Mothering › Forums › Pregnancy and Birth › Birth and Beyond › question for Midwives and/or experienced birthers :)
New Posts  All Forums:Forum Nav:

question for Midwives and/or experienced birthers :)

post #1 of 9
Thread Starter 
A dear friend of mine (actually she's more like a second mother to me) told me her son's birth story this summer (her son is now 18), because she said she would discourage anyone from having a homebirth. Basically she went to a hospital, she had a midwife and was planning a natural birth. Everything went super smooth; baby's heart rate was good the whole time, everything you'd expect natural birth to be. But as soon as the baby came out he had super low apgars so they whisked him away to the ICU. My friend was left in the room alone, her husband had gone with the baby. She hadn't even had a chance to hold him. Later she found out the reason was because he had a collapsed lung. I said "How does a baby in the womb get a collapsed lung?" She didn't know. I guess she didn't ask the doctor, or they didn't tell her.

So does anyone know how this would happen? How common is it? This is more out of curiosity than anything. I always thought that to get a collapsed lung one would have to take a pretty hard blow to the chest to push all of the air out.
post #2 of 9
It is possible that the cord was cut too soon, which caused the baby's blood volume to be incomplete, and thus the lungs could not inflate properly.
post #3 of 9
It's hard to interpret that story. I doubt it's about blood volume (sorry to disagree courtenay_e). More likely baby just didn't breathe right away when he came out (happens 10% of the time), and everyone freaked out. Whisking the baby away for a resuscitation used to be the norm; now even in hospitals it's all done in-room. Midwives generally (ask yours specifically) carry all but the most advanced resuscitation equipment; and most would give longer than hospital staff for baby to come around on his own, and would also not cut a cord while it was still supplying oxygen to baby.

APGAR scores aren't assigned until 1 minute, so even if a low APGAR was the trigger for intervention, she should have gotten her baby for a little while.

I can understand why she didn't ask more questions (being postpartum is hard enough without trying to piece together confusing-but-ultimately-ok events), but without more information it's not really possible to understand what went on. So I'm really just typing wild speculation. I just don't like these sorts of "my baby would have died" stories because most of the time, MWs could have handled that emergency, seen it coming and gotten to the hospital, or prevented it entirely. But I really can't tell in this case.
post #4 of 9
I agree with the above. It's not very common and I wouldn't be worried about it. Not using medication, delayed cord cutting, etc. will all decrease your chances.
post #5 of 9
Meconium aspiration?
post #6 of 9
It is impossible to know as well if the collapsed lung was caused by the resuscitation team. Many babies come out needing a breath or two to inflate their lungs and allow them to transition, but clumsy or too-forceful bagging can cause a pneumothorax which can cause a collapsed lung. Could be that this was a baby who might have just needed a little bit of help who got care that was harmful instead.
post #7 of 9
I would have a hard time taking this info seriously, mainly because it happened so long ago. Even assuming that she remembers everything perfectly clearly--and chances are she does not--well, so many things have changed since then in terms of our knowledge of pregnancy, labor/birth and neonates, our abilities to monitor and help moms and babies both.

Yet I also have to question the 'low apgars that seem to have been *caused* by a collapsed lung'. Babies are born with their lungs un-inflated, and have to inflate them properly through beginning to breather! As others have indicated, *maybe* that baby was just taking some seconds longer to initiate breathing than med staff were comfortable with, and they overreacted even though he was basically ok to begin with....maybe cord was cut too soon and baby did not have the option of a slow-ish, gentle transition from cord-flow oxygenation to breathing....and then, maybe NICU staff themselves caused the collapsed lung after they took him away from her. And maybe NICU staff did, or maybe they didn't, know that they caused it--in any event, they probably said it because that is what they wanted to believe whether or not they had any idea what caused the problem. I find that med ppl (and other health providers as well, to be fair) are quite often very hard pressed to ever admit that the care they administered was--or could well have been--the cause of harm or any bad condition people might experience. But there is plenty of evidence that med procedures and medications DO have potentially serious and even lethal side effects/consequences for all people-- particularly true for neonates, who are so vulnerable in various ways.

Maybe this had nothing to do with overreactive or otherwise improper med care, also to be fair--but I do have to question how a baby gets born with a collapsed lung. And I do have to question the accuracy of this well-meaning friend's memory. The way memory actually works ordinarily, and with 'peak experiences' and 'traumatic events' especially, our memory-formation is fundamentally impacted by our emotions at the time. She may feel she has perfect recall but doesn't even realized certain facts she missed/distorted. It is also true that in making their report to her about the problem, med staff may have stated it all in 'simple laymen's terms', a shorthand they believed she would best be able to understand at the time. I don't offer this as a criticism at all--many people would have a hard time understanding medical knowledge and terms, and many would *want* no more than such a simplified explanation....they trust the docs, and don't feel much need to know in detail. Just saying that what she was told may have been so simplified as to not be entirely accurate.

Anyway....you can sure appreciate her concern that prompted her telling you this tale, but I hope you will take her story with large grains of salt. I do not claim that bad things--highly unexpected bad things--never happen at homebirth; we have to plan for the best and be prepared for the worst in any event. Just saying that you really can't take her story at face value for all the reasons above.
post #8 of 9
I'm not sure what happened, but the thing that you (and your friend too) should always keep in mind is that (1) as humans, we are always more influenced by anecdotes than statistics, because it puts a personal face on the possible outcomes, and (2) no statistic can tell you what will happen in YOUR situation - they just give you the probability of various outcomes. The only newborn w/ collapsed lung that I know of was a friend of mine whose baby (born via c-section, btw) was suctioned too vigorously by the doctors/nurses when first born.
post #9 of 9
Thread Starter 
Thanks for all the info. everyone! I realize it's mostly just speculation, but that's what I was doing anyway.

And don't worry, her story hasn't swayed my beliefs about homebirth in the least.
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: Birth and Beyond
Mothering › Forums › Pregnancy and Birth › Birth and Beyond › question for Midwives and/or experienced birthers :)