Placenta Delivery?
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Topic: Placenta Delivery?
Posted By: Inlove28
Subject: Placenta Delivery?
Date Posted: 25 September 2009 at 1:12am
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Hi Ladies,
Just wondering those of you that have made the decision or are currently making the decision please let me know what option you are choosing for delivery of the placenta? Im pretty sure I will go with the option of a natural delivery (is this what most do) My husband feels strongly about it as its such a better start for bubs. My only fear of course is too much bleeding.. |
Replies:
Posted By: Mamma2N
Date Posted: 25 September 2009 at 6:52am
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Firstly, post-partum bleeding is rare, so try not to worry about that. I chose to deliver my placenta naturally, it came about 25mins after DD.. Nothing major, a couple of pushes & it was out. I wouldn't be too adamant either way until its D-day. If you are exhausted and your LMC advises you have the injection then it may be the best thing for you. I suggest you talk it through with your LMC so you're on the same page.
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Posted By: T_Rex
Date Posted: 25 September 2009 at 7:21am
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I'm going to discuss this with my LMC soon. Its not something I'm too concerned about either way really - especially as by then I'll be holding bubs so who cares about anything else! I don't think it has much if any impact on bubs what you do. I know it means the cord is cut before it stops pulsing, but as far as I can see, if the cord is pulsing, blood is going out as well as into baby, so its just trading blood and may as well keep the blood s/he's got!
I think its something I'll leave to my MW's discretion. If she thinks its a good idea to jab me, she can! ------------- http://lilypie.com">  http://lilypie.com">
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Posted By: kebakat
Date Posted: 25 September 2009 at 8:25am
| I had the jab, it was great and would always do it that way. My placenta was delivered a couple of minutes after I had it. Meant that MW could get to work stitching me up and could be left to bonding. |
Posted By: queenbean
Date Posted: 25 September 2009 at 8:51am
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Exactly what Stacey said! -------------   
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Posted By: BugTeeny
Date Posted: 25 September 2009 at 8:51am
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I had the injection.
It wasn't even anything i thought about until I was actually in labour. I needed a couple of stitches, so like Kebakat, I opted for the jab so the MW could get things done and dusted so I could get on with the business of things  ------------- 
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Posted By: Febgirl
Date Posted: 25 September 2009 at 9:40am
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I had the injection too - my midwife said that most women have it. Didn't even feel it and it meant placenta was delivered a few minutes after DD, and I was able to get up and shower 30 minutes later. ------------- Two little girls under 2! 
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Posted By: rachelsea
Date Posted: 25 September 2009 at 9:45am
I had the jab too, and also hadn't thought about it. I think because I had an obstetrician I didn't have a choice so good thing I didn't mind  didn't even notice it coming out! I don't have any preference as to what happens next time, will just see what happens at the time!------------- DD 4yrs DS 2yrs http://lilypie.com" rel="nofollow"> 
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Posted By: AuntieSarah
Date Posted: 25 September 2009 at 9:56am
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Had the jab here too, needed quite a bit of stitching up (which took quite a while) so the midwife was able to get onto that quickly.
Why do you say it's a much better start for bubs to deliver it naturally? (Genuinely curious - I didn't know it was). ------------- http://lilypie.com">  http://lilypie.com">
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Posted By: MonicaMouse
Date Posted: 25 September 2009 at 10:14am
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I've had one with and one without the jab. First time I had a spinal so didn't feel a thing with regards to the placenta being delivered.(ventouse & forceps delivery).
With Daniel's delivery, we spent time doing cuddles etc and getting early pics, and then 20 mins later MW got me to push again, came out really easy - well a lot easier than a baby  . I'm a bit of a needlephobic so was going to try and avoid any needles I could. However if I was extremely tired, had no energy and it was taking ages then I would have considered it------------- 
Blair 15/10/2007 Daniel 30/07/2009 |
Posted By: rachndean
Date Posted: 25 September 2009 at 10:16am
Is it bad that I dont remember what we I did!?!
