Postpartum complications what you need to know
After giving birth, you are likely to focus on taking care of your baby. However, health problems, some life-threatening, can appear in the weeks and months that follow, and many are not afraid of the warning signs. Then there's what you need to know about postpartum complications.
A
growing problem
A pregnancy-related death is the death of a woman during
pregnancy or within a period after the end of pregnancy. More than half of
pregnancy-related deaths are postpartum.
According to the Centers for Disease Control and Prevention
(CDC), the number of reported pregnancy-related deaths in the United States in
2014 was 18 deaths per 000 live births. That's up from 7.2 deaths per 000 live
births in 1987. The research also shows ethnic differences. From 2011 to 2014,
the pregnancy-related death rate for black women was more than three times that
of white women.
Lack
of mindfulness
After childbirth, it is common to witness fatigue and
discomfort, as well as pain in the perineum and uterine condensation. You may
not know the difference between a normal recovery and the symptoms of a
complication or when to seek medical attention. However, your health care team
may not identify risk factors for serious postpartum complications before you
are discharged if you give birth in a nursing home.
Mothers also often do not visit health care providers until
four to six weeks after giving birth, and up to 40 percent do not attend a
postpartum visit, likely due to limited cash flow. As a result, they allow at
most little guidance for their postpartum recovery.
Frequent
postpartum complications
According to the CDC, the leading causes of
pregnancy-related deaths from 2011 to 2014 were
• Cardiovascular conditions
• Other medical conditions often reflecting pre-existing
conditions
• Infection or sepsis
• Excessive bleeding after childbirth (hemorrhage)
A heart muscle condition that makes it difficult for your
heart to pump blood to the rest of your body (cardiomyopathy)
• Blockage of one of the pulmonary passages in the lungs,
often caused by blood clots that travel to the lungs from the legs (thrombotic
pulmonary embolism)
• Stroke
• High blood pressure (hypertension) disease of pregnancy
• A rare but serious condition that occurs when amniotic
fluid or fetal cell-like material enters the mother's bloodstream (amniotic
fluid embolism)
• Complications of anesthesia
• Occasionally the cause of pregnancy-related death is
unknown.
Risk
factors for postpartum complications
The overall risk of death from pregnancy-related
complications is low. But women with common conditions like heart problems,
rotundity or high blood pressure are at a lower risk of dying or nearly dying
from pregnancy-related complications. But if you have these risk factors, it's
especially important to cover your postpartum health.
Warning
signs and symptoms
Numerous postpartum complications can be successfully
treated if they are linked in advance.
If you have, seek emergency help
• Pain in the coffin
• Blocked breathing or shortness of breath
• Seizures
• Studies of harming oneself or one's child
• If so, call your healthcare provider
• Bleeding and soaking through one pad per hour or blood
clots the size of an egg or larger
• A wound that does not heal
• A red or burnt leg that is painful or warm to the touch
• A temperature of 100.4 F (38 C) or higher
• A headache that does not improve even after taking the
drug, or a severe headache with changes in vision
Tips
for prevention
Prioritize your health after giving birth. Start planning
your postpartum care plan before you give birth. After you give birth, talk to
your healthcare provider about your risk of pregnancy-related complications and
any special follow-up care you might need. Know the signs and symptoms of the
problem.
The American Academy of Obstetricians and Gynecologists now
also recommends that postpartum care be an ongoing process, not just a single
visit after delivery. Contact your health care provider within the first three
weeks after delivery. See your health care provider for a comprehensive
postpartum evaluation within 12 weeks postpartum. However, talk to your doctor
if you are having trouble making an appointment. Contact Family and Musketeers
for help with childcare.
During this appointment, your health care provider will
check your mood and emotional well-being, birth control and birth spacing,
review information about baby care and feeding, talk about your sleep habits
and fatigue-related problems, and perform a physical exam. This may include
checking your abdomen, vagina, cervix, and uterus to make sure you are healing
well. This is a great time to talk about any interests you might have,
including continued sexual effort and how you're adjusting to life with a new
baby.
Whenever you visit a health care provider in the postpartum
period, be sure to include the date you gave birth. This can help your provider
know that your symptoms may be related to your recent pregnancy.
Postpartum depression treatment depends on the type of
symptoms and their severity. Treatment options include anti-anxiety or
antidepressant medications.
Many women may suffer in silence, dismissing their struggles as a normal part
of pregnancy and childbirth and not seeking care. This affects their quality of
life; therefore, PPD should not be neglected.
Urgently treat women with major depressive disorder who are
pregnant or breastfeeding. For women with moderate or severe depression or
anxiety, antidepressant medication should be considered as primary postpartum doctor near me
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