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Re: Postpartum Haemorrhage
From: Lisa (anonymous@obgyn.net)
Fri, 27 Feb 1998 10:01:43 -0600 (CST)
At Fri, 27 Feb 1998, Harvey S. Marchbein, M.D. wrote:
>
>At Fri, 27 Feb 1998, Lisa wrote:
Thanks for the reply! However, my blood loss was 750mls, not cc! My
haemoglobin after delivery was 6.9, therefore requiring a transfusion! I
am sure you are right, and expressing concerns with the doctor will be
best. However, once pregnant, it will be too late to turn back!
Research now, will help put my mind and probably many other women's at
rest!
>>
>>Following the delivery of my son in 1997, I experienced a postpartum
>>haemorrhage, losing approximately 750mls of blood. My question really
>>concerns the future and the likelihood of a postpartum haemorrhage
>>occurring a second time. My son weighed 9lb 6oz and was 11 days late!
>>Would I be allowed to be late delivering a second or would I be offered
>>the option of a Caesarean section.
>
>That would be up to the decision made by you and your doctor after a
>full discussion with respect to informed consent. Having had a vaginal
>delivery, there is no mechanism in most tertiary hospitals for allowing
>a cesarian section without documented, acceptable reasoning. PPH may or
>may not have been related to your son's size. FWIW, 750 cc is not an
>unusual loss at the time of delivery based upon anecdotal information I
>have received over the years. Is it possible the PPH may have been
>more? Blood transfusions are not usually required for a 750cc loss.
>
>>It is a frightening time after delivery when people around are panicking
>>trying to stop the flow of blood. It is also a hard time trying to
>>recover from the delivery, a blood transfusion and then erratic hormone
>>levels. I don't want to have such a rough time, next time around. This
>>could put me off having another child.
>
>Lisa,
>
>I understand your concern. A frank discussion with your doctor would be
>in your best interest.
>
>--
>Harvey S. Marchbein, M.D. FACOG
>OBGYN.net U.S. Representative, New York
>Great Neck, New York
>http://www.obgyn.net/states/bios/marchbein.htm
>http://www.obgyn.net/women/advisors/harveym.htm
>
>**Note: Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>
--
Lisa
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