Pregnancy and maternity
Postpartum haemorrhage: an emergency that requires a prepared team
Postpartum haemorrhage is excessive bleeding after birth. It can worsen rapidly, even if the pregnancy and delivery seemed to be going normally. Coordinated recognition and action are essential.
Written by the Polycrabat Sevamed team · Published on
In brief
- The first signs may be visible bleeding, but also faintness or a drop in blood pressure.
- Treatment addresses the bleeding and its effects on the circulation at the same time.
- Follow-up looks for the cause, anaemia and the impact on the mother.
Why does the bleeding occur?
The uterus may not contract sufficiently after birth. Retained placental tissue, a tear or a clotting problem are other possible causes. Several mechanisms may coexist, hence the need for a rapid and systematic examination.
What does the team do in an emergency?
The team calls for help, monitors vital signs, establishes venous access and looks for the cause while starting appropriate treatment. Medicines that help the uterus contract, measures to control the bleeding, blood products or a procedure may be needed depending on how the situation evolves. The exact sequence depends on the clinical situation and on protocols.
When is a procedure necessary?
If the initial measures do not control the bleeding, obstetric, interventional radiology or surgical procedures may be discussed. The aim is to save the mother’s life while limiting the consequences when possible. A transfer must not delay the stabilisation measures available on site.
What support after the episode?
Follow-up looks for anaemia, checks physical recovery and takes the psychological experience into account. A clear summary of the cause and the treatments helps prepare for any future pregnancies.
Useful questions to ask
- What cause of the bleeding has been identified?
- Is a transfusion or monitoring of anaemia necessary?
- What will need to be planned for a future pregnancy?
Frequently asked questions
Can a haemorrhage occur without any known risk factor?
Yes. Team preparedness matters for every delivery.
Can bleeding start after discharge from hospital?
Yes. Heavy bleeding or feeling faint after returning home requires urgent medical advice.
This content provides general medical information. It does not replace a consultation or a personalised decision by your care team. In case of serious or sudden symptoms, contact the emergency services in your country or a doctor without delay.
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How can severity be recognised?
The amount of blood lost is not always easy to estimate by sight. Pulse, blood pressure, consciousness, breathing and continued bleeding help assess the situation. Pallor, dizziness, severe weakness or confusion require an immediate response. Family members should alert the team without waiting.