Causes of Postpartum Hemorrhage

Oct 13, 2025 by wbrum.org 18 views

# **Understanding Post-Copy Bleeding Mechanism: A Key to Reducing Maternal Mortality**

Introduction

The Sustainable Development Goals (SDGs) aim to reduce the maternal mortality rate (MMR) to 70 per 100,000 live births by 2030. However, in 2015, Indonesia's maternal mortality rate stood at 305 per 100,000 population, indicating that this target is still far from being achieved. One of the primary causes of maternal death is postpartum hemorrhage (PPH), a serious problem in many countries, including Indonesia. In this article, we will delve into the post-copy bleeding mechanism, exploring the causes, prevention, and management of PPH, with a focus on reducing maternal mortality in Indonesia.

What is Postpartum Hemorrhage?

Postpartum hemorrhage is defined as blood loss from the genital tract that exceeds 500 ml after giving birth through the vagina, or more than 1000 ml after giving birth with the cesarean section method. This condition is a medical emergency that requires immediate attention to prevent severe bleeding, shock, and even death.

Causes of Postpartum Hemorrhage

There are four main factors that contribute to postpartum bleeding:

1. Weaknesses of Uterine Tone (Tone)

This condition occurs when the uterine muscles cannot contract properly, leading to inadequate bleeding control from removable placenta places. The weakness of the uterine tone is the most common cause of postpartum hemorrhage.

2. Trauma

Tears that occur in the birth canal, such as perineum, vagina, or even the uterus, can cause bleeding. This trauma usually occurs during a difficult delivery process or if there is medical intervention, such as episiotomy.

3. The Remaining Placenta or Blood Clot (Tissue)

When there is a remaining placenta or blood clot that remains in the uterus, this can inhibit adequate contraction. Inadequate contractions will result in continuing bleeding.

4. Disorders of Blood Clotting Factors (Thrombin)

Some women may have problems with their blood clotting system, both due to genetic factors and certain medical conditions. This disorder can worsen bleeding that occurs after giving birth.

Prevention and Management of Postpartum Hemorrhage

Effective prevention and management efforts are crucial to reduce maternal mortality. Among them is to carry out strict monitoring of postpartum mothers, ensuring good uterine contractions, and immediate medical intervention if needed. In addition, education to medical personnel and the public about the signs and symptoms of postpartum hemorrhage is also very important to support early handling.

Importance of Understanding Post-Copy Bleeding Mechanism

Considering that Indonesia still faces big challenges in reducing maternal mortality, a better understanding of the mechanism of postpartum hemorrhage and the causes can help create better health policies and more effective interventions. Through increased awareness and proper handling, it is expected that the maternal mortality rate can be significantly reduced, in line with the established SDGs.

Conclusion

Postpartum hemorrhage is a serious medical condition that requires immediate attention. Understanding the post-copy bleeding mechanism is crucial to develop effective prevention and management strategies. By educating medical personnel and the public about the signs and symptoms of postpartum hemorrhage, we can reduce maternal mortality and achieve the SDGs. It is essential to continue research and awareness efforts to improve maternal health outcomes in Indonesia and beyond.

Recommendations

Increase awareness: Educate medical personnel and the public about the signs and symptoms of postpartum hemorrhage.
Improve monitoring: Carry out strict monitoring of postpartum mothers to ensure good uterine contractions.
Develop effective interventions: Create better health policies and more effective interventions to reduce maternal mortality.
Continuously research: Conduct further research to improve our understanding of the post-copy bleeding mechanism and develop more effective prevention and management strategies.

By following these recommendations, we can work towards reducing maternal mortality and achieving the SDGs.