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postpartum hemorrhage?

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I am expecting my second child, I had a postpartum hemorrhage with my first three years ago and I almost died. I am not wanting blood in any form and i would exept things like the cell salvage. My question is what is the best way to manage a hemorrhage if one was to happen again...like a medical plan? the doctors I am seeing are unfamiliar with no blood options but are willing to work with me if I can give them something to follow if something happens.
asked Oct 1, 2013 in Conditions and Treatments by anonymous

2 Answers

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I recommend contacting a blood management program that offers OB services.  Find the name of a physician willing to speak to your medical team.  Have your doctors contact the experienced physician for direction.

 

Jan
answered Oct 1, 2013 by Jan B. Wade (4,930 points)
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You do not state your location.  I agree that if you are early in the pregnancy and options are available you should select your second delivery provider in a hospital with a high-risk perinatology service preferably one with experience in treating patients who decline transfusions.  You also need to gather your complete medical record from the first delivery so that the perinatologist can have information on the possible cause of the post partum hemorrhage.  Careful antepartum care and a delivery plan that takes into account all risk factors is essential for you.
answered Oct 2, 2013 by Jo Valenti RN (180 points)

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