2nd time round will I PPH again? - Mothering Forums
Forum Jump: 
 
Thread Tools
#1 of 13 Old 09-16-2012, 04:11 PM - Thread Starter
 
kimdylan2010's Avatar
 
Join Date: Sep 2012
Posts: 2
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Hi all was wondering how likely it was that i will have another PPH as 5 months pregnant again and it is playing on my mind, I had a vaginal delivery 3 years ago went into labour spontaneously at 35 weeks 4 days I had shoulder dystocia episiotomy 3rd degree tear uterus did not contract had PPH then had to have a blood transfusion and rush balloon? I think I will be offered a C-section this time but what are the chances of it going wrong again?redface.gif
kimdylan2010 is offline  
#2 of 13 Old 09-19-2012, 10:53 PM
 
HappyHappyMommy's Avatar
 
Join Date: Mar 2009
Posts: 5,928
Mentioned: 4 Post(s)
Tagged: 0 Thread(s)
Quoted: 32 Post(s)

Hi; welcome to MDC and congratulations on your pregnancy.. I'm bumping up your post for attention. smile.gif Anyone have experiences with PPH and subsequent pregnancies to share?
 


hh2.gif Head over to the Holiday Helper forum and be a part of this wonderful Mothering tradition! joy.gif

Wondering about Mothering in general? Check out Mothering's User Agreement! smile.gif

HappyHappyMommy is offline  
#3 of 13 Old 09-24-2012, 08:03 PM
 
dayiscoming2006's Avatar
 
Join Date: Jun 2007
Location: Texas
Posts: 2,793
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I've never had really bad PPH, but I have "mild" PPH that needed to be treated in one way or another with each birth. But, I wouldn't go straight with a C-Section as they have some serious risks too and I've heard of PPH with those too. I'd simply get on a some supplements to minimize bleeding. Iron (ferrocel), red raspberry leaf tea (2 cups a day in 2nd tri and 3 cups a day in 3rd trimester) to strengthen your uterus, vitamin K to help with blood clotting. Avoid fish oil and other blood thinning supplements or medications at the end of your pregnancy. If you do home birth, wombstringe (herbal PPH remedy) worked on me with birth number 3. It's to be used after the placenta has been delivered. I don't know if there was any mismanagement on the part of a doctor or midwife, but make sure they don't yank on the cord and try to get the placenta out before it detaches. That can cause a lot of problems and is why I think I had a bit more severe PPH case with my second. They didn't let me deliver my placenta and manually extracted it immediately after the birth. They then gave me an INCREDIBLY painful D and C because of retained pieces(Romania)   With my third the placenta came out about 5 minutes after my baby was born. 

I don't know if it was a "true" dystocia. Were you able to try different positions? One of the best positions if I remember right, in that case, would be hands and knees. I had one baby on my back and ended up with an episiotomy. I delivered 2 larger babies after that with hands and knees and no tears or episiotomy.

I hope some of that was helpful to you.


Happily married Christian SAHM of 2 boys, DD1 uc.jpg, and DD2 July 2013 homebirth.jpg 

 homeschool.gif   novaxnocirc.gif cd.gif   winner.jpg                                       

 

dayiscoming2006 is offline  
#4 of 13 Old 10-02-2012, 09:06 AM
 
Ms Rabbit's Avatar
 
Join Date: Jun 2012
Posts: 111
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I had PPH with DS1, but not with DS2. When I was pregnant with DS2 and asked them if I would hemorrhage again, they weren't concerned. They said maybe, maybe not, but just because I did the first time didn't set me up for it again.


Happy wife of Mr. Rabbit; proud momma to DS1 (07.07.09), DS2 (02.11.11) and expecting baby #3 01.27.13.

 

Ms Rabbit is offline  
#5 of 13 Old 10-06-2012, 01:03 PM
 
ilovejeff's Avatar
 
Join Date: Apr 2008
Posts: 1,066
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I had pph and a retained placenta with DD (first birth). My MW gave me a shot of pitocin after DS was born to ensure that I didn't stop contracting, and no pph!

So this is bliss! Proud mama to Katie, born gently at home 10/4/09, wife to my nursing student hubby (LPN down, RN here we come!), and coming in September....Katie's little brother!
ilovejeff is offline  
#6 of 13 Old 11-23-2012, 04:16 PM
 
mercii's Avatar
 
Join Date: Apr 2011
Posts: 28
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I'm wondering the same thing! I had a severe PPH on my most recent delivery (2nd child). I am currently nearly due with my 3rd.. I will let you know how it goes. This will be a birth center birth, and my midwife plans to give me pitocin immediately after birth. She is also prepared to transfer immediately if that doesn't make a noticeable difference.

 

I have read that c-sections increase your risk of hemorrhage, (which makes complete sense if you consider that they cut it open, then sew it back shut and expect it to contract as strongly as an intact uterus!) so I would avoid that route if at all possible.

