Primary postpartum hemorrhage is the most common form with secondary postpartum hemorrhage defines a situation in which excessive bleeding from the genital tract occurs twelve weeks during the postnatal period. Besides dealing with obstetric hemorrhage, this essay addresses physiological, pathological and psychosocial care for victims of PPH. The paper also discusses hypovolemic shock. Obstetric hemorrhage is a major cause of maternal death in developing and developed countries (Lombaard &. Pattinson, 2009).
Active caution is the final stage of the labor lowers the chances of blood loss which can end up reducing the cases of PPH. The third stage of labor calls for active use of prophylactic oxytocins (Alfirevic, 2008). This can reduce the risk of PPH by up to 60 percent. The uterus contains unique networks of muscles that interlace. The muscles are known as myometrium. Some of the blood vessels supply placental beds (Ayers et al, 2006). This means that have to cross the uterine muscle latticework. Constriction of the blood vessels is a major force that drives homeostasis and placental separation. The physiological process of the PPH is enhanced by the level of care and active management in the third stage of pregnancy (Lynch et al, 1997). For instance, physiological enhancing of clotting factors at the final stages of labor is helpful in controlling the loss of blood especially when the placenta is separated. Research shows that a blood loss of 500ml during birth is perceived to be a physiological norm. The cases of secondary postpartum hemorrhage are known to be caused by infection or retention of conception products (Ayers et al, 2006). The most common cause is uterine atony (Alfirevic, 2008). A myometrial contraction in the uterus causes the uterus blood vessels to occlude (Chandraharan &. Arulkumaran, 2012). It is imperative to consider the resultant implications of PPH to the patients. A casing point could include hypovolemic shock.
Hypovolemic shock refers to a medical condition in which hemorrhage .and consequent inadequate perfusion lead to multiple organ failure. Rise is the pulse rate and a subsequent drop in blood pressure is signs of hypovolemia. .