{"id":1668,"date":"2021-06-22T13:25:23","date_gmt":"2021-06-22T10:25:23","guid":{"rendered":"https:\/\/ikalogiannidis.gr\/?page_id=1668"},"modified":"2021-07-13T14:08:49","modified_gmt":"2021-07-13T11:08:49","slug":"post-partum-hemorrhage","status":"publish","type":"page","link":"https:\/\/ikalogiannidis.gr\/en\/post-partum-hemorrhage\/","title":{"rendered":"Post-Partum hemorrhage"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1668\" class=\"elementor elementor-1668 elementor-1554\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-293099c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"293099c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-386d6c4\" data-id=\"386d6c4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-247a406 elementor-widget elementor-widget-text-editor\" data-id=\"247a406\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<strong>Introduction<\/strong><br><br>\n\nPost-Partum Hemorrhage (PPH) or of the 3d stage of delivery, is the bleeding of more than 500ml, just after vaginal delivery or caesarean section until 24 hours following the childbirth. The rate of PPH is as high as 5%, however the heavy bleeding (>1000ml) of the 3d stage of delivery is luckily less than 1%. PPH is responsible for almost 150.000 maternal deaths worldwide every year, which is almost the 30% of the overall maternal deaths during pregnancy.<br><br>  \n\nThe main reasons of the PPH are:\n<ul>\n \t<li>Uterine atony (70%) <\/li>\n \t<li>Wounding (trauma) of the uterus, cervix, vagina during delivery (20%)<\/li>\n \t<li>Placental retention (partial or total) (10%)<\/li>\n \t<li>Maternal disorders of coagulation (1%)<\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c3f309b elementor-widget elementor-widget-text-editor\" data-id=\"c3f309b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<strong>Treatment<\/strong><br><br>\n\nPPH is an emergent Obstetrical event. More than any other condition of Obstetrics and Gynecology multidisciplinary approach is needed (gynecologist, anesthesiologist, hematologist, midwifes, etc), while experience in advance live support is obligatory in such circumstance.<br>\nThe therapeutic approach of PPH can be medical or surgical. Concerning the medical treatment of PP\u0397 is included all the conservative options of the PPH hemostasis such as: pharmaceutical and mechanical approaches. Pharmaceutical treatment such as oxytocin, prostaglandins etc, can be used to reduce or to stop the PPH from uterine atony, placenta accreta, increta, percreta or placental retention. For the same reasons uterine compression, or manual placental detachment can be used to treat the PPH, in case of previous unsuccessful medical management <strong>(Figure 1 &amp; 2).<\/strong> However, if the former manipulations were ineffective, surgical handling must be used to stop the hemorrhage of the 3d stage of delivery.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-a6e3717 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a6e3717\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-f21f6ee\" data-id=\"f21f6ee\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-78af605 elementor-widget elementor-widget-image\" data-id=\"78af605\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"560\" height=\"449\" src=\"https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/aimoragia1.jpg\" class=\"attachment-full size-full wp-image-1556\" alt=\"aimoragia1\" srcset=\"https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/aimoragia1.jpg 560w, https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/aimoragia1-300x241.jpg 300w\" sizes=\"(max-width: 560px) 100vw, 560px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Figure 1<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0ec4530\" data-id=\"0ec4530\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-066616e elementor-widget elementor-widget-image\" data-id=\"066616e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"490\" height=\"414\" src=\"https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/aimoragia2.jpg\" class=\"attachment-full size-full wp-image-1558\" alt=\"aimoragia2\" srcset=\"https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/aimoragia2.jpg 490w, https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/aimoragia2-300x253.jpg 300w\" sizes=\"(max-width: 490px) 100vw, 490px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Figure 2<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-3573079 elementor-widget elementor-widget-text-editor\" data-id=\"3573079\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tSurgical manipulations that can be used for the further management of the PPH are:   \n<ul>\n<li>Stitches B-Lynch (Figure 3)<\/li>  \n\n<li>Stitches O\u2019 Leary (Figure 4)<\/li> \n\n<li>Stitches Gilstrapp<\/li> \n\n<li>Ligation (bilateral) of the internal iliac artery<\/li> <\/ul>\n\nIn case that hemostasis has succeeded neither with the former stitches nor by the ligation of the arteries, obstetrical hysterectomy (total or subtotal) is the final radical treatment approach.