Risk Of Bleeding Again During The Second Delivery?
I have been curetted, this is my first delivery … it was the 7th day after giving birth, at 5 in the morning I was bleeding a lot after that I was referred to the hospital and it turned out that the placenta was left, is there any chance it will happen again when I give birth ?
Postpartum bleeding can be caused by 4 causes, namely poor tone or contraction of the uterine muscles, trauma such as a tear or injury to the birth canal, tissue or retention of the placenta or the remaining placenta in the uterus, and thrombin or blood clotting disorders.
Retention of the placenta itself can occur due to several things such as the condition of the placenta itself, one of which is the result of being too deep in its position on the uterine wall, the remaining placenta that is trapped in the uterus where it has been released but has not yet come out of the uterus, or due to the uterus not being strong enough to contract to expel the placenta.
Risk factors that can increase the occurrence of placental retention are pregnancy over 30 years of age, delivery with premature pregnancy, labor that takes too long, and labor with a dead fetus in the womb. If there are such risk factors then the possibility of recurrence is possible. But this condition can be prevented by early diagnosis of the condition of the placenta and prevention starting from administering drugs or by delivering the baby and the placenta properly and examining the uterus after childbirth in detail so that there is no remaining placenta that can cause life-threatening bleeding.
May be useful,
dr. Adhi P.