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(O72.2) Delayed and secondary postpartum haemorrhage
More details coming soon
683 362 in individuals diagnosis delayed and secondary postpartum haemorrhage confirmed
1 468 deaths with diagnosis delayed and secondary postpartum haemorrhage
Diagnosis delayed and secondary postpartum haemorrhage is diagnosed Women are 99.89% more likely than Men
391
Men receive the diagnosis delayed and secondary postpartum haemorrhage
0 (less than 0.1%)Died from this diagnosis.
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682 971
Women receive the diagnosis delayed and secondary postpartum haemorrhage
1 468 (0.2 %)Died from this diagnosis.
Risk Group for the Disease delayed and secondary postpartum haemorrhage - Men aged 40-44 and Women aged 30-34
In Men diagnosis is most often set at age 40-44
Less common in men the disease occurs at Age 0-39, 45-95+Less common in women the disease occurs at Age 0-9, 55-95+
In Women diagnosis is most often set at age 10-54
Disease Features delayed and secondary postpartum haemorrhage
Absence or low individual and public risk
Delayed and secondary postpartum haemorrhage - what does this mean
Delayed and secondary postpartum haemorrhage is a type of postpartum haemorrhage that occurs more than 24 hours after delivery, and is usually caused by uterine atony, retained placental fragments, and/or cervical or vaginal lacerations. it can be difficult to diagnose and can be life-threatening if left untreated.
What happens during the disease - delayed and secondary postpartum haemorrhage
Delayed and secondary postpartum haemorrhage is caused by a failure of the uterus to contract effectively after delivery, leading to a decrease in the uterine tone and an inability to prevent further blood loss. this is often due to a lack of uterotonic drugs, such as oxytocin or misoprostol, being administered during delivery or in the immediate postpartum period, or due to a lack of adequate uterine massage or fundal pressure. in addition, certain medical conditions, such as anaemia, hypertension, or coagulopathies, can contribute to the development of delayed and secondary postpartum haemorrhage.
Clinical Pattern
More details coming soon
How does a doctor diagnose
- Obtain a detailed medical history and physical examination.
- Perform laboratory tests to assess the patient’s clotting profile, haemoglobin levels, and other relevant parameters.
- Perform imaging studies such as ultrasound or CT scan to assess the uterus and its surrounding organs.
- Perform endometrial biopsy to assess endometrial tissue.
- Perform hysteroscopy to assess the uterus.
- Perform laparoscopy to assess the uterus and its surrounding organs.
- Perform Doppler ultrasound to assess uterine and placental blood flow.
- Perform hysterosalpingography to assess the uterus and fallopian tubes.
- Additional tests such as a pelvic exam and a Pap smear may be recommended.
Treatment and Medical Assistance
Main Goal: To reduce blood loss and prevent further complications.
- Administer Oxytocin
- Administer Ergometrine
- Administer Prostaglandins
- Perform manual removal of placenta
- Administer Tranexamic acid
- Perform uterine massage
- Administer Blood transfusion
- Perform hysterectomy
9 Days of Hospitalization Required
Average Time for Outpatient Care Not Established
Delayed and secondary postpartum haemorrhage - Prevention
Delayed and secondary postpartum haemorrhage can be prevented by ensuring that proper antenatal care is received during pregnancy, with regular check-ups and monitoring of the mother's health. additionally, proper management of the third stage of labour is important, including active management and the use of prophylactic uterotonic drugs. furthermore, prompt recognition and treatment of any signs of postpartum haemorrhage is essential.