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Bleeding after childbirth - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Birth
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   My wife is having secondary PPH, and was admitted in the hospital 2 days, now she has been discharged, stating that she is healthy, they did not perform BMC, however my doc gave her methergine, and after 2 days, the bleeding has reduced considerably, but the doc say she still has a clot left, which she says , will be come out automatically, or if bleeding persist, she asked us to come to hospital to perform manual cleaning of uterus, Kindly advice
Doctor :   hi
User :   Hi Doctor,
Doctor :   let me read what you have typed.
User :   Yes please
User :   Doctor, i wanted to know whether secondary pph can be treated or is it really fatal
Doctor :   when was her delivery?
User :   Will my wife develop bleeding again, now that her bleeding has reduced
User :   She delivered on 12- Aug
Doctor :   since the clot is being present, chances are that she might bleed again.
Doctor :   was repeat USG scan done to confirm presence of the clot?
User :   Yes USG scan has confired the presence of clot, but my doc said it will come out automatically
User :   if not if the bleeding persist, she asked us to come back to hospital for manual cleaning of the uterus
User :   I wanted to know whether this can be treated or it is really a scary situatio, I m really worried about my wife's health
Doctor :   if the clot is present, then she will require manual cleaning
Doctor :   to ensure that the clot does not become adherent and lead to scarring of uterus
User :   Is it dangerous thing to perform, or it is a normal procedure
Doctor :   scarring of uterus if happens, then it can affect fertility levels at a later stage.
Doctor :   no it is not a dangerous procedure, she can safely go ahead with it
User :   So doctor this can be treated right, nothing to get really worried right
Doctor :   it is not performed routinely since the cases of retained placenta, retained products of conception, or clots are not seen very regularly
Doctor :   so it not something that cannot be treated.
Doctor :   be in regular follow up with her treating gynecologist
Doctor :   and report any abnormal bleeding or symptoms like cramps immediately
Doctor :   is the baby healthy? was there any other problem during childbirth?
User :   Baby is healthy doc, it was a heavy baby weighed 3.58 Kgs, and hence she had excessive bleeing after the delivery
User :   She was transfused with 2 units of blood
User :   and after 2- 3 days , she started recovering well
Doctor :   ok. was there any issues with high blood pressure or gestational diabetes in your wife during pregnancy?
User :   No doc
Doctor :   ok. then wait till she passes out the clots. it may be accompanied with cramps
Doctor :   bleeding might be mild or severe to assist passing of the clot
User :   Ok doctor......
Doctor :   request for repeat scan after 1 week to see if the clot has been passed out or not
User :   Ok doctor
Doctor :   and go ahead with the D&C or manual cleaning for the clot removal
Doctor :   be in regular follow up with her treating gynecologist even after the procedure is over
Doctor :   have you followed what I have said?
User :   Ok doctor thank you for your advice, I ll do
User :   as u directed
Doctor :   is there anything else I can help you with?
User :   Thank you doctor...
User :   Have a nice day
Doctor :   thanks for consulting me. bye for now.
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