19:00,25,Aug,2005 | (2169/0/0) | Original

signs and symptoms of postpartum hemorrhage


Late postpartum hemorrhage is 24 hours after birth, the uterus in the postpartum massive hemorrhage occurred. Generally occurred within a few days after delivery, ten days, a few occurred in the late puerperium. Different clinical to lochia postpartum, repeated vaginal bleeding, heavy bleeding or a sudden its features, and more often result in shock and bleeding, anemia, and even life-threatening.
Late postpartum hemorrhage diagnostic criteria:
1. Recurrent vaginal bleeding, placental membranes residues, the placenta attached to the Ministry of subinvolution, the more the 10 to 21 days postpartum sudden bleeding, bleeding or a small amount was in the amount; cesarean uterine incision healing, or split, the more the 2 to 6 weeks after surgery bleeding, bleeding more.
2. Abdomen slight pain, concurrent infection can occur following abdominal pain, fever.
3. Uterine involution poor or tenderness.
4. Vaginal examination uterus relaxation, sometimes palpable residual tissue.
5. Acute massive bleeding, may have signs of shock.
6. The birth canal hematoma, vaginal examination can be touched or seen the increase of the hematoma with active bleeding points.
(A) late symptoms of postpartum hemorrhage
1. Vaginal bleeding: Multiple recurrent, may suddenly a lot of bleeding. Hemorrhage caused by placental tissue residue, occurs in about ten days after childbirth, often bleeding a lot, suddenly, uterine involution incomplete placental attachment site, more than 10 to 20 days postpartum sudden bleeding, bleeding usually less, cesarean section Stem bleeding often occurs after 4 to 6 weeks, the amount of bleeding more.
2. Fever and abdominal pain: recurrent hemorrhage complicated with infection, there may be fever and abdominal pain.
(B) signs of late postpartum hemorrhage
Acute bleeding and who were anemic appearance often allows patients, blood volume can occur when a serious shortage of shock, such as blood pressure, cold sweat dripping, pulse thin unclear, and even loss of consciousness; abdominal palpation, the uterus can be seen the increase of soft , tender.
signs and symptoms of postpartum hemorrhage

Postpartum hemorrhage
1, the coagulation disorder: If the early pregnancy should be treated in the physician collaboration, early termination of pregnancy Induced abortion. In pregnancy, before the late discoverer. Physicians, in conjunction with active treatment, for removal of the cause or the condition improved markedly. Childbirth should be treated in the same cause, namely, the processing of bleeding slightly, the use of drugs to improve blood coagulation, transmission of fresh blood, ready to make a positive anti-shock and rescue work to correct acidosis.
The treatment of postpartum hemorrhage in bleeding the same time, should actively carry out the treatment of hemorrhagic shock, and str
ive to improve the patient's condition as soon as possible. Antibiotics to control infection
2, placental factors: the treatment is the key to early diagnosis and as soon as possible to remove this factor exists.
Incomplete placental separation, retention and adhesion can be hand stripped out. Part of the residue can not be removed by hand, use large curette scraping residue. If the placenta stripped bare hands, the hand can not distinguish boundary attached to the fingers should not force the separation of the placenta, probably due to placenta accreta, uterine incision Caesarean section in this situation should check, if confirmed Zeyi purposes of hysterectomy is appropriate. Incarcerated placenta in the womb more than a narrow ring, ether anesthesia should be used until the release of uterine narrow ring, the hand-out when the placenta without difficulty.
3, the soft birth canal laceration: an effective measure to stop bleeding is the timely and accurate repair suture under normal circumstances, severe cervical laceration may extend to cracks and even reach into the vault and adjacent tissue, suspected cervical laceration should be exposed in the disinfection of the cervix , with two oval side by side clamp cervical clamp to the anterior lip of the vaginal opening direction of stretch, gradually move clockwise oval clamp, Direct observation on the cervix, and if laceration is sutured with catgut, sew the first time rip a shot from the top is slightly above the beginning of the last needle should be 0.5cm from the cervix at the outer side only, if the suture to the outer edge, the occurrence of cervical stenosis may in the future.
Suture vagina laceration should pay attention to suture to the bottom, to avoid leaving dead space, attention to suture He Hao and organizations to achieve hemostasis. The process of stitching the vagina to avoid the suture through the rectum, and vascular suture to the vertical is more effective to stop the bleeding.
