산후 자궁출혈, Postpartum uterine bleeding

Postpartum uterine bleeding 산후 자궁출혈

It is almost normal to have little uterine bleeding for several weeks after childbirth after giving birth through natural delivery or cesarean section.

However, abnormal postpartum uterine bleeding after childbirth is abnormal.

When the uterus does not contract normally due to postpartum uterine asthenia, a part of the vagina or cervix is ​​cut with lacerations, a part of the placenta remains in the uterus (placental retention), the uterus or vagina is inflamed, or other causes Postpartum bleeding can occur.

Only pureblood from the uterus may come out more severe than usual for more than 4 days after childbirth. Sometimes a lump of blood also comes out.

It is common for the vagina to have a bad smell.

Symptoms vary according to the degree of uterine bleeding and the degree of anemia caused by uterine bleeding.

Sometimes it can be dizzy, pale, and simple fainting.

Very severe postpartum uterine bleeding can cause shock and death if you lose large amounts of blood in an instant.

Depending on the cause and severity, diagnosis and treatment are performed. The mother’s belly is massaged by hand and, if necessary, treatment with uterine contractions. If postpartum bleeding occurs due to part of the birth canal, the acid canal is properly sutured, and if a large amount of blood is lost and in shock, it is treated with intravenous fluids and blood transfusions.

And it is treated with iron, vitamins, rest, and sufficient hydration. Copyright ⓒ 2014 John Sangwon Lee, MD., FAAP