Abnormal uterine bleeding after childbirth
May 31, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Abnormal uterine bleeding after childbirth may be related to factors such as uterine atony, retained placenta, and lacerations of the soft birth canal, and can be treated through medical interventions, surgery, or other methods. In addition to these common causes, it may also be associated with intrauterine infection or coagulation disorders. Patients should undergo comprehensive examinations under the guidance of a physician and receive standardized treatment once the underlying cause is identified.
Abnormal uterine bleeding after childbirth may be related to factors such as uterine atony, retained placenta, or soft birth canal lacerations, and can be treated through medical interventions, surgery, or other methods. A detailed analysis is as follows:
1. Uterine Atony
After delivery, the uterus must contract to stop bleeding. If uterine contractions are inadequate, blood vessels cannot be effectively compressed, leading to hemorrhage. Patients may be treated under medical supervision with medications such as oxytocin or posterior pituitary injection.
2. Retained Placenta
Retained placenta refers to incomplete expulsion of the placenta or placental membranes, which may impair uterine contraction and increase bleeding. Under medical guidance, patients may undergo surgical procedures such as dilation and curettage (D&C) to remove the residual tissue.
3. Soft Birth Canal Laceration
Soft birth canal laceration refers to tears in the soft tissues of the birth canal during delivery, which may lead to increased bleeding. Hemostasis can be achieved through wound suturing or surgical intervention.
In addition to the common causes listed above, abnormal postpartum bleeding may also be associated with intrauterine infection or coagulation disorders. Patients should undergo comprehensive evaluation under medical supervision and receive standardized treatment based on the underlying cause.