Perineal laceration according to anatomical muscle and submucosa sutured, and finally stitching the vaginal mucosa and perineal skin.
Intrauterine gauze packing method
4, uterine inertia to strengthen contractions. Treatment of uterine inertia is the most rapid and effective hemostatic method. Midwifery were quick to put Palace with first-hand bottom of the thumb in the anterior wall, and the remaining 4 fingers in the posterior wall of the palace at the end for even a massage, the massage the uterus starts to contract, can also hand holding a fist in the vagina before the dome, to withstand the uterus anterior abdominal wall the other hand press from the posterior wall of the uterus, uterine body flexion, both hands pressed relative to the uterus and for massage. Necessary, can be placed on the other hand on the edge of the pubic symphysis, press the middle part of the lower abdomen, pushing the uterus, the uterus must stress the importance of hand massage Palace, so higher than the pelvis, a rhythm of gentle massage. Press time to restore normal uterine contractions, and can only maintain the contraction of inflammation, so higher than the pelvis, gentle rhythmic massage. Press time to restore normal uterine contractions, and to protect the contracted date, the massage at the same time, can be slow intramuscular injection or intravenous oxytocin 10U (adding 20ml10% ~ 25% glucose fluid), followed by intramuscular or intravenous Note ergometrine 0.2mg (filled with those who have heart disease), and oxytocin 10 ~ 30U addition of 10% glucose infusion 500ml in order to maintain the contraction of the uterus is in good condition.
Through the above treatment, uterine contraction can more quickly stop the bleeding. If you still can not work may take the following measures:
(1) filling the uterine cavity: Application of modern obstetrics in little gauze packing were intrauterine treatment of uterine bleeding, patients are advised For the line this early stage, the situation is worse in patients is often ineffective, Gein uterine muscle may be the contraction of it is poor. Method after disinfection, the surgeon fixed Palace in the abdomen with one hand the end of the hand or held by another clamp to 2cm wide, oval gauze into the uterine cavity, the gauze must be started from the palace at the end should plug packing from the inside out tight. After packing the general is no longer bleeding, maternal treatment with anti shock, the situation can be gradually improved. If not wrapped with gauze sewn into a cotton gauze instead of intestinal type, the better. 24 hours after the gauze out slowly, out should be preceded by intramuscular injection of oxytocin, ergometrine and other uterotonics. After intrauterine gauze packing should be closely observed and the general blood pressure, pulse and other indications of life, pay attention to fundal height, uterine size changes, because stuff is not tight vigilance, gauze packing in only the lower uterine segment, uterine bleeding continues, However, no bleeding vaginal bleeding is an illusion.
(2) ligation of uterine arteries: a half-hour massage or massage failed to make uterine contractions is still not restored, it can take upward of transvaginal uterine artery ligation method. After disinfection, rat tooth forceps with two long lips clamp around the cervix, gently downward traction on both sides of the vaginal portion of the upper cervical catgut suture with 2 double-wall depth of about 0.5cm at the organization, if invalid, promptly to open surgery, ascending branch of uterine artery ligation, which I flat within the cervix, at 1cm from the cervical wall, palpation of the ureter beginning without the needle suture cervical wall, into the cervical tissue of about 1cm, on both sides of the same treatment, If you see that the effective uterine contraction.
(3) internal iliac artery ligation: If the deal is still valid, separable from the starting point on both sides of the internal iliac artery to 7 silk ligation, ligation of uterine contraction seen after the general good. This measure can keep the uterus, retained fertility at the time of cesarean section easily implemented.
(4) hysterectomy: ligation of uterine blood vessels or filling is still valid, they should immediately hysterectomy subtotal hysterectomy should not hesitate to save time while delaying.
