OHbaby! Forums : Reducing risk of PPH https://www.ohbaby.co.nz/forum/ Copyright (c) 2006-2013 Web Wiz Forums - All Rights Reserved. Thu, 07 May 2026 05:24:24 +0000 Tue, 22 Dec 2009 18:45:29 +0000 http://blogs.law.harvard.edu/tech/rss Web Wiz Forums 12.05 360 https://www.ohbaby.co.nz/forum/RSS_post_feed.asp?TID=30608 <![CDATA[OHbaby! Forums]]> https://www.ohbaby.co.nz/forum/forum_images/web_wiz_forums.png https://www.ohbaby.co.nz/forum/ <![CDATA[Reducing risk of PPH : Gee thats a bit extreme, dont...]]> https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876769&title=reducing-risk-of-pph#876769 Author: Kellz
Subject: 30608
Posted: 22 December 2009 at 6:45pm

Gee thats a bit extreme, dont think I'll be going there, lol, but thanks for all the other related articles!]]> Tue, 22 Dec 2009 18:45:29 +0000 https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876769&title=reducing-risk-of-pph#876769 <![CDATA[Reducing risk of PPH : I know you didn&#039;t ask, but...]]> https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876707&title=reducing-risk-of-pph#876707 Author: HippyMama
Subject: 30608
Posted: 22 December 2009 at 5:23pm

I know you didn't ask, but I've been going through my folder of online bookmarks and figured it couldn't hurt to throw these in as well:

On the third stage of labour and delayed cord clamping: http://www.homebirth.org.uk/thirdstage.htm

Another article re: active third stage management from the peer-reviewed journal American Family Physician:

http://www.aafp.org/afp/2003/0515/p2119.html


From the Gentle Birth website:

http://www.gentlebirth.org/archives/thirdstg.html


There is also another 'natural' remedy that I think is often used in homebirthing circles but not often spoken about for fear of 'grossing out' others, and that is placentophagy aka eating part of the placenta. I won't go into too much detail now on account of the gross-out factor, but it simply involves cutting off a 10c sized piece and scoffing it as quickly as you can. I think the theory behind it is that the hormones contained in the placenta once it has been birthed help send the body / uterus a message to say 'hey, we're all done here now, time to get a move on and contract back to normal size without any of this messy bleeding business' ]]> Tue, 22 Dec 2009 17:23:45 +0000 https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876707&title=reducing-risk-of-pph#876707 <![CDATA[Reducing risk of PPH : I&#039;m in the same boat, Kellz....]]> https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876652&title=reducing-risk-of-pph#876652 Author: my4beauties
Subject: 30608
Posted: 22 December 2009 at 4:11pm

I'm in the same boat, Kellz.  I lost just under a litre of blood after having Jett (about 6 hrs later).  They say anything over 500mls is classed as a PPH.  My HB dropped to just over 80, and was about 96 before I gave birth.

 

MW is aware of this, and although I'm birthing in hospital, I'm still freaking out about it happening again.

]]> Tue, 22 Dec 2009 16:11:24 +0000 https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876652&title=reducing-risk-of-pph#876652 <![CDATA[Reducing risk of PPH : Thanks heaps for all that info! My...]]> https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876632&title=reducing-risk-of-pph#876632 Author: Kellz
Subject: 30608
Posted: 22 December 2009 at 3:44pm

Thanks heaps for all that info!
My bleed was only ever referred to as being moderate, and never made an issue of, but I know how far my hb dropped, so i really think it muct have been more than was doccumented.
I saw the backup midwife last week and I said something to her which made her ask questions,..it was me who hadnt mentioned it to my midwife this time, which I guess I should have but at the time the drs/midwifes made no issue of it.
I had so many other compllications and issues, and I believe most were a result of being in hopital as the first 10 hrs of my labour was going so well. I want to do everything I can to avoid going to hopsital, and only want medical intervention if myself or baby are at risk, not as a precaution or 'just because'.