(off to find labour notes to find out) hehehe ------------- http://lilypie.com">  
DD Savannah 18.01.04 DS Austin 04.09.08 |
Posted By: blondy
Date Posted: 25 September 2009 at 10:27am
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I had planned with the MW to have a natural delivery of the placenta, but the pushing part of labour dragged on for so long (including having the cord wrapped a few times around DD's neck), so the MW just told me she was giving me the jab, and the placenta came a couple of minutes later...then the MW spent an hour stitching me up! Just remember that no matter what you decide, you really need to follow the LMC's advice at the time as they're the best judge. -------------  
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Posted By: Tweedle
Date Posted: 25 September 2009 at 10:27am
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I planned to have my placenta naturally with both labours but ended up having the jab after it was taking a while and having a couple of huge blood gushes. This time around I will be having the jab regardless ------------- Mum to Ellie, Dylan & Lauren |
Posted By: AandCsmum
Date Posted: 25 September 2009 at 11:09am
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Had the jab with both of mine. I didn't want to risk anything & didn't want to be faffing about with that when I wanted to see my babies. ------------- Kel http://lilypie.com"> 
A = 01.02.04 & C = 16.01.09 & G = 30.03.12 |
Posted By: Guests
Date Posted: 25 September 2009 at 11:41am
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I had the jab too. The placenta came out a few minutes later and I don't remember having to push it out. My mw said most people get it.
I think having the jab can reduce the risk of heavier bleeding too, (although don't quote me )
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Posted By: monster
Date Posted: 25 September 2009 at 11:46am
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I had it naturally and it came out with an easy push or two 6 mins after I had my boy. I figured that there was no point introducing drugs into my system unless they were needed. -------------   
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Posted By: Mamma2N
Date Posted: 25 September 2009 at 11:46am
Yep it can! But then the risk of heavy bleeding is quite low
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misscheeky wrote:Posted By: angel4
Date Posted: 25 September 2009 at 12:40pm
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i wasnt going to have the jab as i had planned a drug free birth and figured why have an drug at the end of labour that wasnt needed. Also i am terrified of needles. But i went into labour at 36wks with my iron levels non existant so it was decided quite early on in my labour that i would be having the jab as i couldnt afford any extra blood loss. I still had a drug free birth and dont even remember the needle going into my thigh. I still had to push the placenta out however it came very quickly. Actually it worked out quite well because they took henry away to be checked over by nicu so pushing the placenta out gave me something to do lol.
I think i will have the jab this time as im the kinda person who likes to go with whats familiar lol but no other reason. Will look into it all again a bit later it think |
Posted By: Bel
Date Posted: 25 September 2009 at 12:42pm
I had the jab with my first (was induced so had IV line in - easy!) and it all went well, in fact don't remember delivering it - same story as many others, needed stitches, so was good to get sorted and onto those 
2nd time round I was induced again, but the IV line came out in the rush of the birth (4 minutes of pushing) and so we did it the natural way - I didn't notice any difference to be honest, except it was a bit longer, meant that we waited for cord to stop pulsing etc before cutting as well. ------------- Mum to two beautiful kids 
Luke (09.11.2007) Amy (01.04.2009) |
Posted By: WestiesGirl
Date Posted: 25 September 2009 at 1:23pm
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I had the jab too. I originally wanted to do it naturally, I figured if I gave borth naturally I could do the placenta but then had another thought that once bubs arrived I wanted to concentrate my time with him.
So I had the jab, I didnt do any pushing though my MW just pushed down on my belly about 20 minutes after the jab and out it came. It was a weird feeling but nothing like giving birth ------------- Our Angel July 08  Gone but not forgotten
And to complete our family, our princess has arrived 
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Posted By: Inlove28
Date Posted: 25 September 2009 at 2:15pm
The third stage of labour is when you deliver your baby's placenta and membranes. Whether you have your baby at home or in hospital, you can choose how you do this. The choice is between a managed or a physiological (natural) third stage. A managed third stage involves an injection in your thigh as your baby is being born, as soon as his first shoulder is delivered. After the birth, the cord is clamped and cut immediately. The injection then causes the uterus to contract strongly and the placenta to come away, so that it is delivered quickly. You do not have to push or do anything with a managed third stage, as the midwife waits until your uterus contracts, and then pulls gently on the cord to deliver the placenta. The advantage of this method is that it is over quickly, usually in five to 10 minutes, and in most cases within 15 to 20 minutes. There is little blood loss and a lower risk of you experiencing heavy bleeding. The disadvantage is that one of the drugs used, ergometrine, may make you feel or be sick, or give you a headache. However, many maternity units now use a single drug, oxytocin, which is less likely to cause these side effects than syntometrine (a mixture of oxytocin and ergometrine). A physiological or natural third stage means waiting for the placenta to be delivered naturally. This usually takes about 20 minutes to happen but may take up to an hour. Breastfeeding and skin-to-skin contact with your baby will help your uterus to start contracting and help the third stage along. You also need to actively help the delivery of the placenta by pushing, preferably in an upright position, perhaps squatting or kneeling and leaning forward onto a support. Cord clamping is delayed until the cord has stopped pulsating. This means that your baby gets more oxygenated blood from the placenta. |
Posted By: Inlove28
Date Posted: 25 September 2009 at 2:17pm
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Also not sure if its just my midwifes or not but they need it in writing which option I choose of course things can change once you get to labour
My husband does feel strongly about giving bubs that extra blood and oxygen |
Posted By: _Deb_
Date Posted: 25 September 2009 at 2:46pm
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I had the jab. It worked great. The placenta came out a couple of minutes after the baby. I didn't even notice. I had a complicated labour and birth though so it's lucky i had it. I lost 2 litres of blood and tore twice, as well as other things. I'll be having it this time too even though I'm planning a drug free birth. ------------- 
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Posted By: Mamma2N
Date Posted: 25 September 2009 at 2:50pm
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Inlove, the injection doesn't need to be administered right after the first shoulder is out - I was there for my nieces birth and my sister opted for one about 5 mins after she was born.
