### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I hemorraged after the delivery of my last child in December of 2007. Doctors advised me that it would not be in my best interest to have anymore children anytime soon, being the fact that with my last child made three I had within 40 months. I was wondering since I am now due in Feb. of this year what are the health risk that I face?

### output:

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 child Chat Doctor. 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 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,