]]> Tue, 22 Dec 2009 15:44:19 +0000 https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876632&title=reducing-risk-of-pph#876632 <![CDATA[Reducing risk of PPH : Sorry for typos if any, doing...]]> https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876587&title=reducing-risk-of-pph#876587 Author: HippyMama
Subject: 30608
Posted: 22 December 2009 at 2:54pm

Sorry for typos if any, doing the one handed chicken peck...

From the research I did on PPH, the less the placenta is interfered with, the less likely you are to have bleeding issues. Also, having had bleeding/PPH issues in a previous birth is not an indicator or risk factor for bleeds with future births.

Though I must admit I'm a little surprised that your mw hasn't addressed this aspect of your history sooner, *especially* since you are wanting to home birth.

With my first birth I lost nearly a litre post partum, and had a managed third stage, followed by a god awful 5 day recovery in hospital and 3 units of blood.

More recently however I made the decision to stay at home where I would be most comfortable and not have to enter an overly medicalised, fear filled environment.

Labour was 2hrs all up (compared to 13hrs previously), I had no excess bleeding issues whatsoever, and the placenta came away within 20 minutes - no traction or drugs required there either.

The thing for me was, with home birth, it meant anyone and everyone involved in the birth itself was on *my* turf and that I wouldn't have to ask permission for things. If you want to home birth, it is your right to put your foot down - had I not found the midwife I did (who was VERY flexible and openminded) I would have chosen to go the UC route.

I know homebirth is not everyone's cup of tea, but personally, it was the best decision I could have made for all of us.

If you can get your hands on a copy, I'd highly recommend having a read of Dr Sarah J Buckley's "Gentle Birth, Gentle Mothering" and in particular the section on third stage management.

There is also an article on this from her website that is a good read:

http://sarahjbuckley.com/articles/leaving-well-alone.htm


Another amazing blog you should check out is that of Australian homebirth midwife Lisa Barrett:

http://www.homebirth.net.au/

Here is a link to all of her articles / entries to do with the third stage of labour:

http://www.homebirth.net.au/search/label/Third%20stage%20of%20labour


I'll leave you with the following from the results of a study which was published in the New Zealand College of Midwives Journal:

Originally posted by Guilliland, K. (2007). The current global effort to prevent post partum <br />haemorrhage: how likely is it to be effective? New Zealand College of <br />Midwives Journal, 36, 28-31 Guilliland, K. (2007). The current global effort to prevent post partum
haemorrhage: how likely is it to be effective? New Zealand College of
Midwives Journal, 36, 28-31 wrote:


In New Zealand about 30% of all women, with a midwife lead maternity carer
(LMC) who is a member of the New Zealand College of Midwives' Maternity
Provider Organisation (MMPO), have physiological management of third stage
of labour (NZCOM, 2007). The women choose this option as a result of the
informed consent culture in New Zealand. This allows them to assess their
own risk and make their own decisions about care.

Out of a total cohort of 12,061 women cared for by 369 midwives in 2004, the
rate of PPH in those 30% of healthy women (who chose physiological
management) was lower than that of the healthy women who chose active
management (ibid).

In NZ most women start their pregnancy with an LMC and some 78% in 2003 had
a midwife LMC. (Ministry of Health, 2006). It is common therefore for
midwife LMCs to have a mixed caseload of low to moderate risk women. They
either provide care for these women on their own responsibility or they work
in consultation with specialists.

The incidence overall of PPH following vaginal birth in the MMPO 2004 cohort
of mixed low to moderate risk status women was 8.3%. Of the women who chose
an actively managed third stage, some 6% had a PPH of between 500 and
999mls, compared to 3% of women who chose a physiologically managed third
stage. Some 1% of women in the actively managed group had a PPH over
1000mls. No women in the physiologically managed group had a PPH over
1000mls. Manual removal of the placenta was required for 0.4% of the women,
and this was the same rate in both groups. The main incidence of PPH in
this cohort, and in New Zealand in general, was not following spontaneous
vaginal birth but was predominantly associated with operative birth both
forceps and caesarean section (Women's Hospitals Australasia, 2005)."



