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Heavy bleeding/pph twice now..help?!

post #1 of 5
Thread Starter 

Ok so with my first birth it was augmented when I was 5 cm and not actively laboring. The mw's used AROM to get things going. AROM locked him into an asynclitic/nuchal arm position. Took 2 hours to push him out like that and he was 10 lbs 7 oz. After a few minutes the midwives drained the tub and asked me to push the placenta out, I pushed and there was an explosion of blood..all over the walls and everything. It was very...interesting. I don't recall if they used traction or not but I bled a lot. I had tachycardia afterwards with my heart rate around 200. Standing up/walking made it to where I could breathe but didn't feel like I was breathing/oxygenating. 

Second birth was textbook, baby came out in 5 min, 9 lbs 13 oz. The midwife seemed freaked out by the amount of blood/clots I was losing. She kept asking me to push for the placenta but instead clots kept pouring out. She almost manually removed the clots/placenta but I screamed at her not to so they used a lot of fundal pressure instead. I still bled a lot and suffered some tachycardia/breathing problems but not as bad as with my first.

 

So now I'm due with my 3rd in a couple months. My midwife seems to be worried about my history of bleeding/pph.

Part of me wants to just wait after the baby is born for the placenta to come on it's own, but apparently I start bleeding a lot before the placenta comes so I'm torn.

Any ideas or thoughts? I just want a relaxing time after baby is born, for once. ;/

post #2 of 5

Could your midwife do active third stage management for you?

post #3 of 5
Thread Starter 
Quote:
Originally Posted by phathui5 View Post

Could your midwife do active third stage management for you?hat's wh

That's what she wants to do, but I'm not sure if that's what I want..that's why I need input from y'all, lol. Everything I read from a "natural" point of view says a physiological 3rd stage prevents heavy bleeding but medical stuff says active management does...

post #4 of 5

It sounds like you've done physiologic third stage and it hasn't worked well. 

 

Here, the MidwifeThinking blog addresses active third stage management:

 

http://midwifethinking.com/2012/05/05/an-actively-managed-placental-birth-might-be-the-best-option-for-most-women/

 

All of the studies I've found supporting physiologic third stage are for women at low risk of PPH. If you've already had it happen twice, I feel like you're not in that low-risk category.

post #5 of 5
Thread Starter 

You're probably right, I just needed to hear it I suppose. Thanks for the link, reading now!

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