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Postpartum hemorrhage: Teenager dies after triplets

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A 19-year-old teenager, Lilian Benedict of Bwaranji ward, Yola South Local Government Area of Adamawa, died on Sunday from Postpartum Hemorrhage after giving birth to triplets.

Mrs Josephine Geoffrey, Assistant Director, Nursing Services, Yola Specialists Hospital, confirmed the development to the News Agency of Nigeria (NAN) on Tuesday in Yola.

Mrs. Geoffrey said that the teenager died as a result of Postpartum Hemorrhage.

“She died as a result of bleeding after delivery and all the three babies are in good health condition.
“Poverty and lack of early antenatal attendance also contributed to her death.

“We therefore, advise parents whose young daughters are pregnant to, as a matter of urgency, attend early antenatal to avoid unnecessary complications during child birth, ” Geoffrey said.

The assistant director, called on government, Non Governmental Organisations and public spirited individuals to assist the babies by providing food and drugs, to ensure their survival.

Madam Kolostiki Benedict, mother of the deceased, said Lilian lost her farther when she was eight years old, and pleaded with Adamawa government to assist her to nurse the babies.

Taliba Kanakuru, 26, the deceased’s boyfriend, expressed shock over her death and said they had concluded arrangements to get married after she delivered.

About Postpartum Hemorrhage of Postpartum bleeding

Postpartum bleeding or Postpartum Hemorrhage (PPH) is often defined as the loss of more than 500 ml or 1,000 ml of blood within the first 24 hours following childbirth. Some have added the requirement that there also be signs or symptoms of low blood volume for the condition to exist.

Causes of postpartum bleeding include loss of tone in the uterine muscles, a bleeding disorder or the placenta failing to come out completely or tearing.

Symptoms include vaginal bleeding that doesn’t slow or stop. This can lead to a drop in blood pressure.
Treatment often includes uterine massage and medication.

In rare cases, blood transfusion, removal of residual placenta or a hysterectomy may be required.

What is the management of Postpartum Hemorrhage?

Misoprostol (Cytotec) may be used when other oxytocic agents are not available for prevention of postpartum hemorrhage (number needed to treat=18). Misoprostol may be used for treatment of postpartum hemorrhage, but this agent is associated with more side effects than conventional uterotonic drugs.

What are the 3 main causes of Postpartum Hemorrhage?

Causes of postpartum hemorrhage are uterine atony, trauma, retained placenta or placental abnormalities, and coagulopathy, commonly referred to as the “four Ts”: Tone: uterine atony is the inability of the uterus to contract and may lead to continuous bleeding.

Who is at risk?

  • Placental abruption. This is the early detachment of the placenta from the uterus.
  • Placenta previa
  • Overdistended uterus
  • Multiple-baby pregnancy
  • High blood pressure disorders of pregnancy
  • Having many previous births
  • Prolonged labor
  • Infection.

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