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-0867c5b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0867c5b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4fdeab4\" data-id=\"4fdeab4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8646d47 elementor-widget elementor-widget-image\" data-id=\"8646d47\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"286\" height=\"321\" src=\"https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/aimoragia3.jpg\" class=\"attachment-full size-full wp-image-1560\" alt=\"aimoragia3\" srcset=\"https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/aimoragia3.jpg 286w, https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/aimoragia3-267x300.jpg 267w\" sizes=\"(max-width: 286px) 100vw, 286px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Figure 3<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-1abde4b\" data-id=\"1abde4b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9492d8d elementor-widget elementor-widget-image\" data-id=\"9492d8d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/aimoragiaf4.jpg\" title=\"aimoragiaf4\" alt=\"aimoragiaf4\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Figure 4<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-8a30e84 elementor-widget elementor-widget-text-editor\" data-id=\"8a30e84\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tThe overall rate of obstetrical hysterectomies is not more than 0.5% of pregnancies, mainly because of placenta accrete (50%) and uterine atony (30%). However, obstetrical hysterectomy is not without complication (Table 1). Furthermore, almost 40% of the mothers will be admitted in the Intensive Care Unit (ICU), while maternal mortality after obstetrical hysterectomy because of PPH is as high as 1.5%.<br><br> \n\n<strong>Table 1.<\/strong> Complication after obstetrical hysterectomy \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db7e022 eael-table-align-left eael-dt-th-align-center elementor-widget elementor-widget-eael-data-table\" data-id=\"db7e022\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-data-table.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"eael-data-table-wrap\" data-table_id=\"db7e022\" id=\"eael-data-table-wrapper-db7e022\" data-custom_responsive=\"false\">\n\t\t\t<table class=\"tablesorter eael-data-table left\" id=\"eael-data-table-db7e022\">\n\t\t\t    <thead>\n\t\t\t        <tr class=\"table-header\">\n\t\t\t\t\t\t\t\t\t            <th class=\"\" id=\"\" colspan=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"data-table-header-text\">Complication <\/span><\/th>\n\t\t\t        \t\t\t\t            <th class=\"\" id=\"\" colspan=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"data-table-header-text\">%<\/span><\/th>\n\t\t\t        \t\t\t\t        <\/tr>\n\t\t\t    <\/thead>\n\t\t\t  \t<tbody>\n\t\t\t\t\t\t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\tPelvic infection  \t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t14\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t        \t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\tPostoperative fever  \t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t12\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t        \t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\tIleus (obstructive) \t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t5\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t        \t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\tFistula\u00a0\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t3.5\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t        \t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\tUrinary infection \t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t3\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t        \t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\tWound infection   \t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t1\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t        \t\t\t\t\t\t<tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\tDeep venous thrombosis (DVT) \t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t   \t\t\t\t\t\t\t\t\t\t\t<td colspan=\"\" rowspan=\"\" class=\"\" id=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"td-content-wrapper\"><div class=\"td-content\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t0.5-1\t\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t        \t\t\t    <\/tbody>\n\t\t\t<\/table>\n\t\t<\/div>\n\t  \t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8b7a6b0 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"8b7a6b0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e93410c elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e93410c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-c8e3bd5\" data-id=\"c8e3bd5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c93f07d elementor-widget elementor-widget-heading\" data-id=\"c93f07d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Share:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-caf4c19\" data-id=\"caf4c19\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-64d43ac elementor-share-buttons--skin-minimal elementor-grid-mobile-0 elementor-share-buttons--view-icon elementor-share-buttons--shape-circle elementor-share-buttons--color-custom elementor-grid-0 elementor-widget elementor-widget-share-buttons\" data-id=\"64d43ac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"share-buttons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-grid\" role=\"list\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_facebook\" role=\"button\" tabindex=\"0\" aria-label=\"Share on facebook\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<i class=\"fab fa-facebook\" aria-hidden=\"true\"><\/i>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_twitter\" role=\"button\" tabindex=\"0\" aria-label=\"Share on twitter\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<i class=\"fab fa-twitter\" aria-hidden=\"true\"><\/i>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_linkedin\" role=\"button\" tabindex=\"0\" aria-label=\"Share on linkedin\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<i class=\"fab fa-linkedin\" aria-hidden=\"true\"><\/i>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_pinterest\" role=\"button\" tabindex=\"0\" aria-label=\"Share on pinterest\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<i class=\"fab fa-pinterest\" aria-hidden=\"true\"><\/i>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_print\" role=\"button\" tabindex=\"0\" aria-label=\"Share on print\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<i class=\"fas fa-print\" aria-hidden=\"true\"><\/i>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\" role=\"listitem\">\n\t\t\t\t\t\t<div