Excessive Uterine Bleeding at Delivery
Excessive means too much. Some bleeding after you deliver a baby is normal. More than 2 cups of blood after vaginal delivery is excessive uterine bleeding.
Most often, you have too much bleeding because:
Other reasons for too much bleeding include:
You have a higher risk for bleeding if you:
Before you go into labor, doctors take steps to prevent or to prepare for bleeding after delivery.
They check you for conditions that increase the risk of bleeding, such as having too much amniotic fluid or a bleeding disorder
If you have an unusual blood type, doctors make sure that your blood type is available
They try to deliver your baby as slowly and gently as possible
After delivery, doctors watch you for at least 1 hour—they make sure your uterus has contracted and check for bleeding
Pressing on your belly helps the uterus contract and shut off bleeding. There are several different medicines doctors may give in your IV or as a shot in your arm.
If bleeding continues, doctors may do surgery including:
Scraping the inside of your uterus to remove any leftover pieces of the placenta (afterbirth)
Putting a balloon inside your uterus to cut off blood flow
Packing the inside of your uterus with gauze
Putting in stitches around the bottom of your uterus
Blocking major veins that bring blood to your uterus
As a last resort, a hysterectomy (removing your uterus)