Postpartum Hemorrhage is the leading cause of death and morbidity relating to uncontrolled bleeding that occurs when the womb doesn't contract as it should be after childbirth. Childbirth involves blood loss, there's no way around it because it is the way woman's body expels excessive mucus placental issues and blood after giving birth.

How much blood a woman loss is however, important. Excessive bleeding (in which a maxi pad is soaked in less than one hour). Medically referred to as postpartum hemorrhage is dangerous.

In Nigeria, not less than 70,000 women die from pregnancy and childbirth complications every year, and at least 25% of these death are due to excessive bleeding. However most death due to childbirth and pregnancy are preventable through different interventions by continuum of care in pregnancy.

The needs for continuum of care is very compelling in all the ramifications of the problems that lead to death in pregnancy and childbirth, failure to recognize that there is a problem is a challenge. For example, "A pregnant woman may be convulsing at home and people attributing it to witches, they do not know that it is due to ECLAMPSIA. She might be bleeding and people may insinuate that it is bad blood that is coming out. So recognising there is a problem is a big issue.

Paradoxically "when the pregnant woman is taken to the hospital, other challenges such as non availability of medical doctors, overworked nurses in attendance, non availability of safe blood medications and so on May also come up.

This is why there is a compelling need to look at all the issues holistically not just about giving non-pneumatic anti-shock garments, but applying a comprehensive approach called the continuum of care.

Postpartum hemorrhage does not only occurs from child birth, it can occurs as a result of other things such as ECTOPIC PREGNANCY, Abortion and GID. In a bleeding woman, blood supply to vital organs of the body such as kidney,lungs and brains is low, thus making her feel weak.

Why do women after childbirth bleed excessively?. Sometimes, the womb doesn't contract as it should be after birth, leading to postpartum hemorrhage, it can also be caused by injury to the vaginal. The mouth of the womb and the womb itself.

Basically, postpartum hemorrhage occurs in about two to four percent of deliveries regardless of where a woman gives birth. What is the most risk of experiencing a postpartum hemorrhage soon after giving birth? They include women with pregnancy -induced hypertension, woman who experience a prolonged second stage of labour, women who babies are delivered via vacuum extraction.

The treatment of postpartum hemorrhage includes massage of the womb to stimulate contractions and stop blood flows, use of injections that stimulates womb contractions, removal of excess placental with the hand to prevent further bleeding, blood transfusion (if there is massive blood loss) as well as surgical operation (hysterectomy) to repair any injury to the womb.

Source: http://www.fivetings.com/2017/07/bleeding-after-childbirth-what-every.html