregnancy or childbirth-related complications every day, of which postpartum haemorrhage accounts for the heaviest proportion.
So how much bleeding is heavy bleeding?
Normally, a mother who gives a vaginal birth loses about 500 milliliters of blood, and a caesarean section is usually 1,000 milliliters.
If there is a major bleeding, it means that more blood will be lost, and if the amount of intrapartum bleeding ≥ 1000 ml 24 hours after the delivery of the fetus, it is a serious postpartum hemorrhage.
Postpartum haemorrhage is severe, but rare!
Usually within 1 day of delivery, it can also occur within 1-2 weeks of the baby's birth, with 1 to 5 out of 100 women experiencing postpartum haemorrhage.
Postpartum haemorrhage can lead to a severe drop in blood pressure and, if left untreated, can lead to shock and death.
If these symptoms occur after childbirth, be sure to contact your doctor immediately:
Vaginal bleeding is massive, without slowing down or stopping.
Decreased blood pressure or shock. Signs of hypotension and shock include blurred vision, chills, wet or cold skin or rapid heartbeat, dizziness, drowsiness or weakness, and feeling like you are about to faint.
Nausea (stomach upset) or vomiting.
Pale skin.
Swelling and pain in the vagina or around the perineum.
High risk factors for postpartum haemorrhage
Knowing these can save lives!
Postpartum haemorrhage usually occurs without warning, and there is no way to predict in advance that postpartum haemorrhage will occur, but if these are the cases, it increases the chance of postpartum haemorrhage.
1. Uterine problems
Uterine contraction is weak. If the uterus does not contract well after the baby is born, heavy bleeding occurs, which is the most common cause of postpartum haemorrhage, and the contraction of the uterus after childbirth helps to stop bleeding at the site of placental detachment.
If the uterus is very large in twins or macrosomia, there may also be a lack of uterine contraction, too much amniotic fluid, and too long labor time will also increase the chance of major bleeding.
Uterine varus. Uterine valgus is a rare and serious complication during childbirth, most of which occur in the third stage of labor, and if not treated in time, it will lead to shock and heavy bleeding.
Uterine rupture. This rarely happens, but if there are scars in the uterus, a previous caesarean section, or surgery, it can cause heavy bleeding.
2. Placental problems
Placental abruption. When the placenta is separated from the uterine wall before birth. It can be partially or completely separated.
Placental implantation. Placental hyperplasia or placental penetration, the placenta grows too deep into the uterine wall.
Placenta previa. The placenta is located very low in the womb and covers all or part of the cervix.
Placental retention. If the placenta is not excreted within 30 to 60 minutes after childbirth, major bleeding may occur.
Note: Even if the placenta is excreted shortly after birth, the doctor will check the placenta to make sure the placenta is completely excreted, which can also cause bleeding if the placenta remains.
3. Childbirth problems
The tear is severe. If the tear is severe or if the cervical tissue is cut or torn at birth, it may cause heavy bleeding.
The labour is too long. Prolonged labour can lead to maternal exhaustion, which is likely to lead to weakness in uterine contractions, triggering a risk of postpartum haemorrhage.
Coagulation problems, body infections, obesity, preeclampsia, or high blood pressure in pregnancy also increase the risk of postpartum haemorrhage.
If you are a mother with the above situation, do not worry too much, even if there is the above situation, it does not mean that there will be heavy bleeding after childbirth, it may only increase the probability of major bleeding, mothers can communicate with the doctor in advance to reduce this risk.
There is no way to prevent postpartum haemorrhage
But the risk can be reduced!
Regarding heavy bleeding, coping with and reducing risk can protect the mother and baby as much as possible.
1. Response to postpartum hemorrhage
The treatment of major bleeding depends on what caused the bleeding, and this link actively cooperates with the doctor.
blood transfusion. Blood transfusions are given to support vital organs such as the brain, heart, kidneys and liver, preventing organ damage.
Massage the uterus. Doctors will help stop the bleeding by massaging the uterus to promote uterine contractions.
Remove residual placenta. Stuff the uterus with gauze, a special balloon or sponge, or use medical tools to help stop blood vessel bleeding.
Embolization supplies the blood vessels of the uterus. In this procedure, the doctor will use a special test to look for bleeding blood vessels and inject substance into the blood vessels to stop bleeding, which is used in special cases to prevent the need for hysterectomy.
surgery. For example, hysterectomy or caesarean section, if the source of the bleeding can be found by caesarean section and the bleeding can be stopped, but if other methods do not work, the doctor usually takes hysterectomy.
2. Prevention of postpartum hemorrhage
In order to reduce the risk of postpartum haemorrhage, mothers can do the following to protect themselves and their babies.
Actively correct anemia. Severe anemia may cause heavy bleeding during childbirth, and it is necessary to check on time, eat a comprehensive and balanced diet, and actively cooperate with doctors if anemia occurs.
Choose a regular, well-conditioned hospital delivery. Whether it is a pregnancy check-up or a delivery, pregnant mothers must choose a regular, well-conditioned hospital for delivery, and problems can be dealt with in time.
Cooperate with doctors to strengthen postpartum observation. Most of the postpartum bleeding is within 2 hours after delivery, the medical staff will closely monitor the situation of the mother, and the mother should patiently cooperate with the doctor to do a good job of blood pressure, heart rate, respiratory rate, contractions, and blood flow tests.
breastfeeding. Breast milk can promote uterine contractions and speed up recovery, so if the body allows, adhere to breast milk, which is good for both mother and baby.
Check the uterus when you leave the hospital after childbirth. If there is an abnormality, we must follow the doctor's instructions, the medication should be used, the review and re-examination, and must not stop the doctor because of the breastfeeding child.
Do not eat Chinese medicine supplements indiscriminately after giving birth. Random supplements may be harmful to the body, such as causing postpartum hemorrhage or increased blood pressure, and some of the ingredients in traditional Chinese medicine can be transmitted to the baby through breast milk, causing adverse reactions, the liver function of newborn babies, not yet mature, it is difficult to deal with these substances, if you really want to eat these Chinese herbal medicine supplements, you must also consult a doctor in a regular Chinese medicine hospital.
Observe the discharge of lochia. Lochia usually changes from red to white, from more to less to finally no smell, about a month or so to clean, if there has been no clean or abnormal to seek medical treatment in time.
Hope all the best for all moms! I hope all babies can be healthy and healthy, and come safely!
Reference articles
https://www.fhs.gov.hk/sc_chi/health_info/woman/15692.html
https://www.thebump.com/a/what-really-happens-after-labor