How is a Postpartum Hemorrhage Treated?
Postpartum hemorrhage (PPH) is the most common cause of severe maternal morbidity and mortality. It is often unpredictable and treatments must be instituted quickly to stop or reduce substantial blood loss. Thankfully, PPH can be treated with a variety of methods.
Methods of Treatment
Here are some of the most common treatments for PPH:
- Uterine Massage: Massaging the uterus may help stimulate uterine contractions and reduce bleeding.
- Oxytocin: Oxytocin is an artificial hormone that helps stimulate uterine contractions. It may be administered either as an intramuscular injection or an intravenous infusion.
- Ergometrine: Like oxytocin, ergometrine helps stimulates uterine contractions, but it is not as commonly used.
- Tranexamic acid: This drug helps reduce the breakdown of blood clots and minimize blood loss.
- Syntometrine: This combination of oxytocin and ergometrine helps stimulate uterine contraction and reduce postpartum bleeding.
- Intrauterine Balloon Tamponade: A balloon catheter may be inserted into the uterus to help compress the blood vessels and reduce bleeding.
- Surgery: In cases of severe PPH, a surgical procedure may be necessary. Some possible surgeries include hysterectomy, bilateral uterine artery ligation, or B-lynch suture.
Postpartum hemorrhage is a serious condition that can have long-term consequences to the health and well-being of mothers. Timely treatment is essential for successful management of PPH. If a woman experiences heavy bleeding or other symptoms of PPH, medical care should be sought immediately.
Through a combination of medications, uterine massage, and, in certain cases, surgery, PPH can be effectively managed and treated.