Postpartum Hemorrhaging Evidence Based Education

Updated: Mar 12

  • What is a Hemorrhage?

  • What causes Hemorrhaging?

  • What can you do to prevent hemorrhaging?

What is a Hemorrhage?

Once a baby is delivered, the uterus normally continues to contract (tightening of uterine muscles) and expels the placenta. After the placenta is delivered, these contractions help compress the bleeding vessels in the area where the placenta was attached. If the uterus does not contract strongly enough, called uterine atony, these blood vessels bleed freely and hemorrhage occurs. This is the most common cause of postpartum hemorrhage. If small pieces of the placenta remain attached, bleeding is also likely. It is estimated that as much as 600 ml (more than a quart) of blood flows through the placenta each minute in a full-term pregnancy.

If 500ml or more is lost it is considered a Hemorrhage- this is NOT something to mess with risking and is something to deeply reflect on WHY your previous Hemorrhage occured before making a final decision on placement of your next birth experience based on what is best for your unique body and baby.

Mama's intuition knows best and you CAN have an empowered, respected, sacred birth no matter where you are with proper preparation and support.

What causes hemorrhaging?

Some women are at greater risk for postpartum hemorrhage than others. Risk factors for postpartum hemorrhage include the following:

  • Placental abruption - the early detachment of the placenta from the uterus.

  • Placenta previa - the placenta covers or is near the cervical opening.

  • Overdistended uterus - excessive enlargement of the uterus due to too much amniotic fluid or a large baby, especially with birthweight over 4,000 grams (8.8 pounds).

  • Multiple pregnancy - more than one placenta and overdistention of the uterus.

  • Pregnancy-induced hypertension (PIH) - high blood pressure of pregnancy.

  • Having many previous births.

  • Prolonged labor.

  • Anemia.

  • Infection.

  • Obesity.

  • Medications to induce labor.

  • Medications to stop contractions (for preterm labor).

  • Use of forceps or vacuum-assisted delivery.

  • General anesthesia.

Postpartum hemorrhage may also be due to other factors including the following:

  • Tear in the cervix or vaginal tissues.

  • Tear in a uterine blood vessel.

  • Bleeding into a concealed tissue area or space in the pelvis which develops into a hematoma, usually in the vulva or vaginal area.

  • Blood clotting disorders such as disseminated intravascular coagulation.

  • Placenta accreta - the placenta is abnormally attached to the inside of the uterus (a condition that occurs in one in 2,500 births and is more common if the placenta is attached over a prior cesarean scar).

  • Placenta increta - the placental tissues invade the muscle of the uterus.

  • Placenta percreta - the placental tissues go all the way into the uterine muscle and may break through (rupture)

How to prevent hemorrhaging?

Prevention of Hemorrhage through out pregnancy include:

Consuming these nutrients, vitamins and minerals through your daily diet is advised + combining these supplemental regimens proven to prevent hemorrhaging and other common factors post birth.

High dose Vitamin C

(Start taking in second trimester)

Vitamin K2 Mk7

MaryRuth 25% off coupon code: MaryRuth25

(Start taking at 35wks gestation)

Pre-Birth tincture

10% off Coupon code: *wombsister*

(Take the entire pregnancy)

Prebirth PLUS

(Start taking at the end of pregnancy)

10% off coupon code: *wombsister*

Iron Tincture

(Take through out pregnancy)

10% off coupon code: *wombsister*

EMERGENCY Hemorrhage Tincture

(ONLY for use afterbirth)

10% off coupon: *wombsister*

Postpartum release tincture

(ONLY for use afterbirth)

10% off coupon: *wombsister*

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