Week 9-Postpartum Hemorrhage
Postpartum Hemorrhage (PPH)
Definition of Postpartum Hemorrhage
Postpartum hemorrhage (PPH) refers to excessive bleeding following childbirth.
Quantitative Definitions:
Excessive bleeding is defined as:
500 mL after a vaginal delivery.
1000 mL after a cesarean section.
Clinical Definition: Any blood loss that leads to signs and symptoms of hypovolemia such as tachycardia, hypotension, and pallor is considered a hemorrhage, regardless of the quantity of blood lost.
Incidence and Importance
Occurs in 5-10% of births worldwide.
Leading cause of maternal morbidity and mortality globally, accounting for 25% of maternal deaths, especially in low-resource settings.
Causes of Postpartum Hemorrhage: The Four T's
Tone (80%):
Uterine atony: Failure of the uterus to contract, identified as the most common cause of PPH.
Tissue:
Retained placenta or fragments.
Abnormal placental adherence (accreta, increta, previa).
Trauma:
Lacerations in the genital tract (cervical, vaginal, perineal), uterine rupture, or inversion.
Thrombin:
Coagulation disorders (e.g., DIC, preeclampsia, inherited coagulopathy).
Risk Factors for Postpartum Hemorrhage
Tone-related:
Overdistended uterus due to: twins, polyhydramnios, or macrosomic infant.
Prolonged or rapid labor.
Chorioamnionitis, magnesium sulfate use.
Tissue-related:
Retained placenta, previous cesarean delivery.
Trauma-related:
Instrumental deliveries (forceps, vacuum), episiotomy, cesarean section, or uterine rupture.
Thrombin-related:
Preeclampsia, placental abruption, stillbirth, sepsis, known bleeding disorders.
Note: PPH can still occur without identifiable risk factors.
Prevention of Postpartum Hemorrhage
Active management of the third stage of labor:
Administer uterotonics (oxytocin) immediately after delivery of the anterior shoulder or baby (typically 10 units IV/IM).
Controlled cord traction to prevent premature cord separation from the placenta.
Immediate uterine massage following placenta delivery, monitored by nursing staff.
Signs and Symptoms of Postpartum Hemorrhage
Early Signs:
Tachycardia, rising respiratory rate, anxiety, pallor.
Late Signs:
Hypotension, altered mental status, oliguria.
Heavy bleeding may include:
Soaking through at least one pad within an hour.
Passing large clots (size of a baseball or larger).
Change in mental status can occur, dizziness, lightheadedness, risk of fainting when getting up.
Fever greater than 100.4°F, swelling, or pain in vaginal or abdominal areas may indicate retained placental tissue.
Hemorrhagic Shock
A life-threatening condition from significant blood loss causing inadequate tissue perfusion and oxygen delivery.
Blood loss in women may be underestimated due to their young and healthy status, leading to sudden deterioration.
Average blood volume:
100 mL/kg (6-7 liters total).
Blood volume increases 30-50% during pregnancy, allowing some tolerance for blood loss.
Classification of Hemorrhagic Shock
Class 1:
≤15% blood loss (≤1000 mL).
Vital signs typical, may have mild anxiety.
Class 2:
15-30% blood loss (1000-1500 mL).
Tachycardia (100-120 bpm), tachypnea, narrowed pulse pressure, pale and cool skin.
Class 3:
30-40% blood loss (1500-2000 mL).
Increased HR (>120 bpm), hypotension, oliguria, confusion, agitation.
Class 4:
>40% blood loss (>2000 mL).
HR >140 bpm, profound hypotension, anuria, possible coma, cold clammy skin.
Physiological Response to Hemorrhagic Shock
Compensation:
Catecholamine surge leading to tachycardia and vasoconstriction, shunting blood to vital organs.
Decompensation:
Microcirculatory failure, cellular hypoxia, lactic acidosis, worsened coagulopathy.
Lethal triad: acidosis, hypothermia, and coagulopathy.
Diagnosis and Management of PPH
Diagnosis is primarily clinical.
Do not wait for hypotension; tachycardia and rising respiratory rate are early HM indicators.
Immediate Actions in Management:
Call for help and activate the massive obstetric hemorrhage protocol.
Ensure the patient has two large-bore IV lines (14-16 gauge).
Provide oxygen via a non-rebreather mask.
Continuous monitoring of BP, HR, SpO2, urinary output (via Foley catheter).
Fluid Resuscitation and Monitoring Guidelines
Fluid and blood resuscitation:
Begin with 1-2 liters of warmed isotonic saline or Ringer's lactate; avoid excess crystalloids to prevent dilutional coagulopathy.
Administer blood products (packed red blood cells, plasma, platelets) in a balanced ratio of 1:1:1 or 2:1:1.
