Will excessive bleeding after a normal delivery leave long-term complications?

Sep 26, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Postpartum hemorrhage after vaginal delivery may or may not result in sequelae, depending on the treatment received. If timely and effective treatment is provided, sequelae usually do not occur; however, if treatment is delayed or inadequate, complications may develop. After delivery, continuous monitoring of the mother's vaginal bleeding and vital signs is essential to promptly detect and manage postpartum hemorrhage.

Generally, postpartum hemorrhage following a normal delivery does not leave long-term complications, but this depends on the treatment received. If timely and effective treatment is provided, long-term complications are unlikely to occur; however, if treatment is delayed or inadequate, complications may develop. Individuals experiencing any discomfort should seek medical attention promptly. Detailed analysis is as follows:

When significant bleeding occurs after a normal delivery, if the mother receives prompt and appropriate treatment—such as timely blood transfusions, fluid replacement to maintain stable blood volume, and effective hemorrhage control measures—the bleeding can be quickly controlled, preventing disease progression. Under these circumstances, the mother's body can recover relatively fast, with minimal risk of long-term complications and little impact on future quality of life and overall health.

If postpartum hemorrhage after a normal delivery is not treated promptly and effectively, it may cause damage to multiple organ systems in the mother, such as the heart and kidneys, thereby affecting her long-term health. Additionally, prolonged blood loss may lead to reduced immune function, increasing the risk of infections. In such cases, recovery may be prolonged, and complications such as anemia, impaired kidney function, and weakened immunity may persist, negatively affecting quality of life.

After childbirth, continuous monitoring of vaginal bleeding and vital signs is essential to ensure early detection and management of postpartum hemorrhage.

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How soon after a vaginal delivery can one receive a massage?

By 2-3 days postpartum, the mother's physical strength begins to recover, uterine contractions gradually stabilize, and the amount of lochia decreases and changes in color from bright red to light red. The body's blood circulation and metabolism also gradually return to normal. At this time, appropriate massage, such as uterine massage, can help promote uterine contractions, assist in expelling remaining lochia, and reduce the risk of postpartum hemorrhage.

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What does the fetal position LOA mean?

LOA fetal position refers to a cephalic presentation where "L" indicates the fetal occiput is located on the left side of the maternal pelvis, "O" denotes the presenting part of the fetus is the occiput, and "A" means the occiput is positioned anteriorly within the pelvis. Therefore, LOA stands for Left Occiput Anterior position, a common fetal position that is generally favorable for spontaneous vaginal delivery.

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What should be considered when having a second child with a scarred uterus?

Before having a second child with a scarred uterus, a pre-pregnancy examination should be conducted to timely assess the thickness and shape of the uterus. During pregnancy, regular monitoring of the fetus and uterus is necessary, along with appropriate weight management and a low-sugar, low-fat diet. Vaginal delivery should be avoided during childbirth to prevent uterine rupture. In addition, postpartum care should also be performed to promote recovery.