Page 313 - Critical Maternity & Newborn Health Nursing

4-Sheehan's syndrome. 5-Sepsis.

6- Anemia. 7-FaiIure of lactation.

Secondary Postpartum Hemorrhage:

Commonly occurs between 10 to 14 days after delivery.

Causes:

1. Subinvolution of the uterus.

2. Retained parts of the placenta, membranes, blood clot or formation

of a placental polyp.

3. Infection-

• Separation of infected retained parts.

• Infected C.S. wound.

• Infected genital tract lacerations.

• Infected placental site.

4. Fibroid polyp: necrosis and sloughing of its tip.

5. Subinvolution of the uterus.

6. Local gynecological lesions: e.g. cervical ectopy or carcinoma.

7. Choriocarcinoma.

8. Puerperal inversion of the uterus.

9. Estrogen withdrawal bleeding: estrogen was given for

suppression of lactation.

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