Hello, and I hope I can help you today.
Postpartum hemorrhage has a risk of recurrence, and one of the main risk factors is having had more than three children especially in quick succession.
So the main risk that you have for this
pregnancy is blood loss at delivery, and sometimes, difficulty delivering the placenta. Paragraph things you can do to help minimize the chance of complications at your delivery is to take an iron supplement in addition to your prenatal vitamin, to ensure that you are not anemic at delivery.
It would also be a good idea to deliver in a hospital who has access to
blood transfusion and emergency procedures for postpartum hemorrhage, rather than in a birthing center or somewhere without immediate access to emergency medical care.
It would be in your doctors best interest as well to have medication readily available that can be used to treat postpartum hemorrhage; Misoprostil is the one most commonly used
So in summary, you have a high likelihood of another postpartum hemorrhage because of your obstetric history.
If you deliver in proper healthcare facility, and do your best to not be anemic at delivery, the greatest chance is that you still will have a healthy pregnancy and delivery.
I hope I was adequately able to answer your questions today, and that my advice was reassuring.
Best wishes, and good luck with the rest of the pregnancy,
Dr. Brown