How to prevent heavy bleeding during childbirth

There will be various unexpected emergencies during childbirth, which may cause heavy bleeding or even dystocia. Therefore, pregnant mothers should not only have regular prenatal checkups and adjust their emotions, but also communicate with hospital doctors in detail and make adequate preparations to ensure that various crises during childbirth are effectively resolved.

Causes of heavy bleeding during childbirth

Retained placenta: Retained placenta is one of the causes of heavy bleeding, including incomplete placental separation and placental adhesion, which can all cause heavy bleeding.

Uterine atony: If uterine atony causes the uterus to be unable to contract and shrink normally after the fetus is delivered, bleeding will not occur if the placenta has not been detached and the blood sinuses have not opened. If the placenta is partially detached or detached and expelled, uterine atony cannot effectively close the blood sinuses of the uterine wall at the placenta attachment site, resulting in excessive bleeding, which is the main cause of postpartum hemorrhage.

Coagulation disorder: If the mother suffers from blood disease, prolonged intrauterine fetal death, placental abruption, severe pregnancy-induced hypertension and amniotic fluid embolism, etc., it can affect coagulation or cause diffuse intravascular coagulation, causing coagulation disorder, postpartum bleeding, and difficulty in stopping bleeding. Therefore, once this disease is discovered during pregnancy, it must be taken seriously.

Cervical laceration: Cervical lacerations are usually on both sides and may also be petal-shaped. If the laceration is severe and affects the cervical blood vessels, it will cause a lot of bleeding. Some cervical lacerations may tear to the lower part of the uterus. Vaginal lacerations are usually on the side wall, back wall and perineum of the vagina, and are mostly irregular. If vaginal lacerations affect deep tissues, due to the rich blood supply, it can cause severe bleeding.

Mental stress: Most women will feel nervous and anxious when facing childbirth, but they must pay attention to regulating their emotions, because if they are too nervous during childbirth, it will lead to poor uterine contraction and blood vessels not closing, thus causing postpartum hemorrhage. In addition, too long labor, too much use of sedatives, and too deep anesthesia can also cause weak placental contraction and heavy bleeding. Therefore, expectant mothers must learn to regulate their nervous emotions.

How to prevent heavy bleeding during childbirth

Careful and comprehensive examinations should be conducted before pregnancy and delivery. If there are blood diseases, hepatitis, leukemia and other diseases, active treatment should be given, and the pregnancy should be terminated in time if necessary. Otherwise, heavy bleeding may occur during and after delivery due to coagulation disorders.

Before pregnancy, you should pay attention to contraception, because multiple artificial abortions can easily damage the endometrium and lead to endometritis, which can cause placental adhesions and postpartum hemorrhage. Women who have had multiple curettages should be admitted to the hospital in advance to wait for delivery, check their blood type, and prepare blood to prevent accidents during delivery. In addition, you should actively treat pregnancy complications such as placental abruption, amniotic fluid embolism, and stillbirth.

During childbirth, mothers should overcome excessive mental stress, because excessive mental stress can cause uterine atony, which can lead to placental retention and postpartum hemorrhage. In addition, do not use too many sedatives and anesthetics during childbirth to avoid uterine atony and postpartum hemorrhage.

Actively handle the labor process. Promptly detect abnormal head presentation or other obstructive dystocia to avoid prolonged labor, because prolonged labor can also cause uterine atony and bleeding.

After the fetus is delivered, do not pull the umbilical cord too early or massage the uterus roughly, otherwise it will cause placental incarceration.

The mother's urine must be discharged from the bladder in time, otherwise the full bladder will affect the contraction of the uterus and hinder the discharge of the placenta.

What to do in case of unexpected childbirth

Try to keep the environment around the pregnant woman clean, wipe it clean with newspapers, towels and other sundries, and eliminate the tension of the pregnant woman and prepare for delivery;

During childbirth, pregnant women need to maintain a proper breathing rhythm, suck out the excess amniotic fluid from the fetus' mouth after the baby is born, and wrap the baby in warm and clean clothes. The enthusiastic people in this event did a great job in this regard.

After delivery, the umbilical cord should not be blindly torn short by hands or bitten off by mouth. It is best to wait for the doctor to handle it. If the doctor does not arrive in time, ordinary scissors should be disinfected with alcohol or fire before use.