RECURRENT BLEEDING AFTER DELIVERY
I am thirty five years of age and this is my seventh pregnancy. My worry is that I had severe bleeding after my two deliveries. The last one I was given three unit of blood. Please what do I do to avoid bleeding during this delivery. Jummai, Minna.
Pregnancies after five deliveries has a lot of risks and one of common and the feared risk is bleeding after delivery otherwise called post partumhaemorrhage like you had in your last two deliveries.
The first step is for you to register and deliver in a secondary or tertiary health centers preferably under an obstetrician. Prior to labour steps would have been taken more importantly during delivery. Potent drugs used to endure good uterine contractions should be used and after delivery monitoring closely for the first four hours. Also during this period steps would be taken to prevent bleeding.
One of challenges that lead to bleeding after delivery in our environment despite the usage of appropriate drugs and injections is fake or substandard injections used, we hope NAFDAC will help in combatting this menace. Also a lot of health centers do not have the right environment to preserve the drugs in order to maintain potency. For example one of the commonest injections used named oxytocin required refrigerators for preservation of potency. And with problem of electricity and long storage at normal room temperature or even higher temperature (our environment ) then potency can be reduced. The health centers should not hesitate to use other forms of uterotonic that are more heat labile.
I will also advise you do family planning immediately after this delivery. Permanent form of family planning like tubal ligation or any long term family planning like IUCD will be advisable.