Hemorrhage in a normal second birthThird births also carry the risk of hemorrhage and require active post-partum treatment to promote contractions.
Hemorrhage, i.e. postpartum hemorrhage, refers to bleeding ≥500ml within 24 hours after delivery. Multiple deliveries will lead to high risk of weak contractions, soft birth canal laceration and placental adhesions, which increases the risk of postpartum hemorrhage, so when postpartum hemorrhage occurs in a normal delivery of the second child, postpartum hemorrhage is also at risk in the delivery of the third child, which needs to be actively prevented.
For pregnant women with a history of postpartum hemorrhage, medications such as oxytocin should be given promptly after delivery to promote uterine contractions to prevent postpartum hemorrhage. The mother should be urged to urinate two hours after delivery, and the vaginal bleeding should be closely monitored. When a lot of vaginal bleeding is found, vaginal examination should be carried out in time to rule out soft birth canal laceration and actively promote contraction therapy.