Childbirth, be it through vaginal birth or C-section, involves the loss of a lot of blood. Postpartum bleeding as such is considered a normal part of the childbirth process. Loss of blood after delivery is referred to as lochia bleeding. Lochia bleeding is the body’s natural way of cleansing the uterus.
The detachment of the placenta from the uterine wall, during the childbirth process, can leave blood vessels open or exposed. These open blood vessels leach blood into the uterus. This blood is passed out of the body through the vagina. The bleeding stops only when the uterus contracts naturally and the blood vessels are sealed off.
Causes of Bleeding After C – Section
There are a variety of reasons for a woman to bleed excessively after a cesarean section. If a woman passes large blood clots after C-section, or if she bleeds uncontrollably to the extent that several sanitary napkins have to be changed in a single hour, then she is said to be having abnormal bleeding. Abnormal bleeding after C-section has to be stemmed as soon as possible, as excessive loss of blood can result in death. Some of the common reasons behind bleeding after a cesarean delivery have been examined in this article.
Severed Blood Vessels
A common reason for bleeding after C-section is due to blood vessels being severed during the surgical procedure. Severed blood vessels can result in abnormal bleeding. Abnormal or excessive loss of blood after a C-section requires immediate medical attention.
Some women suffer from excessive bleeding after a C-section delivery due to uterine atony. Uterine atony refers to the condition wherein the uterus does not contract itself after child birth.
Once the placenta is detached from the uterine wall following birth, the uterus begins to contract. The uterine contraction helps to seal off the blood vessels which had surrounded the placenta and which remains open after the placenta is detached from the uterus. However, in some women, the uterus does not contract properly. This leaves the blood vessels in the uterus exposed, which in turn can cause excessive vaginal bleeding.
When the placenta is not removed completely or properly following delivery it can lead to abnormal or excessive bleeding. To prevent abnormal or excessive bleeding most obstetricians wait for about five minutes for the spontaneous delivery of the placenta following a C –section. If the placenta is not delivered spontaneously, then the gynecologist resorts to removing the placenta manually. Manual delivery of placenta often leads to abnormal blood loss because fragments of placenta is often left behind in the uterus.
Placenta accreta refers to the condition where in the placenta implants itself too deeply into the uterine wall. In such an event the placenta cannot be detached completely from the uterine wall during a C-section. This can lead to hemorrhaging or abnormal bleeding. Women who have delivered more than one child via C section are more likely to develop this condition than women who have had a normal vaginal delivery. These are some of the reasons for bleeding following a C-section delivery.