John Malik
fact

A Mother's Wounds Can Become Infected and Other Severe Complications May Occur

Occurrences of serious complications during childbirth are rising in the U.S. and can threaten the lives of both mother and child.
A Mother's Wounds Can Become Infected and Other Severe Complications May OccurA Mother's Wounds Can Become Infected and Other Severe Complications May Occur
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Bacteria that are typically active in the vagina before pregnancy can cause an infection in open wounds after a mother delivers her baby. This bacteria can affect the uterus and areas around the uterus. There is typically a low chance of developing these infections unless the woman is young and there is an unscheduled cesarean, or a long delivery with excessive bleeding. About one in three women deliver their babies via C-section. Of those women, as many as 18% will go on to develop chronic pain from the scar tissue resulting from that surgery. One young mother lost nearly half her body's blood during her c-section. After a week in the hospital, she thought the worst was over, but she went on to develop chronic pain around the scar tissue where the incision was made. Common complications during childbirth include perineal tears (when the area between the vagina and the anus tears or is surgically cut), excessive bleeding, perinatal asphyxia (when the child does not get enough oxygen), and abnormal heart rate of the baby. Many of these conditions also go unmonitored after childbirth because women are so focused on their child's health that they neglect their own. One study found that as many as 40% of women don't go to their own doctor's appointment check-up after giving birth. Kristen Terlizzi, who cofounded the National Accreta Foundation, had her uterus, appendix, and part of her bladder removed in 2014 because of a life-threatening placenta condition. “There’s this misconception that these complications are rare,” she told ProPublica. “And we [women] get brushed off — ‘The risk is not a big deal.’ But it is.” A 2017 investigation from ProPublica found that serious complications during childbirth in the U.S. were "skyrocketing." More than 50,000 women suffer severe complications each year—a number that has doubled since the 1990s. Women who survive severe complications often deal with long-term consequences such as severe pain, the inability to give birth again, and intense trauma. Emergency hysterectomies, for instance, have risen 60%. Not only is a hysterectomy an invasive surgery with a potentially long recovery time, but it renders women unable to get pregnant again. In 2014 alone, doctors in the U.S. had to carry out 4,000 emergency hysterectomies.
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SCIENCE
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Sources
Merck Manual, Postpartum Infections of the Uterus, Julie S. Moldenhauer , MD, May 2020
Severe Complications for Women During Childbirth Are Skyrocketing — and Could Often Be Prevented