CAUSES OF POSTPARTUM VAGINAL BLEEDING, DIAGNOSIS, PHYSICIAN MANAGEMENT, AND PREVENTIVE MEASURES

Authors

  • G'ayratjonova Zuhraxon Assistant Professor of the Department of Obstetrics, Gynecology and Neonatology, Central Asian Medical University Author

Keywords:

Postpartum hemorrhage, vaginal bleeding, uterine atony, obstetrics, maternal mortality, diagnosis, physician management, prevention, uterotonic agents.

Abstract

This article discusses postpartum vaginal bleeding as one of the most serious obstetric emergencies associated with high maternal morbidity and mortality. The study analyzes the main causes of postpartum hemorrhage, including uterine atony, retained placental tissue, birth canal trauma, and coagulation disorders. Special attention is given to modern diagnostic approaches, clinical manifestations, and physician management tactics based on evidence-based obstetric guidelines. The article also examines emergency treatment methods such as uterotonic therapy, fluid resuscitation, blood transfusion, and surgical interventions. In addition, preventive measures including antenatal risk assessment, active management of the third stage of labor, and early postpartum monitoring are highlighted. According to modern clinical protocols, early diagnosis and rapid intervention significantly reduce severe complications and maternal death associated with postpartum hemorrhage.

References

1.Cunningham F.G., Leveno K.J., Bloom S.L., et al. Williams Obstetrics. 26th ed. – New York: McGraw-Hill Education, 2022. – 1344 p.

2.Dildy G.A. Postpartum hemorrhage: New management options // Clinical Obstetrics and Gynecology. – 2021. – Vol. 64, №2. – P. 411–421.

3.American College of Obstetricians and Gynecologists (ACOG). Practice Bulletin No. 183: Postpartum Hemorrhage // Obstetrics & Gynecology. – 2022. – Vol. 140, №4. – P. 168–186.

4.FIGO Safe Motherhood and Newborn Health Committee. Management of postpartum hemorrhage // International Journal of Gynecology & Obstetrics. – 2022. – Vol. 157, Suppl. 1. – P. 3–50.

5.Evensen A., Anderson J.M., Fontaine P. Postpartum hemorrhage: Prevention and treatment // American Family Physician. – 2021. – Vol. 104, №5. – P. 442–449.

6.Bienstock J.L., Eke A.C., Hueppchen N.A. Postpartum hemorrhage // New England Journal of Medicine. – 2021. – Vol. 384, №17. – P. 1635–1645.

Downloads

Published

2026-04-30