I was wondering if you could share some insight ...
My dear cousin had a baby girl last week. She was 11 days "overdue" and was induced using a new tape / hormonal method.
The baby was born fine after about 10 hours of labour, but the staff had trouble removing the placenta. I assume they gave my cousin a syntocinon shot and were doing cord traction, as my cousin told me the cord was snapped.
So she was given an epi and the placenta was manually removed. The staff told her the placenta was all mushy and was coming out in chunks, and my cousin had to stay in hosptial for a week to monitor for any signs of infections, as they weren't sure they'd got all the pieces out.
What could cause a placenta to "fall apart" like this?
Could it be due to the managed third stage, or is it a sign of postmaturity?
I also think it's a bit rough that she delivered her nine pound baby with no tears, then got cut by the doctor during the placenta removal.
Permaculture Design Student & Wannabe Urban Homesteader
Chances are, they were only giving her a certain amount of time to birth the placenta, like they only gave her a certain amount of time to birth her baby.
I wouldn't even think it was the placenta - placentas are amazing things, always changing to keep our babies alive, no matter what it takes.
Her placenta was more than likely ripped to shreds because of impatience.
In your case, it sounds like they were just a little too quick to have everything completely in a timely fashion instead of just waiting awhile.
A doula who married a cop & became a mama to 3 boys: G 12/22/00, my rainbow baby B 2/2/07 and L 2/10/10 my CBA2V baby, waiting for my little caboose late February 2013 & always remembering my two angels 2006 & 2012.
I have always wondered why this happened, but never heard any explanation for it. I don't know if the placenta bits were sent to pathology but if they were, I don't think my friend was informed of any findings.
I don't really buy the medical theory that placentas in healthy women just "die" because of dates. I think what happens is that in unhealthy women or in comprimised women the placenta works harder and harder and will eventually start labor in order to avoid comprimising the baby. I believe that this is one reason why some women go earlier than others.
The placenta is an amazing organ - one of the recent issues of Mothering has a great article on the placenta by Sarah Buckley. We really view the placenta in very abstract terms, when in fact, it isn't what it looks like when it comes out, but how it performs that makes us scratch our heads in awe.
I asked my own midwife about this, and she answered "both". It can be due to some pathology or health issue with the woman, it can be due to postdates, for some women it is just what "happens" (she had a client with 3 kids for whom this sort of thing happened each time; necessitated hospital birth with #3 due to the difficulties she had with bleeding and infection from the first 2; the mom was 2+ weeks every time, just carried babies for a longer time than the usual 40 weeks).
I hope your cousin is recovered now and able to enjoy her baby! Peace
Also, my placenta came out in pieces, but I'm pretty sure it was from doc digging around, not b/c the actual placenta had any problems.
Moral of the story, if there's a placenta problem, it MUST be b/c of due date issues, not dr error.
Midwifery. 1991 Mar;7(1):31-9. Related Articles, Links
A contemporary view of the human placenta.
|Our current knowledge of the human placenta is briefly reviewed. Particular stress is placed upon the considerable functional reserve capacity of the placenta, the unimportance of most visible abnormalities of the placenta, the lack of any evidence that the placenta ages during gestation and the lack of significance of placental weight. The effects on the placenta of infection and of maternal cigarette smoking are considered and the concept of placental insufficiency critically discussed. It is concluded that most cases of 'placental insufficiency' are, in reality, examples of maternal vascular insufficiency resulting from inadequate placentation during the early stages of pregnancy.|
I think squatting to deliver placentas is wonderful, we don't have to "pull on the cord." I am amazed at how many midwives do this! You could argue expectant management vs. active management.
Oh gosh and they cut her to do a manual removal?! Eek!
Now what about placental calcification, as mentioned in another post I read here somewhere... when do yall feel this becomes a problem/risk and how does that fit into our discussion of post dates? Is it only due to post dates? Just wondering...
we think we know alot about the placenta, but based on current belief systems and myths being spread, it's obvious that the placenta is far smarter than we think we are.
I know this is a very old thread, but I wish someone had some more answers. In my last two pregnancies I was told that my placenta was disintegrating. One baby was born at 37 weeks after my water broke. She was born with complications similar to what a preemie would suffer as a result of not getting proper nutrition, oxygen etc through an unhealthy placenta. In the second pregnancy with this problem, we had a stillborn. This was all very very hard on us. No one seems to know what might be wrong. Except with regard to pregnancies, I am a healthy adult. No smoking, no high blood pressure, no drinking, drugs, no diabetes, not overweight. No problems. Except with regard to carrying babies. Any ideas what could cause this??
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