Has anyone ever delt with a Mother who almost...

[fruitful womb]

...pulled her uterus out during her pushing stage?

[pamamidwife]

I saw one client's cervix/uterus immediately postpartum with the birth of the placenta.

But not one that had her uterus come out while pushing. That would say to me that perhaps the cervix wasn't dilated enough?

[ldsapmom]

I had a friend who pushed her uterus out with her first baby. It was put back in, and she had two more uneventful births in the few years following that.

[Finch]

I had a multipara deliver and her cervix was basically protruding from the vagina after the baby came out. Whew. Disturbing to see.

Never personally witnessed a total uterine prolapse or inversion, but have been at work when they happened. If caught quickly, mom can recover and go on to have more children, after a sufficient recovery period of course.

[ldsapmom]

I had a primip client whose cervix was visable right after birth. I asked the midwife, quietly of course, "What is that?" And she said it was mama's cervix, and that it would go back and away on its own.

[Peppamint]

Wasn't too long ago I read in Spiritual Midwifery (I think that was the one) about a woman that had an inverted uterus after pushing. The mw thought to put on a glove and pushed the uterus back in before her cervix started closing. Seems like that mother went on to have another child(ren)...

[bobandjess99]

YIKES! Now, I *normally* have a very prolapsed uterus, and my cervix hangs down *almost* at the opening of my vagina, but you can't actually see it hanging out, but during pregnancy, it gets pulled up, up and away!!! Obviously, it comes down again when the baby comes out, but then it stayed *just* inside where it normally is. I'm not even sure what I would do in a UC if my uterus came flying out.....go to the ER and hand them my uterus and say "I'd like this back in, please?"

[MamaRabbit]

Originally Posted by bobandjess99

I'm not even sure what I would do in a UC if my uterus came flying out.....go to the ER and hand them my uterus and say "I'd like this back in, please?"

:

[JunipersMom]

So would you midwives have any problems taking on a client who has had her cervix deliver with her last two babes?

[bryonyvaughn]

Originally Posted by busybusymomma

Wasn't too long ago I read in Spiritual Midwifery (I think that was the one) about a woman that had an inverted uterus after pushing. The mw thought to put on a glove and pushed the uterus back in before her cervix started closing. Seems like that mother went on to have another child(ren)...

I was involved in a *somewhat* similar situation. Almost 25 years ago I was working on a biology project with my lab partner when her dad came in needing everyone's help. Her mom, dad, herself, her three sisters, and I all chased a cow round and round a field as her uterus was hanging out after giving birth. That cow had some serious endorphins to keep dodging us so well. Thanks to a ditch we were eventually able to catch her and keep her still long enough to calm, while Sean's dad rinsed the bits of grass and dirt off the uterus, pushed it back in, and then made a few stitches to hold it in place while she healed up.

The cow gave good milk and calfed future years, one of which got Sean's sister Angie a grand champion ribbon in 4-H.

~BV

[Jane]

Having it *almost* come out doesn't worry me too much - I mean, I worry about her future health and wellbeing, but not so much with birth. I'd need more information, b/c it doesn't exactly make sense as presented.

Uterine inversion, I would be very concerned about - spontaneous would be concerning. If it was an iatrogenic cause, then not as much.

[JunipersMom]

If they were homebirthed over 9 pound babes that were presenting with what at first appeared to be a blood clot and when wiped away was found to be cervix. Both times babe was born within minutes of moving the cervix and the uterus did not fully present or come inside out. Mom had delivered 2previous babes without incident.
I just want to know others experience as I've never dealt with it and I am hearing that a midwife will not deliver anymore babes and the OB said it was definate c-section.
This seems to be the only problem as prenatal, labor, bleeding, breastfeeding everything else is normal.

[fruitful womb]

The Midwife who helped me deliver my last three children says she will no longer help me deliver any of my future children. We want to try for another girl in 4 years.

At 8 wks postpartum, I consulted a doctor because it felt like I was sitting on my vagina. After the diagnosis ( 4 of 4 cyctocele, 3 of 4 rectocele and 3 of 4 uterine prolapse) he reassured me that I had more time to heal. I told MW this and mentioned to her that I was considering a second opinion since I didn't think it was that bad. She referred me to an OB/GYN she knows and went with me to this appointment. I'll never forget the look on the nurses face when the doctor asked me to cough. She looked petrified. Then the doctor told me my 29 year old body looked like a 60 year old! That really hurt.

When I was giving birth to dd in '04, while she did her first internal check for dilation (almost a 10 just a small cervical lip) she performed AROM. My body immediately started pushing and I wasn't ready. She yelled, "STOP YOUR PUSHING YOUR UTERUS OUT!!". She flipped the lip and the head was born. She ordered me to push and I said I didn't have the urge to push. She told me to get out of the water. I didn't want to move so I pushed really hard. Dd was born lifeless. MW gave her a puff of air and dd was fine. She was 10/5, 22in, 14.5 head. In April I delivered a 9/8 ds. Same kind of labor (No pain- not kidding. I was laughing really hard during ds labor). Same kind of pushing (Pushing hurt A LOT!). She did AROM - I really didn't want this. Just like I didn't want it to happen with dd. I was hoping for a waterbirth in the caul since my waters don't break spontaneously. She knew this then and she knows it still. I later found out that her reason for favoring AROM was her personal convictions of being closer-phobic. Again, once AROM my body starts pushing. I pushed way too hard. After I delivered the placenta she wiped away what she thought was a blood clot. It was the cervix. Now I have prolapse and she will no longer be my midwife. I DON'T want to go to an OB and select a c/s. I wonder if any MW would take me on as a client now. OB says I'd have to have an elective c/s. I no longer feel like I'm sitting on my vagina and the cervix has gone up further. I still feel my bladder hanging down. Thats discouraging. Just like an Olympian trains for 4 years - I hope to pro-actively make sure my postpartum healing is successful so in 4 years we can have the birth we hope for, considering this one may be our last to deliver.

[Jane]

I think that it would benefit you to see a physical therapist that specializes in pelvic floor issues. You would probably benefit from an exam from a pelvic floor specialist (not just a good OB/gyn) since you've done some more healing, in order to have the most information for the physical therapist. They can do wonders.
Second, I think you should contact any midwives within driving distance of your short labors and ask them directly about your history. It doesn't do you any good to find a midwife to attend you in Oregon, unless you're willing to move, of course!
Third, if your midwife options are limited, perhaps you can find an OB that will support a vaginal birth. You don't have to go with the ones you've seen.
Fourth, don't rush into surgery. There are apparently dozens of ways to repair fallen organs, with and without hysterectomy. Many doctors position surgery as the only way, but don't tell you that there are huge variations in the way that different doctors do it. Surgery is optional, and a huge research issue for technique. I know you're not considering surgery, you're considering a baby, but I wanted to give you the advice I'd give you in 10 years, too.

[fruitful womb]

I certainly wouldn't be considering a baby in 10 yrs, lol. I appreciate your advice. I've heard of Physical Therapy doing wonders and they'll be my next stop. Went to an acupuncture... Wait- Do I need to start another thread for this?

Went to the acupuncture yesterday. Dr. Wang said I need to revert the Qi energy in my body. She put a needle in my head! And all over my abdomen. It was a great treatment. My husband went with me today to an OB appointment and he asked him if it was possible for me to have another vaginal birth. OB said yes. DH replied, "So, what could happen?" OB: Probably nothing. I'm going to stop worrying now and enjoy my precious newborn before he gets any older!!! I'm not going to let this rob me of my babymoon! I was just wondering if you MW (You guys are GREAT, BTW) ever had a situation like this before.