I de fleste tilfælde begynder komplikationerne umiddelbart eller hurtigt (< 24 timer) efter fødslen.
(see section 4.4 Special warnings and Special Precautions for use) Caution is advised in patients taking SSRI’ s, concomitantly with oral anticoagulants, drugs known to affect platelet function or increase risk of bleeding (e. g. atypical antipsychotics such as clozapine, phenothiazines, most TCA’ s, acetylsalicylic acid, NSAID’ s, COX-2 inhibitors) as well as in patients with a history of bleeding disorders or conditions which may predispose to bleeding.