The names of diseases (English) late puerperal hemorrhage Chinese Pinyin WANQICHANHOUCHUXUE alias: postpartum metrorrhagia Western Classification of Diseases code ICD code Puerperal diseases Western medicine defines disease name is late postpartum hemorrhage 24 hours after birth, occurred in the postpartum uterine bleeding profusely. Generally occurred within a few days after delivery, ten days, a few occurred in the late puerperium. Different clinical to lochia postpartum, repeated vaginal bleeding, heavy bleeding or a sudden its features, and more often result in shock and bleeding, anemia, and even life-threatening. Chinese Buddhism were metrorrhagia a card, means the woman vaginal bleeding, the amount crackdown. Those occurred in the puerperium, postpartum vaginal bleeding that for obstetrics and gynecology Intensive card. As the "female subjects Jinglun" argument made by Chen no choice: "vaginal bleeding is not a light disease, postpartum condition with this, is that seriously." Again, "the woman prescription Filmography" said: "Postpartum vaginal bleeding, because the meridians are not complex and workers injured . "" birthing Baoqing set "that:" post-injury consumption meridian, calm and detention without loss of dynamic collapse caused by blood under the storm, more than dripping. "The main clinical features of this disease is the puerperium and suddenly a lot of vaginal bleeding, or repeated large amounts of vaginal bleeding. Western main cause of postpartum hemorrhage caused as follows: ① uterine inertia: Under normal circumstances, after the expulsion of the placenta, uterine contraction and reduced muscle fiber complex immediately, clamping between the muscle fibers of the sinus opening, so that temporarily stop the bleeding. Blood stasis, thrombosis, and gradually fibrosis, sinus cavity then completely blocked. Therefore, any reduction of uterine contractions and can be caused by complex factors of postpartum hemorrhage. Systemic factors are too long or difficult labor after labor physical failure, sedative use too much, too deep anesthesia and systemic acute and chronic diseases. Local factors are uterine muscle fibers due to twins, polyhydramnios, excessive extension of the giant children; many labor-induced degeneration of uterine myometrium; pregnancy induced hypertension or anemia caused by edema, placental abruption, bleeding after ; uterine fibroids or uterine abnormalities lead to uterine disruption; placenta previa, the placenta attached to the contraction of the lower uterine segment and poor. ② bleeding due to retained placenta, see "retained placenta" section. ③ soft birth canal injury: the fetus is too large or deformity, abnormal fetal position, the baby is delivered too fast, improper operation may result in midwifery perineum, vagina, cervix, the lower uterine segment laceration or a result of postpartum hemorrhage. ④ coagulopathy: in severe placental abruption, amniotic fluid embolism, severe pregnancy-induced hypertension, intrauterine fetal death stay too long, severe intrauterine infection, because the placenta, amniotic fluid or fetal death procoagulant substances released into the blood caused by diffuse intravascular coagulation, consume large amounts of clotting factor, often secondary to postpartum hemorrhage. In addition, maternal original leukemia, thrombocytopenic purpura syndrome, aplastic anemia or with severe viral hepatitis, may also lead to postpartum hemorrhage. ⑤ trophoblastic tumor uterus or uterine submucous fibroids. May lead to persistent uterine bleeding or large. TCM etiology etiology of postpartum vaginal bleeding following aspects: ① qi weakness, blood deficiency ferrite, re-bleeding due to higher production, the more false righteousness, unifying the blood loss, red blood of any non-solid Erzhi; ② bleeding resistance, not the postpartum lochia, fetal residues are not out, or feel the cold pathogen resistance Erzhi stasis in the uterus, new blood not old by Erzhi vaginal bleeding; ③ rage liver injury, post-natal blood partial virtual, complex due to extreme emotions, rage liver injury, liver do not hide the blood, resulting in violent collapse. Intensity and spread of seasonal population with incidence rates of postpartum hemorrhage, according to statistics of about 1.29% (Rome report), Treanor Statistics 0.51% all full-term birth, natural birth was 4.5%, after cesarean section 0 * 27%. TCM pathogenesis of late postpartum hemorrhage due to qi deficiency, blood stasis, cult poison or infection, or caused by poor uterine involution. Diagnostic criteria for pathological pathophysiology Chinese medicine diagnosis of postpartum vaginal bleeding to a sudden massive vaginal bleeding after delivery of its main card. Or weakness due to blood or blood stasis due to internal resistance, or because of anger liver damage walls have clinical manifestations have their own characteristics, as detailed distinction. And postpartum blood should also be halo, such as postpartum lochia must not permit phase identification.
1. Weak blood deficiency
Main symptoms: a new post-production, or to the full moon, and suddenly vaginal bleeding, blood red or pink, thin nature, or a small amount of blood clots, with pale, tired body, dizziness, or cold sweat dripping, pale tongue, pulse thin or slightly stricken pulse.
Analysis; usually blood shortage, combined with intrapartum bleeding, injured workers of Chong and Ren, the more false righteousness, Chong and Ren is not solid, unifying Erzhi postpartum blood loss of vaginal bleeding; blood weak quality of the blood thin and light; excessive bleeding, deficiency can not be met on the wing and pale color, tongue color talk about; lack of blood, brain and body dystrophy, and see dizziness, body tired; gas with the blood, sweat dripping off you see or pulse micro-stricken.
