Anyone have a PPH 1000mls+ and happened again in 2nd labour?

[Dozeyland]

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I had a 3l pph and asked my cons how likely it was to happen again. He said to think of it as a blip and it would largely depend on if I have the same risk factors next time. I had a lot of risk factors - on anticoagulants, polyhydramnios, twins, both macrosomic etc. My pph was after ELCS not labour incidentally.

I am an ex-midwife and usually when we cared for someone who had lost a lot of blood in a previous birth we would be on the look out for any warning signs it would occur again. In the vast majority of cases though it doesn't re-occur, every labour is different with varying risk factors.

We discussed with the consultant and so midwives were instructed that I be put on a drip with some drugs straight after birth to limit the extent of pph second time around. Seemed to work a treat. Suffered pph but not as bad.

3L - wow, are you ok now bagofholly?

I had a pph + 1L so am interested in this. I didn't have one with dc1.

It was a year ago and am ok now bur felt like I'd been run over at the time. Was terribly anaemic for ages, and it damaged my milk supply - presumably whoever donated the blood I was transfused with, wasn't 9 months pregnant with twins, so my hormone levels were awful. I had to stay on the anticoagulants for another 6 weeks and had a second major bleed 3 weeks later but then things seemed to get better.
They were very very dark days - both my twins had reflux too, which was and still is, ghastly to deal with. But a year on I'm ok!

I had a 1500ml PPH with DS and a two unit transfusion. With DD I only had a 450ml one and was fine after that - don't think I even needed to take any iron tablets afterwards.

I had 1100 with ds2 vbac and then 3.8litres last June with ds3 due to emergency csection at 32w with placenta Praevia. That was a lot of blood! Bt was home in a week after three transfusions looking after my two other sons on my own. Looking back that was madness.

does anyone know at what level they usually give a transfusion? I lost 1500ml with ds (elcs) and didn't have a transfusion - is that unusual?

Maybe depends on timescale? I lost over litre with ds2 and had one transfusion, but that was due to tear on delivery and manual removal of placenta (nice) and I was all dizzy.

I think my hb level was about 7.5 but can't m remember exactly now. I had internal tear and had been sewn up in theatre for a couple of hours. Had the transfusion about 12 hours later. Having lookd at photos of me before the transfusion I was very grey (and entertained everyone who came to see DS :))

1.5 litres with pre eclampsia and Keillands. Also had syntocin which is a factor. Hb was 7 so I had a 2 unit transfusion. I felt dizzy and sick just sitting up! There is no fixed scale or limit to transfusion, it depends how much you lost and how you are feeling. Only lost 300-400 mls in subsequent normal deliveries. Good luck x

Not sure what level of loss that they give transfusions but I had hb of 6 and had 3 units. Like lyndie I felt so dizzy, that I just thought it was normal and when i told the midwives,they dismissed me until the blood results came through.

that is odd then, because I was very dizzy, my bp was very low, i felt very sick and dh said I had so little colour and I was trembling so much he was worried I was going to die!

I wonder why I didn't have a transfusion? I felt dreadful for ages afterwards.

My Hb in the middle of the pph was 3, which gave rather a lot of cause for alarm. I saw my haematologist who was horrified it had dropped that low. I was questioning whether I needed the transfusion and he said yes, or you'd be dead.

Hazeyjane - the decision to transfuse would be based on level of symptoms and Hb count. Depending on your blood count before the birth patients will stand levels of loss in different ways. I lost 800ml with dd3 but having had a good blood count pre birth I didn't really notice that afterwards. Like all interventions blood transfusion has risks so something to be avoided if not an absolute requirement. You could get your notes though and ask why it wasn't given to you as you were symptomatic?

I 'only' had three units blood transfusion after losing almost 4litres ie nearly all of your blood. Probably because my blood count was good prebirth. They checked after four days and I needed no more. Could have been a lot worse.

I remember being in hospital two days after DS was born and someone came round saying they needed to take a blood sample as it was "what they always did" two days after birth. I pointed out my levels would probably be low, that I had had a transfusion two days before and that I was fed up of being a pin cushion so I wasn't going to have the blood test.

They left my bed without taking any blood from me

I had a 1500ml pph with my first (emergency section after long labour), I wasn't transfused despite hb of 6.8 BEFORE the bleeding - I couldn't walk up the stairs in our house for 6 months after the birth - they just gave me fluid replacement it was horrendous.

In all subsequent deliveries (4 more - 3 elective sections & an induced labour after intrauterine death) I had cross matched blood available (for those pregnancies I was anti-coagulated with increased the risk) but only needed it once after #3. #2 600ml loss, #3 1200ml, #4 400ml, #5 200ml. They used ergometrine as well as syntometrine each time. Oh & I had iv iron infusions before my 4th & 5th because I was already anaemic.

I had 3litre PPH with DS1 requiring 6units transfusion. Second birth was planned to have syntocinon infusion post-delivery to decrease risk of bleeding. Only lost 1litre with DS2, still had 2units transfusion. The first time was pretty rough & put the fear into me so I was quite happy for it to be conservatively managed second time around.

I was about to start a thread on this subject! I had a severe pph with DS, and lost over 7 litres, then had a 14 unit transfusion. It was a forceps delivery and then despite several syntocin injections my uterus didn't contract, and there was a lot of tearing. Now DS is 13 months and we're starting to think about possibly having another baby, but wondered what the risk of a very severe pph is. I know that if you have had a pph the risk is about 3 times higher than normal, but given that severe pph is defined as 1 litre, and I lost 7 litres, would I have a higher risk of losing that much blood again, or would it be just as likely to be a smaller amount?