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In my opinion if you do not have the expertise to use a powerful oxytoxic drug like methergine than I would not purchase it, especially from an online source. Who is to say you are getting what you think you are getting. I would personally recommend that you read Susan Weed's Wise Woman Herbal for the Childbearing Year. It has great information on using herbs to staunch blood loss and other things. Most often I hear of women who are anemic actually bleeding less, the body 'knows' it has less to use so it doesn't lose much. I would you not use anything stronger at home. Educate yourself on what you need and practice visualizing the birth you want, ie the placenta completely releasing from the uterus after the birth of your baby, very little bleeding. Also I would caution against mashing against the uterus after the birth in order to get the placenta to release. This action can actually cause the placenta to be retained in areas. I would not do anything after the birth of the baby before the placenta if you are not bleeding, even herbs can cause a premature release of placenta that can result in the blood exchange not being completely shut down. When in doubt do nothing, just watch and use common sense. Good luck. Again this is totally my opinion after researching and being around births as both a doula and student midwife, and giving birth 5 times too.
I've been told by a couple of midwives that being anemic (hemoglobin below 10) puts me at an increased risk of pph, but I can't seem to find any info on how much it's increased (I know that pph is a risk, albeit a rare on, but still an existing risk to any woman in birth, and that's something I accept. If being anemic only raises the tiny risk a tiny bit more, than it wouldn't be as worrisome). Or at what levels exactly - if I can get my iron to a 10 what is my risk compared to an 11? One midwife told me she wouldn't attend a home birth of a woman that was under12. So I just haven't been able to get good information on this, and I've been trying to decide for myself what my "safe level" will be. If I'm only at 10 when I go into labor, will I stay home? I really want to, but I don't want to be irresponsible. I really don't want to give up my home birth either. If anyone would like to share their links or books so that I can find more information I'd really appreciate it.
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