What is a secondary PPH?
Secondary PPH occurs when you have abnormal or heavy vaginal bleeding between 24 hours and 12 weeks after the birth. It affects fewer than 2 in 100 women. How could a PPH affect me? If you lose a lot of blood, it can worsen the normal tiredness that all women feel after having a baby.
What is the difference between primary and secondary PPH?
If the blood loss occurs in the first 24 hours following delivery, this is termed primary postpartum haemorrhage. Secondary postpartum haemorrhage refers to excessive vaginal bleeding between 24 hours and six weeks following childbirth.
How is secondary PPH treated?
The mainstay of treatment in secondary PPH is with antibiotics and uterotonics: Antibiotics – usually a combination of ampicillin (clindamycin if penicillin allergic) and metronidazole. Gentamicin should be added to the above combination in cases of endomyometritis (tender uterus) or overt sepsis.
What are the warning signs of secondary PPH?
Symptoms of Secondary PPH
- Fever and uterine tenderness if infection is present (typically lower uterine tenderness)
- Tachypnea >22/minute.
- Decreased urine output.
- Cold and clammy hands and feet.
What is primary and secondary hemorrhage?
primary hemorrhage that which soon follows an injury. secondary hemorrhage that which follows an injury after a considerable lapse of time.
What are the first aid management of bleeding hemorrhage?
Stop the bleeding. Place a sterile bandage or clean cloth on the wound. Press the bandage firmly with your palm to control bleeding. Apply constant pressure until the bleeding stops. Maintain pressure by binding the wound with a thick bandage or a piece of clean cloth.
What is secondary postpartum haemorrhage?
Secondary postpartum haemorrhage is any abnormal or excessive bleeding from the birth canal occurring between 24 hours and 12 weeks postnatally. In developed countries, 2% of postnatal women are admitted to hospital with this condition, half of them undergoing uterine surgical evacuation.
What is primary PPH?
Primary postpartum haemorrhage (PPH) is loss of blood estimated to be >500 ml, from the genital tract, within 24 hours of delivery (the most common obstetric haemorrhage): Minor PPH is estimated blood loss of up to 1000 mls. Major PPH is any estimated blood loss over 1000 mls.
What is the most common cause of post partum hemorrhage?
Uterine atony is the most common cause of postpartum hemorrhage.
What is delayed and secondary postpartum hemorrhage?
Also called late or delayed hemorrhage, secondary postpartum hemorrhage occurs between 24 hours and 6 weeks postpartum. Typically occurring after discharge, it’s the leading cause of readmission in postpartum patients. In contrast, primary (early) postpartum hemorrhage occurs within the first 24 hours after delivery.
How long does postpartum hemorrhage last?
How long do you bleed after giving birth? Lochia is typically heavier and dark red in color for up to 10 days after giving birth, and then transitions into lighter bleeding or spotting that can last for four to six weeks after delivery.