If you've managed to get this far through my wee novel, and are interested in some more resources I'd be happy to hunt them out for you.



]]> Tue, 22 Dec 2009 14:54:04 +0000 https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876587&title=reducing-risk-of-pph#876587 <![CDATA[Reducing risk of PPH : Yeah Im not keen on an iv or any...]]> https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876328&title=reducing-risk-of-pph#876328 Author: Kellz
Subject: 30608
Posted: 22 December 2009 at 11:01am

Yeah Im not keen on an iv or any sort of drugs, but if its means the difference between the midwife 'allowing' me to have a home birth, and not having one then I will agree.

I had wanted to leave the placenta, and not cut the cord until in stops pulsing, but the midwife wants to get the placenta out asap. Hopefully when she reads my notes she will be less concerned, and not more!]]> Tue, 22 Dec 2009 11:01:37 +0000 https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876328&title=reducing-risk-of-pph#876328 <![CDATA[Reducing risk of PPH : Kellz - I was in the same boat,...]]> https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876269&title=reducing-risk-of-pph#876269 Author: HippyMama
Subject: 30608
Posted: 22 December 2009 at 10:07am

Kellz - I was in the same boat, which was a big part of why I chose homebirth.

We had synto on hand, but only a single dose worth for if there were any issues birthing the placenta. It can sometimes have the opposite to it's desired effect and make bleeding worse.

I also stipulated NO cord traction, which means absolutely no-one pulling on the umbilical cord to 'help' you birth the placenta.

Breastfeeding as soon as you and baby are able is definitely important in terms of avoiding PPH as you would of course know it helps the uterus contract back down to it's regular size.

MrsH is also correct in that having a full bladder can hinder things, so making sure you try to pee during and after labour is important, as well as keeping hydrated enough to pee.

There are also herbal remedies you can take to help stop PPH in addition to pharmaceutical drugs, Shepherds Purse and Black Cohosh are two (I'm sure there are more but I can't remember).

Personally I would want to avoid having the IV lure in beforehand, I *hate* the feeling of them and to me it would have felt like I was undermining my own confidence yk?

If you want, flick me a PM (here or on Facebook) and I can find my birth plan for you which there is probably some more useful stuff in that I have forgotten already ]]> Tue, 22 Dec 2009 10:07:14 +0000 https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876269&title=reducing-risk-of-pph#876269 <![CDATA[Reducing risk of PPH : Apparently keeping your bladder...]]> https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876206&title=reducing-risk-of-pph#876206 Author: MrsH
Subject: 30608
Posted: 22 December 2009 at 9:01am

Apparently keeping your bladder empty is a good one - that way the uterus and the bladder aren't fighting for space so the uterus isn't going to relax to allow the bladder to fit.

I had a PPH about 6 days after I gave birth and they said that that was one of the reasons.]]> Tue, 22 Dec 2009 09:01:47 +0000 https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876206&title=reducing-risk-of-pph#876206 <![CDATA[Reducing risk of PPH : I didnt have Post Partum Haemorage...]]> https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876194&title=reducing-risk-of-pph#876194 Author: Kellz
Subject: 30608
Posted: 22 December 2009 at 8:49am

I didnt have Post Partum Haemorage last time, but had enough of a bleed to significantly drop my hb to almost needing transfusion.

I am wanting to have a home birth. Midwife is reading my notes from last time (diff midwife) to decide weather she happy to have homebirth, and then we will most likely do things to reduce the risk such as having a iv line in proir to birthing, and having syntocin to contract uterus, and bf asap after birth too.

I would like to know of natural ways to help reduce rick of pp bleeding please.

TIA!]]> Tue, 22 Dec 2009 08:49:10 +0000 https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=30608&PID=876194&title=reducing-risk-of-pph#876194