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Question about placenta delivery

post #1 of 8
Thread Starter 

At my birth, I requested to birth my placenta naturally by myself, the last thing I wanted was someone yanking it out of me.... but that's what happened, with a manual extraction (see my birth story).


The only reason for cord traction and hurried removal of the placenta would be if it had separated and I was hemorrhaging, or if my uterus had begin to clamp down around it causing trapped placenta. Neither of these things were happening. 


What constitutes a postpartum hemorrhage? Is 60 seconds after birth long enough to assess if there is hemorrhage? because it was literally as soon as she was put on my chest I started feeling sharp stabbing pulling pains and I told her to stop-- and she didn't. That's birth rape. Then I had to lay there as she scraped the placenta out of me piece by piece, in immense pain, anxiety and a feeling of being violated- during the time I should have been happy and having floods of good feeling hormones and bonding with my baby. The medical records say "estimated blood loss- 300". From what I've read, that is NOT hemorrhage, which would mean the manual removal was uneccessary. Also- if my uterus was indeed clamping down around it necessitating manual removal, why the heck did they give me an ENTIRE BAG of pitocin? If my uterus was doing the work on its own I wouldn't need it, or maybe they gave me pitocin after she was born and it MADE my uterus do that. 


so I guess the questions are:


1. Was that a PP hemorrhage

2. Was the ME necessary

3. What can I do about being given pitocin AGAINST my consent for no other reason other than "standard" (eye drops, cutting cord immediately are also standard but I refused those... so why was I not notified that I was given it, when I got there I specifically told everyone NO  pitocin.

4. What can I do about the cord traction/manual removal when I directly said NO.

post #2 of 8
Thread Starter 

44 views and no answers?? really?

post #3 of 8

I'm sorry, I wish I could answer your questions. This is beyond my knowledge. I'm sorry you had such a horrible experience.

post #4 of 8
You need to file a formal complaint with the hospital and consider hiring a lawyer. If you have that kind of cash. Also. Complaint against the Des licensee and nurse they have to tell you the mess they are giving you. I'm sorry about what happened. That is not a hemhorage
post #5 of 8
There are a few different definitions of PPH

1. Blood loss of >500ml
2. Blood loss >1000ml
3. Any blood loss, regardless of the amount which causes haemodynamic compromise (heart rate goes up, BP goes down, urine output drops, person feels dizzy or lightheaded)

I can't tell you whether the manual removal was necessary or not. I can tell you that we don't wait until a person has lost 500ml of blood before we start to act. If blood loss appears heavier or more constant (many a woman has had a PPH via slow trickle, it doesn't have to be dramatic gushing) than we consider normal we will look for a cause and treat it. If the placenta is still in the first thing we want to do, usually, is get it out.

All you can do at this point regarding your treatment is make written complaints to the hospital and College of Obstetricians and Gynaecologists. Or, the health care complaints commission if such a thing exists in your state/country.
post #6 of 8

 I'm sorry you had this experience. 


I've read your story in other threads and my heart really goes out to you. I had a similar experience and I know how deeply upsetting it can be. In my case, I would have preferred a cesarean to a difficult birth with a large baby and its aftermath, both physical and emotional. It sounds like this is not the case for you, but I am very sorry that you had such a bad experience and also that you went into birth without anyone being truthful and preparing you for the possibility of things being difficult or different from your expectations. It can be really devastating when you feel that you have done everything right and find out that that doesn't guarantee the kind of experience you expected. It sounds like you had heard a lot of positive things about birth and were trying to keep your focus there, but the truth is that a lot of births are far from that ecstatic, blissful ideal. I don't know if it helps much, but I think your birth story is pretty similar to what a lot of women have experienced. You're not alone in this.


I'm not a medical professional, but I think your doctor was probably trying to manage the 3rd stage to prevent you losing a great deal of blood. You may have been more at risk for this due to the size of your baby (relative to you) and to the length and difficulty of the delivery. I wish she had managed to communicate this to you at the time or had been able to explain it to you afterward so that you wouldn't feel so violated by what happened. 


Again, I'm very sorry you had this experience. I hope you find peace and healing--please don't hesitate to seek counseling or other help if the feelings are overwhelming or you have trouble moving on from the experience. I noticed on the other thread that you were really beating yourself up about deciding to transfer. Please let this line of thinking go--you did what you needed to do at the time in a difficult situation and you should feel pride and not shame for this. Keep in mind that you can't know the outcome if you hadn't transferred then; perhaps things would have been better, but likely not, and it's possible they could have been worse. 


Best of luck to you. 

post #7 of 8
Oh this sounds awful and it doesn't sound right to me at all. The placenta will come on its own. I don't understand why they need to rush it out. Not saying there's never any reason, but generally I think leaving it to naturally come out is best. I had an unassisted birth a couple weeks ago and waited for it to come out. Only took a few minutes and I was contracting again. I stood up, gave a good push(my placenta was huge!) And it just plopped right out in one piece...I have read that pulling the placenta out too early can cause hemorrhage itself....I would file a complaint. Sorry you had to go through this
post #8 of 8
I'm not sure if the manual extraction was necessary, but I do know that I lost about 350 CCs within seconds after my third baby's birth and my midwife was pretty anxious to get that placenta out. In my case the placenta detatched immediately, hence the bleeding. The midwife did pull it out though (I didn't push).
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