Consider fibrinogen replacement and TXA (1 g IV within 3 hours of bleeding onset).
Maintain temperature with warm fluids and blankets to prevent hypothermia.
Frequent vitals every 5 minutes if unstable.
Goal urine output: ≥30 mL/hour.
Monitor CBC, coagulation profiles, fibrinogen, lactate regularly.
Complications of Severe Shock
Disseminated intravascular coagulation (DIC).
Acute kidney injury due to hypoperfusion.
Ischemic organ damage (heart, brain, liver).
Sheehan syndrome (pituitary ischemia).
Potential maternal death.
Lochia Assessment
Lochia is the postpartum vaginal discharge comprised of blood, mucus, and uterine tissue as the uterus involutes.
Stages of Lochia:
Lochia Rubra: Birth to days 3-4; bright red, bloody, may contain small clots.
Normal: Heavy initially, decreasing daily.
Abnormal: Saturating a pad hourly, foul odor, large clots (plum size or greater).
Lochia Serosa: Days 4-10 to 14; pinkish-brown, more watery.
Return to bright red bleeding suggests secondary postpartum hemorrhage.
Lochia Alba: Days 10 up to 4-6 weeks postpartum; yellowish-white, creamy discharge.
Abnormal if foul odor or lasts beyond six weeks.
Document lochia’s color (rubra, serosa, alba), amount (scant, light, moderate, heavy), odor, consistency, and any changes over time.
Clinical Red Flags in Lochia Assessment
Saturation of a pad in less than an hour.
Passage of large clots (plum to baseball-sized).
Lochia flow increasing instead of decreasing.
Foul-smelling discharge.
Lochia rubra persisting beyond day 7.
Nursing Interventions and Education
Encourage frequent pad changes for hygiene.
Instruct the mother to track lochia (amount, color, odor).
Teach the patient when to seek help (heavy bleeding, foul odor, fever, dizziness, large clots).
Document findings at each postpartum check-up.
Perineal Lacerations and Their Association with PPH
Perineal lacerations can occur during childbirth, either spontaneously or following operative deliveries (forceps, vacuum, episiotomy).
Significant source of PPH when bleeding is brisk and arterial.
Classifications of Perineal Lacerations:
First Degree: Vaginal mucosa and perineal skin only.
Second Degree: Extends into perineal muscle but not anal sphincter.
Third Degree: Involves anal sphincter; may be divided into 3A, 3B, 3C based on extent.
Fourth Degree: Extends through rectal mucosa.
Risk Factors: Instrument delivery, episiotomy (especially midline), advanced maternal age, and multiparity.
Important to examine the cervix, vagina, and perineum for laceration or hematoma when PPH is suspected.
Management of Perineal Lacerations
Control the hemorrhage with direct pressure; visualize vaginal canal, cervix, and perineum well.
Repair first/second degree lacerations with absorbable sutures.
Third and fourth degree lacerations often require layered closures in the operating room.
Post-op care includes stool softeners, antibiotics, and pain management.
Hematomas: Observe if small/stable; incise and evacuate if expanding, ligate bleeding vessels if necessary.
Complications of Severe Lacerations
Ongoing hemorrhage leading to hypovolemic shock.
Infection risks and long-term complications like anal incontinence, dyspareunia, and fistula formation.
Emphasize firm uterus plus bright red bleeding indicates trauma (laceration).
Treatment Steps for PPH
Initial Steps:
Call for help, assess ABCs (Airway, Breathing, Circulation).
Ensure patient has two large bore IVs for blood/fluid administration.
Assess and massage uterus if atonic; identify cause using the four T's.
Medical Management:
Administer oxytocin (IV/IM).
Second-line uterotonics if needed (Methergine, Hemabate, Misoprostol).
Mechanical interventions include uterine massage and bimanual compression.
Surgical interventions: uterine artery ligation, B-Lynch sutures, hysterectomy as a last resort when bleeding is uncontrolled.
Blood and coagulopathy management:
Activate the massive transfusion protocol early, monitor labs (CBC, coagulation, fibrinogen), administer TXA within three hours of bleeding onset.
Recognizing Signs of Improvement Post-PPH
Stabilization of vital signs (HR <100 bpm, BP >90 systolic or MAP ≥65).
Improvement in circulation indicators: warm, pink skin, strong pulse quality.
Increased urine output (>30 mL/hour).
Normalization of lab values (stable hemoglobin, hematocrit, normalizing coagulation profile).
General improvement in appearance and mental state: less anxious, better energy, less dizziness/lightheadedness.
Ongoing Reassessment: Recovery is continuous; monitor for recurrences of bleeding or instability.