Postpartum Hemorrhage Treatment in India
About Postpartum Hemorrhage
Key Highlights
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Life-saving intervention for a major cause of maternal mortality.Involves a rapid, systematic protocol (often the 4 T's: Tone, Tissue, Trauma, Thrombin) to identify and treat the cause.Utilizes a stepwise approach from conservative medical management to advanced surgical techniques.Aims to preserve fertility when possible, though a hysterectomy may be necessary in severe cases.Requires a coordinated, multidisciplinary team effort for optimal outcomes.
Who is this surgery for?
- Blood loss exceeding 500 ml after vaginal delivery or 1000 ml after cesarean section.
- Signs of hypovolemic shock (e.g., tachycardia, hypotension, pallor) following delivery.
- Uterine atony (the most common cause, where the uterus fails to contract).
- Retained placental tissue or membranes.
- Genital tract trauma (lacerations of the cervix, vagina, or perineum).
- Coagulation disorders (coagulopathy).
- Uterine inversion or rupture.
How to prepare
- Immediate activation of the hospital's massive transfusion protocol and PPH response team.
- Establishing large-bore intravenous (IV) access for rapid fluid and blood product administration.
- Continuous monitoring of vital signs, including heart rate, blood pressure, and oxygen saturation.
- Laboratory tests: complete blood count (CBC), coagulation profile, and cross-matching for blood transfusion.
- Preparation of uterotonic medications (oxytocin, methylergometrine, carboprost).
- Informed consent for potential surgical procedures if medical management fails.
- Ensuring the operating theater is on standby for emergency procedures.
Risks & possible complications
- Severe anemia requiring blood transfusion.
- Disseminated intravascular coagulation (DIC), a serious clotting disorder.
- Sheehan's syndrome (pituitary gland damage due to severe blood loss).
- Infection (endometritis, sepsis).
- Injury to surrounding organs during surgical intervention.
- Future fertility implications, especially if a hysterectomy is performed.
- Psychological trauma, including postpartum depression or post-traumatic stress disorder (PTSD).
- Rarely, maternal death.
Recovery & hospital stay
- Close monitoring in a high-dependency or intensive care unit initially for vital signs and bleeding.
- Continued IV fluids and possibly blood transfusions to correct anemia and stabilize volume.
- Administration of antibiotics to prevent infection.
- Pain management with appropriate analgesics.
- Early mobilization as tolerated to reduce the risk of blood clots.
- Psychological support and counseling to address the traumatic experience.
- Education on signs of complications at home (e.g., fever, increased bleeding, foul-smelling discharge).
- Follow-up appointments to check hematological recovery, wound healing, and overall well-being.
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Typical hospital stay:
3-7 days
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Expected recovery time:
4-8 weeks
Frequently Asked Questions
If you are considering postpartum hemorrhage in India, these questions and answers can help you make a confident, informed decision.
Popular choices for postpartum hemorrhage in India include Manipal Hospital Mukundapur, Manipal Hospital Dwarka, SIMS Hospital Vadapalani, Manipal Hospital Old Airport Road, Kamineni Hospital, King Koti, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform postpartum hemorrhage. MediFyr helps you compare obstetrics and gynaecologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for postpartum hemorrhage compare across other countries where we have data.
Top hospitals for Postpartum Hemorrhage in India
These partner hospitals in India have dedicated obstetrics and gynaecology teams and experience managing patients undergoing postpartum hemorrhage.
Hyderabad, India
20 Doctors
Krishna Chopra, a 32-year-old first-time mother...
Krishna Chopra, a 32-year-old first-time mother and software engineer, had a long but uncomplicated labor. An hour after delivering a healthy baby girl, she began experiencing severe, cramping abdominal pain and felt a sudden, heavy gush of blood. Her midwife noted her uterus was soft and 'boggy,' and Krishna was becoming pale, dizzy, and lightheaded. Her obstetrician, Dr. Mehta, diagnosed a uterine atony, the uterus wasn't contracting properly, and recommended immediate manual uterine massage and administration of IV medications (uterotonics) to stimulate contractions and control the bleeding. Krishna was terrified, separated from her newborn, and felt a profound loss of control as the medical team worked swiftly around her. The manual massage was intensely uncomfortable, but the medications worked. The bleeding slowed significantly within 20 minutes. Krishna required two units of blood and was monitored closely for 24 hours. Physically, she recovered well but was profoundly fatigued for weeks. Emotionally, her initial joy was overshadowed by fear and a sense of violation. With support, she processed the trauma, bonded deeply with her daughter, and ultimately felt immense gratitude for the team that acted so decisively to save her life.
Obstetrics and Gynaecologists for Postpartum Hemorrhage
Explore experienced obstetrics and gynaecologists who regularly perform postpartum hemorrhage and provide pre- and post-operative care in India.
- 25 Years Experience
- Obstetrics and Gynaecologist
Artemis Hospital Gurgaon, Gurgaon
- 25 Years Experience
- Obstetrics and Gynaecologist
Artemis Hospital Gurgaon, Gurgaon
- 20 Years Experience
- Obstetrics and Gynaecologist
Artemis Hospital Gurgaon, Gurgaon
- 19 Years Experience
- Obstetrics and Gynaecologist
Artemis Hospital Gurgaon, Gurgaon
- 17 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Ranchi, Ranchi
- 4 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Ranchi, Ranchi
- 4 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Ranchi, Ranchi
- 35 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Gurgaon, Gurgaon
- 30 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Gurgaon, Gurgaon
- 31 Years Experience
- Obstetrics and Gynaecologist
Kamineni Hospital LB Nagar, Hyderabad
- 23 Years Experience
- Obstetrics and Gynaecologist
Kamineni Hospital LB Nagar, Hyderabad
- 20 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Gurgaon, Gurgaon
- 20 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Gurgaon, Gurgaon
- 14 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Gurgaon, Gurgaon
- 26 Years Experience
- Obstetrics and Gynaecologist
Kamineni Hospital LB Nagar, Hyderabad
- 20 Years Experience
- Obstetrics and Gynaecologist
Kamineni Hospital LB Nagar, Hyderabad
- 17 Years Experience
- Obstetrics and Gynaecologist
Kamineni Hospital LB Nagar, Hyderabad
- 8 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Gurgaon, Gurgaon
- 25 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Ghaziabad, Ghaziabad
- 22 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Jaipur, Jaipur