Originally Posted by Celticqueen
I have 2 questions that hopefully someone can answer:
1. Can uterine atony from pitocin alone cause a woman to become a quart low on blood? (my current midwife does NOT think that's possible)
No, in short. Uterine atony simply describes a condition in which the muscle tissue of the uterus is exhausted and can no longer contract. If this condition is accompanied by intrauterine bleeding, the atony makes things worse because the body's natural response to stopping normal postpartum blood loss is to tell the uterus to contract, to clamp down on the bleed site.
If your uterus is atonic from hours of counterproductive Pitocin-induced contractions, it goes floppy and can't contract in the third stage of labor to push out the placenta and stop the normal postpartum bleeding. So if you add to the problem by pulling on the cord to "help" the placenta out, you're causing trauma to the part of the uterus where the placenta is attached. This will cause massive bleeding, and if you're in uterine atonia, your body can't do anything naturally to stop it.
Simply put, you already have to be bleeding heavily from somewhere in order for you to lose a quart of blood. So, why were you bleeding so heavily? It is normal for a woman who has just given birth to bleed for several days or even weeks postpartum. Your bleeding was over the top, suggesting some sort of internal injury. How did THAT happen?
Well, here's what looks like the likely scenario:
|2. If the reasons for loosing a whole quart of blood also included pulling the placenta/cord out, why when I asked her after my birth what caused the blood loss did she only give the reason of uterine atony? (is pulling the placenta/cord out by force something she could get in trouble for and therefor, wouldn't admit it or...?)
She didn't exactly lie to you, she just committed what I see as a lie of omission. Uterine atonia does not CAUSE bleeding (see above) - it renders the uterus unable to stop profuse bleeding if it does occur. Yes, she could get in "trouble" for using cord traction when the placenta was still attached, and medical professionals are well trained in the art of diversion. She didn't lie to you, but she didn't tell you the whole truth, because, yes, she was probably concerned that she would face professional repercussions for pulling on the cord.
Good luck with your next one.
I'm glad to hear your new MW wants to be involved and help get some understanding about how your last birth went. IT might be valuable to get a copy of your hospital records and let your new MW take a look at them.