The module on PPH you told that secondary haemorrhage

the module on PPH you told that secondary haemorrhage can occur up till 12 weeks after delivery but actually PPH occurs till puerperium (6 weeks) as written in dutta. So why did you say 12 weeks?

postpartum hemorrhage (PPH) is typically defined as occurring within the immediate postpartum period, which encompasses the first 6 weeks after childbirth, also known as the puerperium. During this time, the risk of PPH is highest, particularly within the first 24 hours after delivery.

However, it’s important to note that while primary PPH, which occurs within 24 hours of delivery, is the most common and immediate concern, bleeding can still occur beyond the immediate postpartum period. This delayed bleeding, sometimes referred to as secondary PPH, can occur up to 12 weeks after delivery, although it is less common than primary PPH.

The occurrence of bleeding beyond the immediate postpartum period can be due to various factors, including retained products of conception, infection, uterine subinvolution, coagulopathy, or other underlying conditions. Therefore, it’s essential for healthcare providers to remain vigilant and assess any abnormal bleeding or symptoms of PPH that may occur during the entire puerperium, up to 6 weeks postpartum and beyond.

Thank you for pointing out the discrepancy, and I appreciate the opportunity to clarify. It’s crucial for healthcare professionals to adhere to established guidelines and definitions while remaining vigilant for potential complications throughout the postpartum period.