By Prosper Mene
Gynecologists in Ogun State have cited a serious health concern for women with multiple pregnancies, noting that having many children can increase the risk of excessive bleeding after childbirth, a condition known as postpartum hemorrhage (PPH). This potentially life-threatening issue requires greater awareness and access to quality medical care, experts say.
Postpartum hemorrhage occurs when a woman loses more than 500 milliliters of blood after a vaginal delivery or 1,000 milliliters after a cesarean section. According to Dr. Aisha Olanrewaju, an obstetrician at the Federal Medical Centre, Abeokuta, women who have given birth five or more times are at higher risk because repeated pregnancies can weaken the uterus. “After many pregnancies, the uterus may not contract properly to stop bleeding after delivery,” she explained. This condition, called uterine atony, is the leading cause of PPH.Factors like closely spaced pregnancies, large babies, or twins can further increase the risk.
In Ogun State, where large families are common due to cultural and economic reasons, this issue is particularly concerning. Hon. Motunrayo Adijat Adeleye, Commissioner for Women Affairs and Social Development, emphasized the need for better education and healthcare access. “We must inform women about the risks of frequent pregnancies and ensure they have access to emergency care,” she said at a recent maternal health event.
To prevent PPH, doctors recommend delivering in hospitals with trained staff, using medications like oxytocin to help the uterus contract, and monitoring women closely after birth. Women with many pregnancies should also take iron supplements to prepare for potential blood loss. “Quick action can save lives,” Dr. Olanrewaju stressed. “Women should seek help immediately if they notice heavy bleeding or feel faint after delivery.”Untreated PPH can lead to severe complications, including shock or organ failure. Treatments include medications, uterine massage, or, in rare cases, surgery. Health officials are also advocating for family planning to space pregnancies and reduce risks, improving outcomes for mothers and babies.
For more information on maternal health programs in Ogun State, contact the Ministry of Women Affairs and Social Development.
