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Related Experiment Videos

Postnatal vaginal bleeding problems and General Practice.

Sally Marchant1, Jo Alexander, Jo Garcia

  • 1Bournemouth University, Dorset, BH1 3LG, UK.

Midwifery
|April 12, 2002
PubMed
Summary
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Twenty percent of women experience vaginal loss problems postnatally. Many consult GPs, but treatment and referral patterns for secondary postpartum hemorrhage are inconsistent.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Postpartum Care

Background:

  • Postnatal vaginal loss (lochia) abnormalities can cause significant morbidity.
  • Understanding GP consultations for these issues in early postpartum is limited.

Purpose of the Study:

  • To investigate women's experiences with vaginal loss problems from 28 days to three months postpartum.
  • To describe treatment and referral patterns for GP consultations regarding these issues.

Main Methods:

  • Longitudinal questionnaire study of postnatal women.
  • Report-card survey of general practitioner (GP) consultations for postnatal vaginal loss.

Main Results:

  • 20% of women reported postnatal vaginal loss issues between 28 days and three months postpartum.

Related Experiment Videos

  • Common symptoms included excessive and prolonged bleeding; treatments varied, with 25% receiving no treatment or referral.
  • GP study participation was low, with inconsistent data return.

    • Conclusions:

    • Morbidity from abnormal lochia is significant, yet postpartum consultation outcomes are poorly understood.
    • Varied treatment and referral patterns highlight a need for evidence-based guidelines for secondary postpartum hemorrhage.
    • Healthcare providers must recognize the significant morbidity associated with postnatal lochial loss.