PREGNANCY-BIRTH Messages for July, 2001: Re: Post Partum Haemorrhage

Re: Post Partum Haemorrhage - How Serious?

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 31 Jul 2001 20:31:00 -0500 (CDT)

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In reply to: Heather: "Post Partum Haemorrhage - How Serious?"

At Tue, 31 Jul 2001, Heather wrote: >
>In delivering my daughter (induction with prostin at 38 weeks due to
>cholestasis, epidural, syntocinon augmentation) I experienced a two
>litre PPH immediately after the delivery of the placenta (sytometrin
>given 2 minutes after birth, extremely easy cord traction.) Treatment
>included 3 units of blood, hemobate (?), ergometrine, and another fluid
>replacement product, and my blood pressure never dropped.
>
>I understand that the cholestasis could have been a contributing factor
>in the PPH and that it is likely to happen each time I give birth. What
>I don't understand though is how two litres figures in the scope of
>things: is that a minor, moderate, or large haemorrhage?
>
>I know, it's a bit of a morbid question, but how serious was that amount
>of blood loss? I just want a little closure.
>
>Thanks very much!
>
>--
>Heather
>

This is a moderate to large blood loss. In a non-pregnant woman, it would be a severe, even life threatening, blood loss, but the extra blood volume of pregnancy reduces the severity of this volume of blood loss in the post partum arena. Still, it was quite dangerous.

--
William D. McIntosh, MD, FACOG

This is for educational purposes only, and is neither designed nor intended to replace consultation with and examination by a licensed medical professional.

Please, no private e-mails.  I will not be able to answer them.

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