This happened in April and went to the ER after 2+ hours. Now looking for answers for the NEXT birth
Retained some membranes after placenta delivered- it would not budge with firm pulling/pushing after more then 2 hours. A ~6inch piece was removed with a long tweezer in the ER.
can you tell me am I more likely to have this happen again?
What is the cause (OB said cervix closed to quickly?)?
How can I prevent it in the future?
How to manage at a UC?
Transfer to ER or wait? Trim off placenta or leave intact?
I guess it depends. I retained membranes for 4+ weeks. I don't really remember if it was week 4 or 6 when I finally expelled it. But it wasn't blocking blood flow or anything. I am not really sure how I did it, but it happened. Sometimes, though, an ER visit is needed to pull something out of the way if it won't come out on its own, particularly if excess blood loss is suspected. I didn't have any such problems, nor did I feel it up there, stuck. I just noticed it was missing from the placenta and noticed it when it came out weeks later. No infections or scary outcomes, no D&C either.
You could have angelica tincture on hand next time:
yes- we did the placenta out tincture- but my cervix was "closed" tight around the membrane. good thought though
well it's safe to have it retain unless you get a fever and cramping or hemorrage. I can't remember the actual timeframe, but I think its like 3 days normally for the entire WHOLE placenta to be safely delievered. as long as there is no fever or cramping, signs of distress, blood-loss etc, pay close attention to what your body tells you and how you feel ie sick or feverish, abnormally tired, etc. Also, immediately hold baby skin to skin and nurse directly after he/she comes out, this tells your body to let go of the placenta and causes afterbirth contractions, and contractions are what opens your cervix. Google!!!! Learn all you can about EVERYTHING pregnancy and birth related before baby comes so you're ready for anything!
and NEVER EVER PULL ON THE CORD, PLACENTA, let anyone else do it, or let anyone put there hands up there to try to loosen/pull pieces out!!! you can massage and push on the uterus, as shown in various educational childbirth books and even gregory white's emergency childbirth handbook, but NEVER pull on the cord. it causes retention and hemorrage. thats actually usually the reason women who go to hospitals after hemorraging after birth because the doctor pulled on it or stuck his/her hand up there and fished around for pieces.
It happened to my aunt, they caused her to hemorrage by pulling the placenta out, then they soaked it up with cotton/gauze, and left pieces of that inside, then she got infected and died. So, when I had my first, my dad was very adament about not letting them up there at all.
Probably nothing new since you've UC'd before, but refreshers are always good, and there's always new information out there about everything under the sun.
Are you seeing an OB this time for prenatal? Do they think you'll retain again?
HTH!!! So scary that it retained! I hope everything goes perfectly when you do give birth and you were worried for nothing :) HUGS!
With my first that would have scared me to death because I was so uneducated about the process, my first was a hospital birth, so naturally I was forced to hopethe hospital knew everything. Then I bled for the next 2 months and was told it's normal everytime I called freaked about it never stopping. Now I read about UC moms everyday who only bleed for a week or two. Hmph. They pulled my cord, pushed my stomach, stole my placenta, and told me bleeding for 2 months is NORMAL. hmph I say! The best thing I've learned is that it's my body and I have rights and instincts that shouldn't go unnoticed, and I shouldn't be scared into worrying that the body can't do everything on it's own.
"but I think its like 3 days normally for the entire WHOLE placenta to be safely delievered."
Can you provide a source for that? My experience/understanding is that the placenta generally comes out intact. I've had five children and attended 52 births and every placenta I've seen has been the whole thing and they've all been birthed within two hours of the baby.
yes- i also thought that the placenta comes out intact or else you need some "help" (whatever that means- herbs,drugs,D&C, depending...) since the placenta is vascular in a way the membranes are not.
I did NOT retain placenta. I retained a piece of membrane that was about 4-6inches long. The placenta delivered whole in minutes.
thanks for all these ideas/suggestions.
This thread has actually been reallyl helpful!! My last homebirth after i birthed my placenta (which i am sure i just let drop into the toilet!) i thought i was done. my midwife checked and it appeared intact. a few days later this fleshy piece of membrane appeared while i was going to the bathroom. freaked me out!! called my midwife and she said i could give it a pull to see if it would come out. I was so worried it was attached to my uterus or something like that! it took quite a bit of me moving and lightly tugging. i was getting light headed because i was so worried. but when it released all was fine and i was so relieved. midwife thought it was strange because she had checked and thought everything had been delivered but didnt say anything about next time holding the placenta instead of letting it just fall out. i will keep that in mind for the next one. when you are done you just want to be done and not have to deal with things hanging out or having to pull anything out!!
Thanks for your posts