Bleeding in pregnant women is very deadly and dangerous —Gynaecologist

Dr Moses Fache, a consultant obstetrician and gynaecologist, says
bleeding in pregnancy is one of the leading causes of maternal
mortality.
Fache, of NISA Premier Hospital , Jabi, Abuja, said this in an
interview with the News Agency of Nigeria (NAN) in Abuja on Friday.
He said that bleeding in pregnancy was abnormal as it threatens the
well-being of both mother and the foetus.
He therefore, stressed the need to treat such a condition urgently, to
arrest the cause.
"Bleeding in pregnancy and abnormal bleeding during and after birth
signify abnormality that should be treated urgently."
According to him, bleeding early in pregnancy is referred to as
"threatened miscarriage" , meaning that the woman was at risk of
losing the pregnancy.
He explained that such a situation was caused by abnormalities in the
developing fetus.
"Some of these abnormalities cannot be prevented but in some cases,
avoiding drugs known to cause fetal developmental abnormalities and
exposure to heavy radiations is seriously advised.
"Febrile illnesses like malaria and urinary tract infection are also
known to cause bleeding in early pregnancy.
"Malaria can be prevented by avoiding mosquito bites and using drugs
known to attack malaria in pregnancy."
He further said that pregnancy located outside the normal site of
implantation in the womb could cause bleeding in pregnancy.
Another cause of bleeding in pregnancy he identified was the abnormal
location of placenta within the uterus or premature separation of the
placenta before the baby was born.
He said that such abnormalities were caused by accidental blows to the
pregnant woman.
The consultant noted that the use of drugs could cause the separation
of the placenta and lead to bleeding.
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"Bleeding can result from delivery by caesarean section or as a
complication or previous caesarean section.
"Having caesarean delivery at a centre with high standards can
minimize such bleeding occurrences."
Fache explained that bleeding from the genital tract of a woman after
child birth was normal and would stop a couple of weeks after
delivery.
He further added that infections of the uterus could make a woman to bleed.
The consultant gave an assurance that most of the causes of bleeding
in pregnancy were readily preventable with good quality obstetrician
care.
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