Coming Back from A Severe Postpartum Hemorrhage (PPH)

Abstract

Globally, severe postpartum hemorrhage (PPH) continues to be a major factor in maternal mortality and morbidity. Beyond the immediate life-threatening complications of hypovolemic shock, organ failure, and potential death, survivors of severe PPH may endure a profound and prolonged journey marked by both physical and psychological anguish. The neurobiological sequelae following severe bleeding, including potential cognitive impairment and abnormal brain activity patterns, underscore the gravity of this condition’s impact on mental health. Survivors were frequently seen to have depression, psychological disorders such as Tokophobia (fear of childbirth), and post-traumatic stress disorder (PTSD), affecting maternal bonding and family dynamics. Furthermore, drastic reproductive health consequences, such as Asherman and Sheehan syndromes, may result in infertility, menstrual irregularities, and hormonal imbalances, profoundly altering a woman’s sexuality, marital connexions, and future fertility desires. Effective management of PPH, including uterotonics, bleeding control measures, and advanced surgical interventions, is essential to mitigate immediate risks; however, the enduring impact on physical, psychological, and reproductive health warrants comprehensive long-term care and targeted psychosocial support. This review emphasizes the need for multidisciplinary strategies to enhance recovery outcomes and improve women’s quality of life when managing the severe PPH consequences.