Postpartum Hemorrhaging (PPH)
Postpartum hemorrhaging is defined as the loss of more than 500 mL of blood in the postpartum period (i.e., the 24 hours afgter birth). Hemorrhaging more than 24 hours after birth is known as a secondary hemorrhage. On average, a vaginal delivery will be associated with less than 500 mL of blood loss. A cesarean section (c-section) delivery will be associated with 800-1000 mL of blood loss. In most cases, excessive bleeding is due to uterine atony, which means that the uterus is not contracting enough to control or stop blood loss. However, other causes of bleeding include cervical lacerations, uterine inversion, uterine rupture and clotting disorders.
There are several risk factors for postpartum hemorrhaging, including:
- macrosomia (large baby);
- multiple gestation (twins, triplets);
- prolonged labor;
- placenta previa;
- labor augmented with Pitocin;
- multiparity (more than one pregnancy); and
- general anesthesia.
- uterine massage;
- the Trendelenburg position;
- medication (e.g., methergine, hemabate); and
- surgery (e.g., ligation of uterine or hypogastric artery; hysterectomy).
To discuss your case or concerns with an experienced Central New York medical malpractice and birth injury attorney, contact us now at (315) 422-3466, (800) 336-LAWS, or by e-mail at firstname.lastname@example.org.