class=\"elementor-share-btn elementor-share-btn_email\" role=\"button\" tabindex=\"0\" aria-label=\"Share on email\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-share-btn__icon\">\n\t\t\t\t\t\t\t\t<i class=\"fas fa-envelope\" aria-hidden=\"true\"><\/i>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-43d439d\" data-id=\"43d439d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-375a1e2 eael-infobox-shape-circle eael-infobox-hover-img-shape-circle eael-infobox-content-align--center elementor-widget elementor-widget-eael-info-box\" data-id=\"375a1e2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-info-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <div class=\"eael-infobox icon-on-top\">\n\t            <div class=\"infobox-icon\">\n\n                            <img decoding=\"async\" src=\"https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/05\/6-\u0391\u03bd\u03c4\u03b9\u03b3\u03c1\u03b1\u03c6\u03b7\u0301.jpeg\" alt=\"Kalogiannidis doctor\">\n            \n            \n            \n        <\/div>\n            <div class=\"infobox-content\">\n                    <div class=\"infobox-title-section\">\n                <h2 class=\"title\">IOANNIS \u0391. KALOGIANNIDIS MD, PhD<\/h2>            <\/div>\n            <div><div class=\"elementor-element elementor-element-165d3d22 elementor-widget elementor-widget-text-editor\" data-id=\"165d3d22\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n<div class=\"elementor-widget-container\">\n\n<strong>Associate Professor<\/strong><br>\nObstetrics Gynecology &#8211;<br>\nGynecologic Oncology\n\n<\/div>\n<\/div><\/div>        <div class=\"infobox-button\">\n            <a class=\"eael-infobox-button\" href=\"\/newsite\/en\/resume\/\">\n                                                <span class=\"infobox-button-text\">Resume<\/span>\n                            <\/a>\n        <\/div>\n            <\/div>\n            <\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e957a93 elementor-widget elementor-widget-heading\" data-id=\"e957a93\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">SEE ALSO<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-be6cdec elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"be6cdec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-81826ac ekit-equal-height-disable elementor-widget elementor-widget-elementskit-image-box\" data-id=\"81826ac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\n            <div class=\"elementskit-info-image-box ekit-image-box text-center simple-card\" >\n\n                \n                <div class=\"elementskit-box-header image-box-img-center\">\n\n                    <img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"532\" src=\"https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/female-gynecologist-testpap.jpg\" class=\"attachment-full size-full wp-image-747\" alt=\"gynecologist-testpap\" srcset=\"https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/female-gynecologist-testpap.jpg 800w, https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/female-gynecologist-testpap-300x200.jpg 300w, https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/female-gynecologist-testpap-768x511.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\n                <\/div>\n                \n                <div class=\"elementskit-box-body ekit-image-box-body\">\n                    <div class=\"elementskit-box-content ekit-image-box-body-inner\">\n                                                <h3 class=\"elementskit-info-box-title\">\n\n                        Test PAP\n                        \n                    <\/h3>\n                                                            <div class=\"elementskit-box-style-content\">\n                        PAP smear or test PAP is the collection of cell population from the cervix and the endocervical canal to identify cervical pathology, actually premalignant and malignant diseases.                    <\/div>\n                                    <\/div>\n\n                                <div class=\"elementskit-box-footer\">\n                    <div class=\"box-footer\">\n                        <div class=\"btn-wraper\">\n                                                            <a href=\"\/en\/test-pap\/\" class=\"elementskit-btn whitespace--normal\">\n                                    Read More                                <\/a>\n                                                    <\/div>\n                    <\/div>\n                <\/div>\n                            <\/div>\n            <\/div>\n    <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0073ae7 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"0073ae7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2986057 ekit-equal-height-disable elementor-widget elementor-widget-elementskit-image-box\" data-id=\"2986057\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\n            <div class=\"elementskit-info-image-box ekit-image-box text-center simple-card\" >\n\n                \n                <div class=\"elementskit-box-header image-box-img-center\">\n\n                    <img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/papilloma-virus-hpv-PSYPEVF.jpg\" class=\"attachment-full size-full wp-image-740\" alt=\"papilloma-virus-hpv\" srcset=\"https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/papilloma-virus-hpv-PSYPEVF.jpg 800w, https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/papilloma-virus-hpv-PSYPEVF-300x200.jpg 300w, https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/papilloma-virus-hpv-PSYPEVF-768x512.