Post-partum haemorrhage

Loss of more than half a litre of blood before and after expulsion of the placenta (afterbirth), which is always associated with loss of blood, normally stopped by pinching of the blood vessels in the contracted uterus. This process can be disturbed if the placenta is retained, or because part of it has remained in the womb. Post-partum haemorrhage can also be the result of extreme stretching of the womb during pregnancy because of a multiple pregnancy or an excess of amniotic fluid. Because of the danger of shock the woman must be taken immediately to hospital. Treatment is in the first place for shock, followed by scraping the uterus under