2. Bleeding resistance
Main symptoms: a new post-natal, childbirth or postpartum to the end of several days, suddenly a lot of vaginal bleeding, or lochia without a break when increased blood volume, blood dark red folder with blood or fetal material, looking dull Shaohua, abdominal pain, refused to press, dark purple tongue, a stasis point, pulse string astringent.
Analysis: New postpartum bleeding and fetal material discharged without a net, stasis in the uterus, causing bleeding do not, new blood can not go through, so see a lot of postpartum vaginal bleeding suddenly, and there are the blood clots and fetal material; bleeding within stopped, and the skin dystrophy, it is dull color to meet Shaohua; blood stasis blocking the uterus, so see abdominal pain refused to press. Bleeding tongue and pulse are signs of resistance.
3. Liver injury rage
Main symptoms: a few days after delivery to the end of puerperium, suddenly under a lot of vaginal blood, bright red color, with irritability, stretching and halo, Xiong Xie full of pain, nausea, red tongue, thin yellow coating, pulse string and number.
Analysis: The Yin and Blood deficiency of postpartum, liver failure has raised, coupled with extreme emotions, rage liver injury, liver do not hide the blood Erzhi vaginal bleeding, liver does not Shu, Yu and heat, so see irritability, dizziness, swelling threatening embolism. Heat of tongue and pulse are also signs of stagnation. Western diagnostic criteria for diagnosis of late postpartum hemorrhage criteria:
1. Recurrent vaginal bleeding, placental membranes residues, the placenta attached to the Ministry of subinvolution, the more the 10 to 21 days postpartum sudden bleeding, bleeding or a small amount was in the amount; cesarean uterine incision healing, or split, the more the 2 to 6 weeks after surgery bleeding, bleeding more.
2. Abdomen slight pain, concurrent infection can occur following abdominal pain, fever.
3. Uterine involution poor or tenderness.
4. Vaginal examination uterus relaxation, sometimes palpable residual tissue.
5. Acute massive bleeding, may have signs of shock.
6. The birth canal hematoma, vaginal examination can be touched or seen the increase of the hematoma with active bleeding points.
Western medicine diagnosis is based on the diagnosis of postpartum hemorrhage is not difficult, the key is to find out the reason, rapid bleeding, make up the blood volume. Anti-shock. As a result of retained placenta or adhesion, should be stripped of artificial placenta or uterine exploration. Incidence of late postpartum hemorrhage and birth history of the case when there is a certain relationship, so understanding the process of childbirth, such as prolonged labor dystocia, retained placenta, uterine incision during cesarean section suture on both sides of the situation, with or without infection factors, the diagnosis some reference value. Symptoms and signs (a) symptoms
1. Vaginal bleeding: Multi-recurrent, may suddenly a lot of bleeding. Hemorrhage caused by placental tissue residue, occurs in about ten days after childbirth, often bleeding a lot, suddenly, uterine involution incomplete placental attachment site, more than 10 to 20 days postpartum sudden bleeding, bleeding usually less, cesarean section Stem bleeding often occurs after 4 to 6 weeks, the amount of bleeding more.
2. Fever and abdominal pain: recurrent hemorrhage complicated with infection, there may be fever and abdominal pain.
(B) signs
Acute bleeding and who were anemic appearance often allows patients, blood volume can occur when a serious shortage of shock, such as blood pressure, cold sweat dripping, pulse thin unclear, and even loss of consciousness; abdominal palpation, the uterus can be seen the increase of soft , tender. Examination gynecological examination: diagnosis of vaginal peep shows are mostly accumulated in the blood of their folder with blood clots, or mixed with the placenta and fetal membranes, uterine mouth slack, was open, or there are the placental tissue; bimanual uterine visible when large and soft , or the form is unclear, may have mild tenderness, infection, tenderness may be obvious; cesarean section, sometimes significantly lower uterine segment can be touched soft; trophoblastic tumor, sometimes found in the birth canal can be transferred Results section. Electric B-ultrasound diagnostic imaging diagnosis: uterine cavity with residual tissue and blood clots, poor uterine involution or uterine muscle wall cracked. Laboratory diagnostic laparotomy: the uterine wall incision dehiscence suspected persons, emergency laparotomy to confirm the diagnosis and emergency treatment. Different amount of blood loss of blood, blood is often significantly lower Hb, the presence of infection factors, WBC of more than 15.0X10 9 / L, neutrophils> 0.80 and 0.85.