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\n                <\/div>\n                \n                <div class=\"elementskit-box-body ekit-image-box-body\">\n                    <div class=\"elementskit-box-content ekit-image-box-body-inner\">\n                                                <h3 class=\"elementskit-info-box-title\">\n\n                        HPV-DNA testing\n                        \n                    <\/h3>\n                                                            <div class=\"elementskit-box-style-content\">\n                        Human Papilloma Virus (HPV) is related to cervical cancer in 99% of cases. Most often high risk subtypes concerning the malignant diseases of the female genital tract are the types 16 and 18.                    <\/div>\n                                    <\/div>\n\n                                <div class=\"elementskit-box-footer\">\n                    <div class=\"box-footer\">\n                        <div class=\"btn-wraper\">\n                                                            <a href=\"\/en\/hpv-dna-testing\/\" class=\"elementskit-btn whitespace--normal\">\n                                    Read More                                <\/a>\n                                                    <\/div>\n                    <\/div>\n                <\/div>\n                            <\/div>\n            <\/div>\n    <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-875fa0f elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"875fa0f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2db468 ekit-equal-height-disable elementor-widget elementor-widget-elementskit-image-box\" data-id=\"d2db468\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"elementskit-image-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\n            <div class=\"elementskit-info-image-box ekit-image-box text-center simple-card\" >\n\n                \n                <div class=\"elementskit-box-header image-box-img-center\">\n\n                    <img decoding=\"async\" src=\"https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/06\/dummy-gynecologist2.jpg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\n                <\/div>\n                \n                <div class=\"elementskit-box-body ekit-image-box-body\">\n                    <div class=\"elementskit-box-content ekit-image-box-body-inner\">\n                                                <h3 class=\"elementskit-info-box-title\">\n\n                        Colposcopy\n                        \n                    <\/h3>\n                                                            <div class=\"elementskit-box-style-content\">\n                        Colposcopy is the method for the further diagnostic approach of patients with cervical pathology, which was diagnosed using PAP smear or HPV-DNA testing.                    <\/div>\n                                    <\/div>\n\n                                <div class=\"elementskit-box-footer\">\n                    <div class=\"box-footer\">\n                        <div class=\"btn-wraper\">\n                                                            <a href=\"\/en\/colposcopy\/\" class=\"elementskit-btn whitespace--normal\">\n                                    Read More                                <\/a>\n                                                    <\/div>\n                    <\/div>\n                <\/div>\n                            <\/div>\n            <\/div>\n    <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Introduction Post-Partum Hemorrhage (PPH) or of the 3d stage of delivery, is the bleeding of more than 500ml, just after vaginal delivery or caesarean section until 24 hours following the childbirth. The rate of PPH is as high as 5%, however the heavy bleeding (>1000ml) of the 3d stage of delivery is luckily less than [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2507,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1668","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Post-Partum hemorrhage - \u039a\u03b1\u03bb\u03bf\u03b3\u03b9\u03b1\u03bd\u03bd\u03af\u03b4\u03b7\u03c2 \u0399\u03c9\u03ac\u03bd\u03bd\u03b7\u03c2 \u0399\u03b1\u03c4\u03c1\u03cc\u03c2 \u0393\u03c5\u03bd\u03b1\u03b9\u03ba\u03bf\u03bb\u03cc\u03b3\u03bf\u03c2 \u0398\u03b5\u03c3\u03c3\u03b1\u03bb\u03bf\u03bd\u03af\u03ba\u03b7<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ikalogiannidis.gr\/en\/post-partum-hemorrhage\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Post-Partum hemorrhage - \u039a\u03b1\u03bb\u03bf\u03b3\u03b9\u03b1\u03bd\u03bd\u03af\u03b4\u03b7\u03c2 \u0399\u03c9\u03ac\u03bd\u03bd\u03b7\u03c2 \u0399\u03b1\u03c4\u03c1\u03cc\u03c2 \u0393\u03c5\u03bd\u03b1\u03b9\u03ba\u03bf\u03bb\u03cc\u03b3\u03bf\u03c2 \u0398\u03b5\u03c3\u03c3\u03b1\u03bb\u03bf\u03bd\u03af\u03ba\u03b7\" \/>\n<meta property=\"og:description\" content=\"Introduction Post-Partum Hemorrhage (PPH) or of the 3d stage of delivery, is the bleeding of more than 500ml, just after vaginal delivery or caesarean section until 24 hours following the childbirth. The rate of PPH is as high as 5%, however the heavy bleeding (&gt;1000ml) of the 3d stage of delivery is luckily less than [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ikalogiannidis.gr\/en\/post-partum-hemorrhage\/\" \/>\n<meta property=\"og:site_name\" content=\"\u039a\u03b1\u03bb\u03bf\u03b3\u03b9\u03b1\u03bd\u03bd\u03af\u03b4\u03b7\u03c2 \u0399\u03c9\u03ac\u03bd\u03bd\u03b7\u03c2 \u0399\u03b1\u03c4\u03c1\u03cc\u03c2 \u0393\u03c5\u03bd\u03b1\u03b9\u03ba\u03bf\u03bb\u03cc\u03b3\u03bf\u03c2 \u0398\u03b5\u03c3\u03c3\u03b1\u03bb\u03bf\u03bd\u03af\u03ba\u03b7\" \/>\n<meta property=\"article:modified_time\" content=\"2021-07-13T11:08:49+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ikalogiannidis.gr\/wp-content\/uploads\/2021\/07\/topics-Post-Partum-hemorrhage.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"533\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/ikalogiannidis.gr\\\/en\\\/post-partum-hemorrhage\\\/\",\"url\":\"https:\\\/\\\/ikalogiannidis.gr\\\/en\\\/post-partum-hemorrhage\\\/\",\"name\":\"Post-Partum hemorrhage - 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