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How to identify signs of uterine weakness in the delivery room? Experts teach you how to prevent postpartum bleeding!
In the delivery room, the mother's health is the top priority.Uterine weakness, or uterine disintegration, refers to the failure of the uterus to contract normally after delivery, which may lead to acute postpartum bleeding or even a potential fatal risk.As postpartum bleeding has become one of the main causes of maternal and infant deaths worldwide, identifying signs of uterine weakness is undoubtedly an important issue to ensure maternal safety.
"The normal contraction of the uterus can compress blood vessels, thereby preventing bleeding."
Risk factors for uterine weakness
Among the risk factors that guide mothers and medical staff to understand, there are several factors that can lead to uterine weakness.During childbirth, prolonged labor, short labor, intrauterine reversal, magnesium sulfuric acid use and long-term oxytocin use may all increase the risk of postpartum bleeding in the mother.In addition, fetal overweight, multiple fetals, excessive amniotic fluid, uterine fibroids, and other maternal health conditions such as high BMI (body mass index) and coagulation dysfunction should also be taken seriously.
Epidemiology
In the United States, there is one case of uterine weakness in every 40 delivery, which is also one of the main causes of postpartum bleeding.It is reported that at least 80% of postpartum bleeding cases are associated with uterine weakness.
Pathophysiology
The structure of the uterus is composed of fine muscle fibers.The contraction of these muscle fibers can compress blood vessels after delivery of the fetus and placenta, promoting hemostasis.However, if these muscle fibers disintegrate for some reason, the blood flow cannot be effectively controlled, resulting in blood loss.
"Effective uterine contraction is key to preventing postpartum bleeding and protecting mother's life."
Evaluation and Diagnosis
Identifying risk factors early in pregnancy is the primary step in managing uterine weakness and postpartum bleeding.By planning and organizing the necessary resources, including medical staff and medications, it is possible to respond faster to postpartum bleeding.Usually, during delivery, a physical examination can be used to initially diagnose uterine weakness.Medical staff will observe the firmness of the uterus and perform necessary examinations such as abdominal palpation or vaginal examination.
Treatment and Management
Prevention
Before delivery, all mothers should undergo a risk assessment and formulate corresponding preventive measures based on the risk level.For patients at moderate risk, blood type testing should be performed; for patients at high risk, cross-pairing is required.
Treatment
If uterine weakness still occurs in postpartum bleeding, medication should be started immediately.Medical staff will maintain massage and compression of the uterus while equipment IV for infusion and medication management.
"Using different types of uterine contractors can quickly deal with the risk of postpartum bleeding."
Potential complications
Postpartum bleeding may lead to various complications such as shock, widespread coagulation dysfunction, renal failure, etc.These complications tend to be higher in low-income countries with poor nutritional status, lack of health care resources or limited supply of blood products.
Prognosis
Women with a history of postpartum bleeding have a two to three times higher risk of postpartum bleeding in subsequent pregnancy, so it is especially important to understand and deal with signs of uterine weakness.
In every delivery process, there is a fragile connection between the mother and the newborn baby.If the uterine weakness cannot be identified effectively in time, the paradox is that the life of the maternal woman may be threatened.What exactly can we do to improve this situation?