Blood tests: hemoglobin and red blood cell bleeding for a long time the total number was decreased hemorrhagic anemia performance; combined total number of infected cells and from neutrophils increased. Other diagnostic urinary CSF immunological fecal histological examination diagnostic curettage: for diagnosis of placenta, fetal membrane residues, or when the placental attachment of involution bad. Pathological examination in late pregnancy can be found in the hair, or visible blood vessels in different states involution. Western differential diagnosis 1. Dysfunctional uterine bleeding: occurs after delivery of dysfunctional uterine bleeding, should be differentiated from late postpartum hemorrhage, blood work and more free gynecological examination findings, diagnostic difficulty, can be diagnosed by pathological examination of the curettage to confirm the diagnosis. 2. Puerperium and traumatic bleeding; postpartum vaginal mucosa meager, prone to cause laceration, it has had intercourse in the puerperium and history, a history of trauma, can cause vaginal bleeding a lot, and you should carefully check whether vaginal laceration identification are provided. Identification of a certificate in Traditional Chinese Medicine. Soft birth canal injury: a history depends on the delivery and careful gynecological examination, if any, hematoma formation, B-ultrasound identification.
2. Choriocarcinoma: blood, urine pregnancy test measured the immune positive, x-ray and CT examination showed the chest, brain metastases, profile, material, and pathological examination can identify. Evaluation standard bleeding stopped, signs and symptoms disappeared, the cure. Western medical treatment the prognosis of complications of treatment of late postpartum hemorrhage antibiotic agents to use contractions mainly, if necessary, with curettage or laparotomy, there shock, should be actively rescue shock.
First, the application of antibiotic agents and uterine contractions agents and the application of antibiotics for the treatment of late postpartum hemorrhage preferred method. Oxytocin may be given 10 ~ 20U. 3 times a day, intramuscular injection, if necessary, increase the number of injections, amount of bleeding for a long time, can immediately intravenous oxytocin 10 ~ 20U, and 10% glucose solution by adding 10 ~ 20U oxytocin infusion to promote uterine contraction to achieve hemostasis purposes. Due to extensive bleeding, or bleeding for too long, or the palace has residues, are easy to co-infection. Therefore, should routinely be given antibiotics such as penicillin, Pioneer B, gentamicin, erythromycin, ciprofloxacin, josamycin and so can be used, according to the specific circumstances, select oral, intramuscular, intravenous and other channels administration. To prevent and control infection and spread.
Second, dilatation and curettage: agents and antibiotics for use by contractions, even after blood flow, or when a sudden heavy bleeding, or suspected placenta, fetal membranes remaining who required immediate surgery by curettage to remove the residual tissue, promoting uterine contraction, and more able to work.
Third, exploratory laparotomy: The late postpartum hemorrhage after cesarean section, uterine incision dehiscence are suspected, exploratory laparotomy should be taken, if necessary, require hysterectomy.
Fourth, anti-shock to correct anemia and long-term repeated bleeding, or heavy bleeding, anemia can make the body in the state, acute blood loss can decrease blood volume occurred rapid-shock, which should be corrected. Shock should be the expansion and rise of blood pressure, microcirculation state-based, can give blood and blood substitutes, such as the blood of generations, set safety of blood, normal saline, glucose and other low molecular weight dextran. The amount of visual condition of liquid may be, for anemia caused by chronic blood loss, many lose a small amount of new blood, or iron supplements and so on.
TCM treatment of this disease, you should then treat the anxious, slow then treat this as its principles. Collapse when the storm of blood, anxious to solid off when the bleeding, and rapid identification of the cause; in the blood situation has slowed down after, depending on the cause of differentiation therapy. If indeed no less than fetal material, residues within the uterus or uterine incision should be long-suppressed healing or dehiscence timely surgery. Treatment of this disease should be based first aid, emergency situation when the amount of bleeding should be immediately washed solid Qi, or Yang deficiency. After blood potential to be slowed down, according to different causes, respectively, to Qi and blood, tune up Chong and Ren, blood stasis, heat and other methods Pinggan, for those who tire residues, curettage as necessary; uterine incision dehiscence who, when the Western Surgical salvage therapy.
