Patient's question:
My wife gave birth to a daughter 20 days ago at Hospital A, and the hospital's examination showed everything was normal. She was discharged smoothly four days later. Yesterday afternoon, she suddenly experienced continuous bleeding and was immediately sent to nearby Hospital B for treatment. The hospital performed an immediate uterine evacuation and took some necessary measures, temporarily stopping the bleeding. The doctors at Hospital B believed that the previous evacuation was not thorough and prepared to send the remaining tissue for examination (the test results will take two more days). At my request, she was transferred to Hospital A. The doctors at Hospital A considered postpartum hemorrhage to be a normal phenomenon and unrelated to the previous surgery.Doctor's answer:
Hello, vaginal delivery is more likely to result in fetal membrane retention. Fetal membrane retention can lead to late postpartum hemorrhage, which is the condition you are experiencing. Additionally, it could also be caused by poor uterine contractions.Recommendations:
Both hospitals are actually reasonable in their statements. Even if Hospital A did not completely clear the uterus, it is understandable because the uterus is large and soft after delivery, making it difficult to clean thoroughly. Retention is reasonable in this case. This time, even if Hospital B performs a uterine curettage, it may not guarantee complete removal, as the uterus is still very soft and can easily perforate if the procedure is too forceful. If there is still bleeding, further treatment should be administered. If there is no bleeding, it is likely that there is no retention. Additionally, you should rest well and take good care of yourself during the postpartum period. Poor rest during the postpartum period can hinder uterine recovery, which is not uncommon in causing late postpartum hemorrhage.