The causes of postpartum hemorrhage as identified by
Ijaiya, Aboyeji and Abubakar (2008) are uterine atony, trauma, retained placenta,
and coagulopathy, commonly referred to as the “four Ts”
Ijaiya, Aboyeji and Abubakar (2008) are uterine atony, trauma, retained placenta,
and coagulopathy, commonly referred to as the “four Ts”
·
Tone: Uterine Atony is the inability of the uterus to contract and may lead to
continuous bleeding. Retained placental tissue and infection may contribute to
uterine atony. Uterine atony is the most common cause of postpartum hemorrhage.
Tone: Uterine Atony is the inability of the uterus to contract and may lead to
continuous bleeding. Retained placental tissue and infection may contribute to
uterine atony. Uterine atony is the most common cause of postpartum hemorrhage.
·
Trauma: Injury to the birth canal which includes the uterus, cervix, vagina and
the perineum which can happen when the delivery is not monitored properly. The
bleeding is substantial as all these organs become more vascular during
pregnancy.
Trauma: Injury to the birth canal which includes the uterus, cervix, vagina and
the perineum which can happen when the delivery is not monitored properly. The
bleeding is substantial as all these organs become more vascular during
pregnancy.
·
Tissue: Retention of tissue from the placenta or foetus may lead to bleeding.
Tissue: Retention of tissue from the placenta or foetus may lead to bleeding.
·
Thrombin: A bleeding disorder which occurs when there is a failure of clotting,
such as with diseases known as coagulopathies.
Thrombin: A bleeding disorder which occurs when there is a failure of clotting,
such as with diseases known as coagulopathies.
Reference
Ijaiya, M.A., Aboyeji, A.P.
& Abubakar, D. (2008). Analysis of 348 consecutive cases of primary
postpartum haemorrhage at a tertiary hospital in Nigeria. J Obstet Gynaecol 23:374-7.
& Abubakar, D. (2008). Analysis of 348 consecutive cases of primary
postpartum haemorrhage at a tertiary hospital in Nigeria. J Obstet Gynaecol 23:374-7.