I say go for your drug-free labour, - I still had my skin-to-skin, then handed her to hubby while I birthed the placenta. Waiting for it wasn't on my mind - I had a beautiful bundle in my arms
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Posted By: BerryBliss
Date Posted: 25 September 2009 at 2:54pm
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I've had the injection with all mine tho with the last 3 i didn't have a choice as i'm a high bleeding risk, but i would of choosed the injection if i had a choice.
Hmmm reading the above post about the managed 3rd stage " A managed third stage involves an injection in your thigh as your baby is being born, as soon as his first shoulder is delivered. After the birth, the cord is clamped and cut immediately. The injection then causes the uterus to contract strongly and the placenta to come away, so that it is delivered quickly. You do not have to push or do anything with a managed third stage, as the midwife waits until your uterus contracts, and then pulls gently on the cord to deliver the placenta." I had the injection after bubs was born and had to push it out with sme help from the Dr. ------------- http://lilypie.com" rel="nofollow">  DD 1999 DS 2003 DS 2006 DD 2009 |
Posted By: BerryBliss
Date Posted: 25 September 2009 at 2:56pm
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Thats what i had mamma2N about 5 mins after Tess was born ------------- http://lilypie.com" rel="nofollow"> DD 1999 DS 2003 DS 2006 DD 2009 |
Posted By: first
Date Posted: 25 September 2009 at 4:20pm
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I was going to the naturally but after an hour there was still no placenta and no urge to push or anything happening so we did the jab. I think I"d try to do it naturally next time but if I had the jab no biggy. ------------- http://lilypie.com"> 
http://pregnancy.baby-gaga.com/"> 
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Posted By: happymumma
Date Posted: 25 September 2009 at 5:05pm
| I had intended to have the injection however before I had the discussion with the MW I ended up having an unexpected homebirth (with MW present). I completely forgot about the injection and was never offered it. The placenta took about an hour and a half to be delivered and I was completely over it by that stage - I just wanted to get on with things. So I am opting for the injection this time round because I can't be bothered waiting that long again - it was annoying!! |
Posted By: Inlove28
Date Posted: 25 September 2009 at 5:21pm
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Seems like heaps are having the jab. Im still not convinced thou.
Also remember reading in info from Midwife that when bubs lungs expand for the first time there is extra blood needed to fill in an area (all new to me this...) just seems like its the best option. But if its a tricky birth then of course I will go with the safest option. Thanks for all your input
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Posted By: bebebaby
Date Posted: 25 September 2009 at 5:21pm
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Some studies recommend delaying cutting the cord for at least 2 mins after the birth. They found that babies 6 months down the track had higher red and white cells.
"While higher amounts of red blood cells means lesser chances of anemia and higher iron reserves, more white cells mean more number of ‘soldiers’ to battle infections." Just another thought to consider. If all goes well I plan to deliver placenta naturally, and delay cutting of the cord. ------------- http://alterna-tickers.com"> 
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Posted By: HoneybunsMa
Date Posted: 25 September 2009 at 7:04pm
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My mw gave me no choice but you know what I didn't care lol She gave it to me cos of how long I had been pushing. T the end of the day I had DD and was focused on her ------------- http://www.myfitnesspal.com/weight-loss-ticker"> 
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Posted By: kebakat
Date Posted: 25 September 2009 at 7:20pm
| I had the jab after Daniel was out, not during or after his shoulders were out. Id be surprised if any MW could handle that cause they often fly out once the shoulders are out lol |
Posted By: mumtooboys
Date Posted: 25 September 2009 at 8:45pm
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I had the jab with DS1 but not with DS2. With DS1 I just did as I was told and because it was 'normal' I allowed it even though I wasn't 'at risk'.
