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My wife delivered our first child at the age of 35 in a gynic hospital. She had pph- dic after delivery. She was given carboprost, 2 units of blood, and 2 units of ff plasma (i do not know the volume in ml.). I faintly recall the doctor saying she had to compress the uterus. Maybe in 3 hours the bleeding stopped. The next day in the laboratory the clotting test gave normal results. My queries: 1) can dic occur during delivery without uterine atony? 2) my wife is 15-20 days pregnant now at the age of 42-43. Should we abort on the grounds of fear of pph-dic only, (not considering other things like down syndrome). Our gynaec says that pph may not necessarily occur. But if at all it occurs: can active management of the third stage of labour (or by any other method) her life be saved? what is the probability of risk? what will happen to an individual cannot be predicted but in what percentage the odds are, I would like to know. Whether we should take the risk? her hemoglobin is around 9-10.

1 Doctor Answered
The chances of a third stage complication like PPH ocurring in the next pregnancy is about 12 %. So it is not absolute. History of PPH is not a reason to have abortion this time around unless there is some other reason for it. Your wife needs to start taking iron supplements so as to raise her Hb levels to at least 11.5%. Percentage of odds doesnt matter as it may or may not happen however in the eevnt that severe PPH does happen there is a possibility that the doctor will consent her for emergency hysterectomy as a life saving measure
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