Heavy bleeding during or after childbirth is called postpartum haemorrhage. The uterus often fails to contract adequately, but a tear, retained placental tissue or a clotting problem may also be the cause. It can quickly become life-threatening; continued heavy bleeding, dizziness, palpitations, breathlessness or collapse requires immediate action.
- Persistent or suddenly rapid vaginal bleeding, rapidly soaked pads, large clots or blood running onto the floor or bed.
- A fast heartbeat, dizziness, weakness, becoming pale or clammy, intense thirst, nausea or a feeling that something is seriously wrong.
- Do not try to treat active heavy bleeding at home: call for help, lie down, keep warm and do not drive yourself.
- After discharge, use pads so the amount of blood and clots remain visible. Do not use a tampon or menstrual cup while lochia continues, and in any event not before the postnatal check or until a healthcare professional confirms that wounds have healed.
- Call the midwife or maternity ward immediately if bleeding after returning home suddenly increases, does not lessen or contains large clots.
- For urgent GP care outside normal opening hours, call HAP 9252. Call Ambulance 912 only for an immediately life-threatening situation.
- Rapid ongoing bleeding with weakness, clamminess, a fast pulse, breathlessness, confusion or near-fainting is an obstetric emergency.
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General information, not personal medical advice
This article has been carefully prepared but may contain errors or become outdated as medical knowledge changes. It does not replace diagnosis, examination or treatment by your own GP. Always discuss personal questions and starting, stopping or changing medicines or treatments with your own GP.
For a life-threatening situation, call Ambulance 912. For urgent care outside office hours, call HAP 9252.
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