 

Also, have hope about the tearing! I tore badly with my 1st but had zero for my 2nd! I'm optimistic for my 3rd, even though we suspect she's quite a bit larger.

mercii is offline  
#7 of 13 Old 11-24-2012, 05:18 PM
 
sky_and_lavender's Avatar
 
Join Date: Jul 2007
Posts: 1,144
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

I had a pretty bad PPH after a normal birth. It was a homebirth and I did avoid transfer and transfusion but just barely. Anyway, I asked my mw how likely it was that I'd have it again, and she said it wasn't necessarily more likely. In my case, I was very exhausted before I even went into labor and feeling very dead as I gave birth--it felt like my body just completely ran out of energy. It was circumstantial and doesn't have to be the same in every birth. Wishing you a healthy and beautiful birth!
 



Mama to a bilingual (Arabic/English) and cuddly 3 year old, and planning another peaceful homebirth in June.
 

sky_and_lavender is offline  
#8 of 13 Old 11-24-2012, 05:36 PM
 
Katie8681's Avatar
 
Join Date: Dec 2010
Location: Northern Cali
Posts: 676
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 3 Post(s)

http://www.obgynnews.com/news/obstetrics/single-article/prior-postpartum-hemorrhage-raises-risk-of-another/c9535c4e63a647ba04d432201761b8af.html

 

Some research on the subject. In this study, they looked at about 1million births, looked at how many first time moms had PPH, and compared the rate of PPH in the second and third deliveries of both no PPH and PPH ladies. Of women who had hemorrhaged in their first births, 12.8% hemorrhaged in their second, while of women who had not hemorrhaged, 3.8% did. This was in Sweden. These results are pretty consistent with other studies on PPH risk factors. 

 

At your first birth, the fact that you spontaneously went into labor at 35+4 makes me wonder if you had a uterine infection, which sometimes causes PTL, and is also known to be associated with PPH. Does that sound like a possibility?


At home amongst the redwoods treehugger.gif with my husband and my son, born 7/5/11 familybed1.gif  Instant CNM, just add caffix.gif !

Katie8681 is offline  
#9 of 13 Old 11-27-2012, 12:04 AM
 
heatherfd's Avatar
 
Join Date: Mar 2012
Posts: 21
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

To the OP , you certainly had a lot of reasons to have a PPH, a difficult delivery and episiotomy . 

 

Women who have had a PPH are at more risk of a PPH again  and of course theres the possibility  of shoulder dystocia again. 

 

As someone who had a 3 litre PPH with my first delivery it can be very frightening both for you & your partner .

 

Its worthwhile talking to your care giver about what measures you can put in place to reassure you both about your PPH and dystocia , should they arise again.

 

My choice was to  have 2 large gauge cannulas in situ & a Syntocinon ( pitocin) infusion set up & ready to be plugged in.

 

As luck would have it , they weren't needed but to know we have a plan in place & could act immediately was immensely helpful to me.

 

Would love to hear how you go as you certainly have been through the mill, hopefully will have a nice uncomplicated delivery next time.

 

Best wishes . 

heatherfd is offline  
#10 of 13 Old 12-02-2012, 09:05 PM
 
HawaiianBlesing's Avatar
 
Join Date: Nov 2010
Location: The Sierras
Posts: 686
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Alfalfa supplements or added to your RRL tea will help as well.  


Becky, homebirth.jpg momma to Rafe 8/2/2011,  wife to Sky & mom to our  dog2.gif   dog2.gifcorgis. 

HawaiianBlesing is offline  
#11 of 13 Old 12-09-2012, 01:57 PM
 
heatherfd's Avatar
 
Join Date: Mar 2012
Posts: 21
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Can you explain how that would prevent or treat a PPH ?
 

heatherfd is offline  
#12 of 13 Old 12-12-2012, 05:47 PM
 
IdentityCrisisMama's Avatar
 
Join Date: May 2003
Posts: 10,631
Mentioned: 5 Post(s)
Tagged: 0 Thread(s)
Quoted: 89 Post(s)

I had a PPH with transfusion with DC #1 and heavy bleeding with DC #2 homebirth. I did take an anti-PPH drug that started with an "M" just for good measure. 


Mama to DD September 2001 and DD April 2011 *Winner for most typos* eat.gif
IdentityCrisisMama is offline  
#13 of 13 Old 12-12-2012, 06:59 PM
 
mercii's Avatar
 
Join Date: Apr 2011
Posts: 28
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)

Well, my 3rd delivery went well. All normal bleeding, and my bleeding is slowing down much faster than the past 2 in the postpartum stage, too.

 

I did take alfalfa and red raspberry leaf tea, so I wonder how much that helped! Alfalfa is high in vitamin K, which helps with blood clotting, and red raspberry leaf tea is known for toning the uterus, enabling it to contract better.

mercii is offline  
Reply

Quick Reply
Message:
Drag and Drop File Upload
Drag files here to attach!
Upload Progress: 0
Options

Register Now

In order to be able to post messages on the Mothering Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
If you do not want to register, fill this field only and the name will be used as user name for your post.
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



User Tag List

Thread Tools
Show Printable Version Show Printable Version
Email this Page Email this Page


Forum Jump: 

Posting Rules  
You may post new threads
You may post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off