Sunday, May 27, 2012

Symptom and prevention and cure bleeding postpartum

Symptom and prevention and cure bleeding postpartum
It is not only a comparatively dangerous symptom to bleed postpartum, can be divided into two kinds of situations, first, bleed postpartum, second, bleed postpartum of later period. Symptom and prevention and cure that bleed postpartum, after childbirth in the 24 hour, the intersection of vagina and up to or over 500 ml person of bleeding etc., considered to be the postpartum and bleed. This is a kind of common but comparatively dangerous complication, causing one of lying-in woman's main causes of death. The incidence bleeding postpartum accounts for 2% giving birth to the total number. Bleed, will make resistance of lying-in woman drop postpartum, likely to suffer from to produce the cotton-padded mattress, infect, leave over sequela, will cause lying-in woman's shock when being serious. If does not cure it in time, will capture the life of the lying-in woman. So, must prevent the emergence of the complication of this postpartum actively. There are a lot of to cause reasons to bleed postpartum, such as the uterus shrinks weak, the placenta is held up in, wounded, blood coagulation function obstacle,etc. of splitting of the soft birth canal, among them the most common one is that the uterus shrinks weakly, this produce Cheng cross long and foetus nervous antenatal to have a good rest, cause overtired in thought in too big new mother mostly. So, the best prevention and control is that the new mother wants the relaxed mood, do not need the overstrain. In the course of giving birth to, obey the doctor's guidance, try hard to keep physical power, in the pain intermittence, can eat something in right amount. To presenting the uterus and shrinking the weak lying-in woman, should inject and draw back the palace plainly after the foetus is given birth to, in order to help the uterus to shrink. If fetus baby too big and perineum development bad anxious to produce surgery midwifery, can present the soft birth canal to split wounded, to this kind of lying-in woman, should adopt the side of perineum to cut the operation if necessary, if splitting wounded should sew up and arrest blood as soon as possible. Some new mothers, especially go through the many times abortive new mother, may give birth to the placenta the difficulty after giving a birth, or some placentas are held up in the palace, this needs the doctor to assist to strip the placenta or implement the skill of dilatation and curettage. After symptom and prevention and cure that bleed will it be postpartum later period give a birth normally, vagina shed blood volume to be more in the 2 hour, bleed and will be reduced gradually 2 hours later. If a large amount of bleeding of vagina after giving birth to 24 hours, and over 400 ml person, known as the postpartum of later period to bleed. This kind of disease is very serious, saw after producing 1- 2 week more, a lying-in woman just has illness coming on in 6- 8 weeks too. The vagina bleeds sustainably or disconnectedly, can also be shown as a large amount of bleeding sharply, can be with the low-heat, it causes serious anaemia or losing blood shock too much that the patient often loses blood. The reason caused and bled postpartum is mainly as follows, the uterus shrinks weakly postpartum; The placenta or fetal membrane has not been totally discharged, has remained in the body; The placenta adheres to the position and can not resume completely, some wound can't be repaired in time; Cut open palace, produce behind the operation, uterus cut-out position thrombus loss bleed in the blood vessel; Uterus skin tumour, fine hair cancer bleed under the mucous membrane; Function obstacle of blood coagulation. Because there are more reasons to bleed postpartum of later period, it is different due to illness that want so as to therapeutic method more. If it is small middle the intersection of quantity and vagina that bleed, should use the intersection of capacity and wide the intersection of table and antibiotic, uterine tonic. If placenta, fetal membrane residue or placenta adheres to the position and can not restore the old ways completely, want, control, infect while injecting antibiotic, should make the intersection of palace of Qing Dynasty and operation, blow, happen the intersection of thing and pathology of handing over check, have already done clear diagnosis. If present acute a large amount of bleeding, should send the hospital to do blood transfusion,etc. to treat in time. In order to prevent massive haemorrhage postpartum, new mother and his family should all do the positive preparation. In pregnancy period, the ready-to-be mother should eat more food with abundant calcium, this uterus that can prevent from when giving a birth is weak. If anaemia symptom has appeared in pregnancy period, the ready-to-be mother should supplement the food with abundant iron, to the tolerance losing blood while giving a birth in order to improve. During pregnancy, the pregnant mother wants the appropriate activity, scientific diet, prevent the foetus from being too big and overweight, this will increase the difficulty of giving a birth. Finally, family of ready-to-be mother want, encourage more she, old man try hard less to aim at mother say some " whether woman produce to the danger spot to move and meet with " before childbirth in the house ,this will for copy already add tense ready-to-be mother by psychological pressure even more. In addition, after giving a birth, family should pay close attention to the change of the new mother in time, once find there is too much new mother's blood flow volume, should send to the hospital treatment in time.

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