We had a lady who had 3 or 4 PPHs. Finally required an embolisation of a vessel around? In? her uterus. Aside from severe tiredness (related to blood loss) she appeared well in between PPHs. I am not sure how unusual this is. Lindsay -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Dawn Whitten Sent: Thursday, 21 April 2005 10:43 AM To: [email protected] Subject: Re: [ozmidwifery] Secondary Postpartum Haemorrhage
Thanks that is a great help Andrea Is it atipical to have no fever, and generally feel 'well' when infection is the cause of 2ndy postpartum haemorrhage? Thanks again Dawn At 08:47 AM 21/04/05 +1000, you wrote: >Dawn, > >I would think that haemorrhage at this stage would nearly always be due >to infection and thus would require antibiotics as the lining of the >uterus is eroded by the infection to such a degree that bleeding is >occurring and until the infection is gone tissue regeneration will not >occur. > >You would also need to eliminated other causes of bleeding at this >stage and the two that come to mind would be > resumption of sexual activity causing trauma > resumption of mensus > >Hope this helps > >Andrea Q >On 20/04/2005, at 8:34 PM, Dawn Whitten wrote: > >> Hi All, >> >> Would love to hear opinions on appropriate treatment of secondary >> postparum >> haemorrhage at around 28 days postpartum. >> >> Is routine prescribing of antibiotics appropriate? >> >> Are there different ideas around when curettage is appropriate? Is this >> procedure over used? Does ultrasound predict retained placenta >> accurately? >> >> Many Thanks >> >> Dawn >> >> >> -- >> This mailing list is sponsored by ACE Graphics. >> Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. >> > >-- >This mailing list is sponsored by ACE Graphics. >Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