When I got pregnant again I had a whole new plan, alot more information and I knew that I wanted to do EVERYTHING as naturally as possible, right down to the planned home water birth. I knew that I could opt to have the jab if I needed it but can't take it back once it's done. I wanted delayed cord clamping because I wanted to him to get as much of the goodness that he could get. We spent plenty of time skin to skin in the pool and I handed DS2 off to DP to 'deliver' the placenta about 25 minutes after he was born; with a squat and a push it was out. I think the 'risks' of not doing so didn't outweigh the 'benefits' of doing it so we didn't. ------------- http://lilypie.com"> 
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Posted By: HippyMama
Date Posted: 25 September 2009 at 9:01pm
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With DD1 I had the jab, I'm not sure whether I really 'consented' to it or not, but the midwife also applied cord traction and THEN I had a massive postpartum haemmorhage which left me needing a transfusion and 5 days total in hospital, not to mention a really crap recovery in general.
With DD2 it was completely physiological, no cord traction no nothing, and the placenta came away on its own after about 20 minutes or so - all I had to do was stand up and push just a little. No abnormal blood loss and I was in the shower no more than an hour after she was born. We also chose not to cut DD2's cord immediately, I think we left it for an hour or two and then cut it. Inlove28 is right when she mentions that because of this (delayed clamping / cutting) the baby receives a good supply of more oxygenated blood, and I also felt there was no rush to sever the connection my baby had to this vital organ that had provided her sustenance and comfort for 9-odd months. I also find it interesting that there has been mention of the synto shot to expel the placenta being used to help prevent PPH and thus 'manage' the third stage - I have come across evidence that this is not necessarily true and is sometimes even the cause of PPH along with cord traction. Side effects of the having the synto jab can include nausea, headaches and increased risk of retained placenta. I'm not saying the synto jab doesn't have it's place in third stage, but there are definitely a lot of other factors to be considered when you're making that kind of decision. ------------- Mama to two earth walkers & two angels. Remember, you are not managing an inconvenience; You are raising a human being. ~ Kittie Franz Next Slingbabies! Meet - Friday 4th May !! |
Posted By: angel4
Date Posted: 25 September 2009 at 9:40pm
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hmm im starting to remember the reasons why we decided not to have the jab last time (even though i ended up having it). Its amazing the information you forget after a year
I think the plan this time will be same as last time. Waterbirth and then a physiological third stage while i cuddle baby. It is a very good point that you can always have the injection 5-10mins after birth or whenever if it is decided it is needed. interesting what you said hippymama about it sometimes causing bleeding. Now that i am actually thinking back i remember my midwife saying that sometimes having the injection can actually make this worse as they have to help pull the placenta out which means a greater risk or some of it being left behind - this is what i remember anyway. |
Posted By: SquishysMum
Date Posted: 25 September 2009 at 9:40pm
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I was not going to have the injection - even if we were it was going to be after the word had gone limp and been cut! You can give the injection ages after birth (eg 1/2 hour) if you feel things are taking too long.
My MW forgot I hadn't had the injection, and applied traction to the cord, whereupon it evolsed (came detached from the placenta). So I had the ecbolic, and had to get vertical and push the placenta out while DH cuddled Lydia. Then was stitched back together again. edited to remove extra word - must be bedtime! |
Posted By: pikelets
Date Posted: 26 September 2009 at 8:40pm
I decided beforehand I wanted the jab as I had read about the risk of bleeding heavily and that scared me. I would get the jab next time too. Like the other girls, it was over so quickly and they got down to stitching me up while I could hold my beautiful son. Good luck on your decision. ------------- http://lilypie.com"> 
3 Angels - Dec10 / Mar11 / Dec11
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Posted By: Maya
Date Posted: 26 September 2009 at 9:00pm
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I've had it after all of mine, first time coz I had a long labour and was exhausted, second time coz it was twins and the risk of PPH was higher (and I had a small PPH afterwards).
With lil miss, there wasn't much point in a physiological third stage as her cord had to be cut during the delivery to allow her to be born (she was strangulating herself with it, and as soon as it was cut, she shot out like she was on a skateboard according to one of my support people ). I didn't have to have the jab as such as I''d had synto during labour so my midwife just cranked it up again.------------- Maya Grace (28/02/03)
(02/01/06)
The Gremlins:Sienna Marie & Mercedes Kailah (14/10/06)
Lil miss:Chiara Louise Chloe (09/07/08)
Her ladyship:Rosalia Sophie Anais (18/06/12)
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Posted By: LadyLizard
Date Posted: 27 September 2009 at 1:04pm
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I am reserving judgment until I have actually given birth to our baby.