First, the dialectical election party
1. Blood weak governance law; qi and blood, solid red bleeding. Recipe: lifting Dabu Decoction. Astragalus, ginseng the 30g, Atractylodes, Rehmannia, Ophiopogon the 20g, tangerine peel 15g, angelica, Chuanxiong, Cimicifuga, Angelica, Nepeta, Zhicao the 10g. Pale, cold sweat dripping, could add cooked tuber 10g.
2. Therapeutic bleeding resistance: blood stasis, nourishing Qi. Recipe: Biochemical decoction. Angelica 25g, Chuan Xiong 10g, peach kernel, Bao Jiang each 15g, licorice 10g, WULINGZHI, Puhuang the 15g, Motherwort 25g. And imaginary blood, could Astragalus, Codonopsis the 25g; abdominal pain heavier, could add Yuan Hu, frankincense, myrrh 15g.
3. Anger damages the liver Governing Law: Pinggan heat, solid punch bleeding Recipe: Modified Danzhi Xiaoyaosan. Paeonol, Gardenia the 15g, Bupleurum, mint, licorice each 10g, white peony, Atractylodes, Poria, Eclipta prostrata, habitat, carbon each 20g. Upset those who thirst, Jiamai winter 15g; dizziness and swelling, processors chrysanthemum 10g.
Third, the post-party prescription
1. Drynaria 9g, smashed with sugar and wine service, attending the birth certificates of qi and blood of virtual violence.
2. Sui Jing Tong Pian drink: Take dry Nepeta ear, stir-fry until charred, and research fine sieve. Each with 6g, plus the lad will be 30g, and mix thoroughly by hot-band services to the vaginal bleeding only.
3. Bai Caoshuang 9g, with Jiujin after taking a faint indications of postpartum bleeding.
IV diet
1. Shenqi stewed chicken; Codonopsis, Astragalus each 30g, Chinese yam 25g, jujube 20, hen 1. Hen dressed and put on the drug with the stew pot, add rice wine, water Dunshu, the fractional consumption, even for 3 to 5.
2. Schisandra gelatin paste: donkey-hide gelatin, Schisandra the 10g, rice flour 30g, Schisandra first water mill, add gelatin, boiled rice flour paste, food, day 1, and even served a few days. Chinese 1. Yunnanbaiyao: a bleeding callus, the effect of blood circulation. Attending a variety of bleeding card can be used for postpartum vaginal bleeding. Each 0.5 g, 4 times a day, warm water transfer service.
2. Thirty-seven: the role of hemostasis with stasis, attending a variety of trauma and hemorrhage card type can be used to treat postpartum bleeding resistance vaginal bleeding, 3 tablets a day times, orally.
3. ShengmaiYin: with Qi Fumai, YangYinShengJin effectiveness, attending both Qi and Yin deficiency card. For the treatment of postpartum vaginal bleeding caused by anemia, shock, each 10ml, 3 times a day, orally. Acupuncture 1. Acupoints: Sanyinjiao, Hegu, hidden white. Acupuncture: the strong stimulation, 1 minute each stimulus, the needle 20 to 30 minutes, every 10 minutes to stimulate 1.
2. Acupoints: people, Hegu, Baihui (moxibustion), Guan Yuan (after the first needle moxibustion). Acupuncture: the strong stimulation 1 to 2 minutes after the needle 20 to 30 minutes. Massage Integrative Medicine 1. Strengthen the contractions, the choice of oxytocin, ergometrine intravenously or intramuscularly.
2. Antibiotics prevent infection: the choice of penicillin, security will be cents capsules, cephalexin capsules, m
etronidazole, gentamicin and so on.
3. Surgical treatment: dilatation and curettage for uterine involution bad, or vaginal examination organized cervical plug. Hysterectomy is still mainly used in large amounts after curettage bleeding, especially repeated a lot of bleeding, wound infection or dehiscence after cesarean section.
4. Acupuncture: Moxibustion hidden white, spleen, liver Yu, Shenshu, Guan Yuan, Baihui; acupuncture sea of blood, Sanyinjiao, Guan Yuan, full three years.
5. Chinese medicine: Participation Panax not, 1.5g / time, 2 times / day; ginseng powder 1.5 ~ 2g, swallow. Preventive care and rehabilitation of historical research "to treat patients on the woman collapsed in the post-natal illness postpartum lochia Uncooperative endless waiting," said: "birth trauma in the blood, the next storm . and vaginal bleeding, then continue for the time to shower drain, so is not the collapse in the lochia. "also known as postpartum vaginal bleeding, postpartum collapse in.
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