Birth, which is a part of life, usually has a happy ending, but sometimes it can have tragic consequences. The most important of these is bleeding. In such difficult situations, whether by cesarean section or normal birth, the doctor who manages the birth has a lot of work. Because bleeding of 1000 ml or more begins to threaten the life of the patient. . The doctor who performs the birth must be very alert and must intervene immediately, both with medication and surgery. If a surgical intervention is necessary, a technique called vascular ligation technique should be applied, which stops bleeding by 90%. Postpartum bleeding usually occurs in the first 24 hours, but in rare cases, it can last up to 30 days. Reasons: 1-If she has given birth normally, it may be due to tears in the uterus, vagina and external genital organs. In such cases, immediate intervention is required by stitching after a good examination. 2- Loosening of the uterus, called atony bleeding, which is the most common bleeding. In such cases, the uterus should be contracted with massage and medication. If the bleeding does not stop, urgent surgery should be done. If the ligation of the large veins does not help, the last resort should be removal of the uterus. 3- Uterine rupture, this is usually encountered in patients who give birth normally after cesarean section or myoma surgery, it usually happens at the time of birth and problems progress very quickly. It is necessary to undergo surgery immediately and save the baby and the patient. 4-If the patient has problems with blood clotting, special serums should be prepared in advance if possible. 5- Abnormal adhesion of the placenta (the partner from which the baby is fed) to the uterus and its early separation is detected by ultrasound in this case, so immediate intervention is performed after the cesarean section. As you can see, the patient's risk does not end when the birth is over. Since the real problems usually develop after birth, both the midwife and the doctor must be very alert and follow the patient at frequent intervals. Because postpartum bleeding progresses very quickly and severely.
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