25/09/2021
Bloed in je bevallingsbad kan heel eng lijken, maar je moet je meestal geen zorgen maken.
Bekijk het zo, als je een druppel kleurstof in een glas water laat vallen wordt deze ook heel erg rood.
Het lijkt dan alsof je er veel meer in hebt gedaan dan die ene druppel.
Informeer jezelf en je zal voor minder verassingen komen te staan 🥰.
https://www.mijnwaterbevalling.com/
Postpartum Hemorrhage
Up until recently PPH was defined as 500 ml blood loss for a va**nal birth and 1000 ml for a cesarean. In 2017, AGOG changed their guidelines for a va**nal birth to 1000 ml while accompanied by signs and symptoms of hemodynamic instability. Depending on provider, some will still use the 500 ml guideline, some will use the updated 1000 ml, and some will be somewhere in between. For me personally, I was taught to observe the woman's overall condition and how she's feeling and what's she's doing and not define it by a specific amount. Some women can lose a little and need treatment and some can lose a little more and be in great health, so it really should go by a case by case basis.
During pregnancy blood volume increases approximately 45-50%. A healthy women with adequate antepartum hemoglobin and hematocrit levels generally tolerate 1,000–1,500 cc of blood loss without hemodynamic consequence. A nonpregnant woman can donate 500 cc to a blood bank without suffering hemodynamic consequences. (Kodkany, Derman, & Sloan, 2012).
Some signs that might indicate a PPH can include disorientation, dizziness and light headedness, fainting, paleness, chills, nausea, swelling in the va**na and/or perineum, increased heart rate and respiration, and sharp decrease in blood pressure.
In medical settings hemorrhages are handled differently than what they would be at home. Some midwives will also carry IVs and pitocin and others don't. My approach and knowledge is from a naturopathic, holistic, herbal background. I've been taught to start by lowering the risk during pregnancy by having proper nutrition, vitamins, and minerals. We also don't routinely do active management or intervention of the delivery of the placenta, which helps decrease the risk of PPH.
Two of the simplest ways to help a hemorrhage, especially if you're in a situation without remedies, is to suck on the umbilical cord or a piece of the placenta and communicating with your body and uterus. You'd be surprised how effective it can be to just tell your uterus it can stop bleeding or to clamp down. Another very effective remedy is Yunnan Baiyao. This is a chinese medicine and is referred to as nature's pitocin. Other common remedies are tinctures. The ones I am most familiar with are motherwort, angelica root, and shepherd's purse. Others include, comfrey root, cottonseed root, and cayenne. *Shepherd's purse and comfrey root shouldn't be used until after the placenta delivers.*
Obviously if the condition of the mother isn't good and she's not responding very well to any treatments, 911 should be called.
Blood loss will look significantly more in a water birth. This photo does not necessarily show the correct amount of blood loss indicated for a hemorrhage.
📷: on IG