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129,721 followers

1w

Welcome to The Birds & the Mes, where OB/GYN Dr. Christine Greves breaks down under-discussed women’s health topics you probably didn’t learn in sex-ed. In this episode, Dr. Greves sits down with Dr. Amy Taneja MD, FACOG, Director of Medical Affairs at Organon and an OB/GYN, to discuss one of the most common complications of birth–postpartum hemorrhage (PPH). Tune in for insights from two OB/GYNs on PPH. #PPH #PostpartumHemorrhage #WomensHealth #MaternalHealth #TheBirdsAndTheMes

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Hi, I'm Doctor Amy Taneja, Director of Medical Affairs at Organon and a board certified OBGYN. And I'm Doctor Christine Grapes, a board certified OBGYN in partnership with Organon. Dr. Taneja and I are talking about one of the most common complications of birth, postpartum hemorrhage or abnormal postpartum uterine bleeding. Postpartum hemorrhage or pH is the leading cause of maternal mortality worldwide. It is estimated that about 14,000,000 women experience pH globally every year and every six minutes a woman dies from pH. And over the past 10 to 15 years, the rates of pH at the time of delivery across the United States continue to rise. Recognize that pH is indeed a serious concern and effects maternal morbidity and mortality. And I think that that's really what needs to hit home here. You know, despite all of this knowledge, despite all of this, we still have not moved the needle many times. You know, patients who experience postpartum hemorrhage or an abnormal uterine bleed don't necessarily have risk factors when they walk. On the door. Doctor grieves, what's top of mind for you in your practice regarding a diagnosis of PH2? Key things recognize it early and the other is knowing you need to recognize it early because you need to intervene quickly in order to have effective management. Why? Because significant blood loss can occur and a lot of patients do not have any identified risk factors. So being able to diagnose it and effectively. Initiate treatment to manage this blood loss is of utmost importance. Can you speak to the mental health component of PPH? I feel like that's often overlooked. It absolutely is. It can have long term implications. In fact the reason it can have long term implications is because it not only affects your body, so not just physically, it can also affect you mentally and if can affect you financially. For example, women who have postpartum hemorrhage are more likely to develop depression and it's not just the mom who has. Adverse effects from this PPH, Some people, when they're living through it, they have flashbacks and can remember this experience, resulting in the fear for the entire family to have another baby. This further reinforces that you need quality postpartum care just like you need quality labor and delivery care. Doctor grieves. How do you approach diagnosing pH? Diagnosis really depends on the patient's. There are some risk factors like anemia, hypertension, a previous caesarean and age that can increase the likelihood of PPH, but it can happen to anyone. pH can be unpredictable, so careful evaluation and ongoing reassessment of all patients are important when it comes to diagnosing and delivering prompt treatment.

Shelley Seymour

Shelley Seymour

Genetic Genealogy Consultant

1w

My two sisters had PPH and returned to hospital soon after going home with the baby. I had even worse, uterine atony after my first birth, even more severe, nearly died, despite not having any of those four risk factors. Obviously, it has a genetic component. My sisters and I were not in the same cities or hospitals. But it was not worse for me with my second child. My first baby had the same blood type, and my second child had a different blood type.

Perspective Medical

Perspective Medical

3d

We could not agree more! Two key factors in the management of hemorrhage include recognizing it early and intervene quickly. Given PPH can happen to any mother, low or high risk, every L&D team should be prepared to recognize it early. We applaud this great discussion and continued efforts to improve maternal outcomes.

Zonal Manager la Dr. Reddy's Laboratories

1w

Good to know!

Juliana Raymaker, MD

Juliana Raymaker, MD

Regional Director Medical Affairs, Established Brands

1w

Thanks for sharing! Excellent discussion

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