Originally Posted by BabyMae09
I am having my first UC in about four months and need some advice
I've had one baby, in the hospital. It was a fast, easy birth, they cut me a bit as he was 8lb, 3oz. No pain meds. We're committed to having this one at home if at all possible. Here are my questions:
1. How do you know if the baby is in distress?
2. What if the baby is born not breathing, or with the cord around her neck?
3. How would I take care of a tear 'down there' after birth?
4. Should we/ can we monitor the baby while I'm in labor?
5. What about my immediate 'after care' such as cleaning up and so forth? Can I just snuggle up with the baby and my fiance and sleep or is there a lot to do right after the birth?
6. What happens if I don't birth the placenta all the way?
7. How do I know if my after-bleeding is too much?
THANK YOU in advance for your responses!!! I'm really looking forward to doing this, but need some practical advice. BTW, I'm 24 weeks preggers.
Ok, here's my $0.02:
#1 get a doppler or stethescope and use it to monitor FHT like pp said.
#2 ideal would be to learn infant cpr. second best is to put your mouth over the baby's nose and mouth and suck gently to clear the airways. then if baby still isn't breathing blow gently on their face (not directly into their mouth, but just generally over their face to startle them into breathing gently) If that still doesn't work, then I guess you would need to know infant cpr.
other #2 just unwrap the cord. if you can't unwrap it, try to birth the baby through the loop. if it is stuck tight then try to tuck baby's head close to moms yoni and somersault baby out, then unwrap. I have heard of people clamping and cutting the cord if they can get a clamp or string in there, but i wouldn't recommend it unless it was a severe last resort. there are more solutions for this common glich, but you will have to google, as i can't think o them right now.
#3. Tears. I have had minor skid marks, a 3rd degree, and none. I had one midwife who recommended honey for tears as is is antimicrobial and adhesive, and doesn't sting. the 3rd degree i called in a more experienced midwife after the birth to do the stitching. It was pretty badly placed though, and was bleeding more than i cared to lose since i have low blood pressure. tears are less common i think with uc anyway.
#4. see #1.
#5. you only have to do as much as you want after the birth. you can do a full cleanup, cut cord, dress baby, shower, whatever, or you can just wrap baby and you up in towels, wrap the placenta for a lotus birth, and lay down on something like a flannel backed vinyl tablecloth until you are ready.
#6. like pp said, look out for signs of infection. BF, BF, BF immediatly after birth. and if baby won't cooperate, then stimulate nipples yourself, or get dh to
if you have significant (like you can tell it was broken, or it doesn't come out at all) peices still left after about 30-45 minutes, then you should probably get up and go pee. if that doesn't work then you could try some herbs for retained placenta. my brain is not sure about those right now so i won't name any to be safe. just look around mdc at retained placenta herbs.
#7. anything more than 2cups is considered a hemmorage. now some people can lose that, or slightly more and still be ok without help. so it depends on your personal size and blood volume. mine is usually low, so if i think it looks like it is getting close to the 2 cup mark, then i buckle down and try to get it to slow. some people are ok sith more than that though, so know your blood pressure, pay attention to your iron levels (just by feel, not necessarily by testing) and keep a good blood volume and you should be ok to lose a normal amount with no problems. again, BF,BF,BF to clamp down those blood vessels and get that placenta out within a reasonable amount of time. have some herbs on hand is good like shepards purse. I have read that the most surefire way to stop bleeding that is not caused by a stuck placenta is to eat a peice of the placenta. I have only kept this idea as a back up, and have never needed it yet, but i figure it would be better than bleeding to death, or having to trapse down to the ER in a bloody puddle and listen to all the "you should have known better!s".