There are so many variables, and it will depend on lots of things, as to whether I have it or not. Like everything else you have to "decide" on your birth plan, it could change for reasons beyond your control, and I don't want to be disappointed if things have to change. Keeping an open mind and a flexible plan..... ------------- http://www.alterna-tickers.com"> 
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Posted By: Ant
Date Posted: 29 September 2009 at 11:39am
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At antenatal classes we were discussing the managed third stage and were told how a lot more women have the jab with their first child than with later children. I thought that was interesting and wondered if it was because of bad side effects or shorter labours generally or what?
The educator told us it was a combination of shorter labours, and so not needing it because you're too tired to do that bit/over it, and because there is less fear/nervousness the second time, so women are often happier to let things happen naturally. She said subsequent labours have less intervention in general. It really made me feel better about our decision to not have it unless it proves medically necessary. Especially as most people I know had a lot of intervention and sometimes I feel like a bit of a crackpot! While I can appreciate wanting it over with to move on to the good stuff (or at least the stitching!) a lot of my decisions have been based on not wanting to be rushed. So I'm crossing my fingers we just get some calm(ish) skin time while waiting for the end of the process. ------------- http://lilypie.com">  http://lilypie.com"> http://lilypie.com">
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Posted By: Inlove28
Date Posted: 30 September 2009 at 2:14pm
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Thanks so much for your input girls its great
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Posted By: Bexee
Date Posted: 30 September 2009 at 2:22pm
| I didn't have the jab... it took just under an hour for me to deliver the placenta (but just three minutes to push the baby out!!!). I just went with what the midwife did, and to be honest it didn't bother me. Once Alex was born I had cuddles and skin to skin with him etc and he fed and then it was just a couple of coughs and pushes to deliver the placenta when the midwife asked me to. In my view, it didn't hinder the bonding process at all. |
Posted By: Febgirl
Date Posted: 30 September 2009 at 3:45pm
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As an aside, if anyone is planning on banking the cord blood, then I think you have to have the injection, that's my understanding from my midwife. ------------- Two little girls under 2!
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Posted By: toniellis
Date Posted: 01 October 2009 at 11:18am
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I chose not to have the injection.
I wanted a natural drug free labour & that is what I had. When my daughter was born I put her straight onto the boob & then got straight out of the pool (waterbirth) & TMI!!! as I stood up my placenta just fell out LOL. So even without the injection it only took about 2-5mins to come. No complaints from me coz that was the easy part LOL! I also had no stitches. Personally though I think you just have to keep an open mind. Plan to not have the injection but be ok about having it if you need to.?.? ------------- Mum to Alex (11), Blaire (10) & Erika (8) and Damien (6) Successful HWB VBA2Cs! Soon to be surrogate |
Posted By: Andriea
Date Posted: 01 October 2009 at 12:05pm
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I want to have a natural 3rd stage (i always have before) but the OB has said/recommended I have the jab and also a syt drip in after the birth to make my uterus contract back down a lot quicker. He said Im at more risk of a PPH because this is my 6th birth. I'm keeping an open mind, my midwife is going to have it all ready and if I need it ill have it and if I dont I wont. I figure even though I dont want the jab or drip if its needed its needed. ------------- http://lilypie.com">  
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Posted By: EmDee
Date Posted: 01 October 2009 at 1:14pm
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With Ollie I had decided not to have the jab, however would listen to my mw if she recommended it at the time.
As it was the placenta was stuck fast at the top of my uterus and I was bleeding too much. Even after the jab it didn't come out and my mw tugged on the cord which detached from the placenta. I ended up with a spinal and having a doctor get her arm up there to get it out. Technically I had a PPH (1 litre) but didn't require a blood transfusion or anything. With Lilia my mw advised me to have the jab given my previous experience. This time it came away after a few minutes with out any help. Next time (if there is a next time) I'd like to try without the jab. ------------- DS 8 DD 6 DS 4 DD 2 |
Posted By: Babe
Date Posted: 01 October 2009 at 1:53pm
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I had jab coz I have clotting issues. They couldn't pull it though (again tricky bleeding stuff) so I still had to push and MW palp'd my belly. It'll be the same this time and I don't care I just want to get through it all in one piece!! -------------   
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