So who else is UP/UCing? - Mothering Forums

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Old 02-22-2009, 07:15 PM - Thread Starter
 
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I know zjande and Serenyd are but is there anyone else planning to UP/UC this time around?

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Old 02-22-2009, 07:30 PM
 
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Well, you know what? Although I had a planned UC last time, & it was the most incredible thing I've ever done (! ) , my hemorrhage really made me nervous. I've hemorrhaged after the last 2 babies. I had planned all along to have another UC with this birth..... BUT, after thinking&thinking&thinking on it these past couple weeks, I did some research, found a homebirth midwife that is in network with my insurance, and am meeting her next week. Honestly, I'd prefer to birth with only my family here at home. But, I'm feeling fearful about those hemorrhages & am afraid that I will be looking towards my upcoming birth with fear & worry over bleeding than with excitement & confidence. I think I'll feel more reassured knowing a midwife is here with me to help me judge the bleeding & offer more hardcore meds if my mountain of hemostatic herbs don't work.

So, though I feel like a UCer to my core, I gotta be wise & protect myself from a potential serious hemorrhage problem in the ways I feel are best, y'know? This midwife IS about an hour's travel away though, & this is baby #5, so there's a pretty decent chance she won't arrive until after the baby's emerged, which will be more than fine with me.

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Old 02-22-2009, 08:15 PM
 
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I'm not unless I can't find a homebirth midwife to work with. I'd rather UC than be in the hospital though! I like the idea of UC but I have heard nasty things about people being turned in to CPS around here when they take the baby to the pediatrician the first time and when they try to get a birth cerficate. If it weren't for narrow-minded officials, I'd go for it myself!
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Old 02-22-2009, 09:31 PM
 
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Originally Posted by Starr5678 View Post
I'm not unless I can't find a homebirth midwife to work with. I'd rather UC than be in the hospital though! I like the idea of UC but I have heard nasty things about people being turned in to CPS around here when they take the baby to the pediatrician the first time and when they try to get a birth cerficate. If it weren't for narrow-minded officials, I'd go for it myself!
I'm glad I never had any trouble. My OB, our ped, and even the guy who had to drive two hours to fill out the birth certificate paperwork (something about having to see the baby in person) were supportive and totally nice about it.

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Old 02-22-2009, 10:08 PM
 
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sorry, but what does UP/UC mean?

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Old 02-22-2009, 10:35 PM
 
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Ok ladies, dont tease me, but I have a silly question. What would you do if you tore during pushing? What would one do as far as stitches, ect?

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Old 02-22-2009, 10:53 PM
 
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Originally Posted by budwana birth View Post
sorry, but what does UP/UC mean?
UP= unassisted pregnancy, doing your own prenatal care. UC= unassisted childbirth, not having a midwife or any other professional care provider person attend your birth. AKA "freebirth", or DIY childbirth. There's a UC forum here at MDC:
http://www.mothering.com/discussions...play.php?f=306

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Ok ladies, dont tease me, but I have a silly question. What would you do if you tore during pushing? What would one do as far as stitches, ect?
If it's a small tear, you just keep your legs closed til it heals. I guess a couple would have to judge what they were comfortable with letting heal on its own at home, & what they'd want to go get care for. I know there are herbs folks rely on for healing tears as well. I would think that only the hugest tears would need suturing... but I haven't researched that very deeply recently.

I only tore during my 2 OB attended hospital births. My MW attended birth & my UC (even though the baby weighed 10lbs 6oz) didn't result in the slightest tears.

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Old 02-22-2009, 11:02 PM
 
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Originally Posted by RMM1117 View Post
Ok ladies, dont tease me, but I have a silly question. What would you do if you tore during pushing? What would one do as far as stitches, ect?
My midwife says keeping your legs closed is a great healing option, if the tear isnt too bad. Like pp suggested, the couple would have to take a look at that and make the decision when the time comes. I've torn at both my hospital birth, and at my quick homebirth.

While I'm not planning a UC, my two close friends are both pregnant and planning UC : , andI feel like I'm planning the next closest thing. I'm planning to ask my midwife to just hang out downstairs until I ask for her, which will most likley be after the baby comes out!! Why you ask would I pay money for that? Things me and my dh can do (cord, clean up, weigh, etc)? I dont know, and I think I need to do some soul searching on that. So I will join your thread as a supporter if nothing else!
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Old 02-22-2009, 11:02 PM
 
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Originally Posted by Starr5678 View Post
I'm not unless I can't find a homebirth midwife to work with. I'd rather UC than be in the hospital though! I like the idea of UC but I have heard nasty things about people being turned in to CPS around here when they take the baby to the pediatrician the first time and when they try to get a birth cerficate. If it weren't for narrow-minded officials, I'd go for it myself!
Welllllll, here are some things to consider.
1. You can claim that "oops! The baby came so fast that there just wasn't time to get to the hospital!" UC is not illegal anywhere.
2. You don't have to go to your regular pediatrician for the first appt, that way you can avoid lots of questions, because you'll be "getting all your immunizations & other regular care from your regular family pediatrician, they just didn't have any openings today" or, "they just don't offer the metabolic testing we need".

I brought our 14 month old to the ped for the metabolic testing when he was 14 days old. That was all we needed, just the test, otherwise we do have a regular family dr. we take him to.

We didn't have any trouble at all getting the b cert immediately after birth.

Personally
, even though having a UP sounds totally fun & I know women can do it just fine, we decided against it just in case there was ever some weird issue with cps. At least we could show that we got "regular care like regular people". Plus it's easier to claim the UC was an accident if you appeared to have every intention of getting to the hospital to meet your prenatal care providers there.

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Old 02-22-2009, 11:18 PM
 
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I want to join to read all your stories! I have had 1 hospital birth and 2 homebirths with a midwife, but the 2nd was UC for the birth. Not really planned, though we knew it would probably happen due to my quick active labors (I labor for days softly, and then once things start, they go fast)

I have hired the same midwife, with the conversation today that I won't come in for many appointments. I want to go in for blood tests, listen to the heartbeat and catch up with my midwife, she is my friend by now! I want about 1/2 the visits than what is usual for her. then she knows that most likely I will be birthing the babe with just hubby again, even if she is on her way! I like her coming in to check us all out and clean up for us.

So, no I am no really UP/UC, but halfway there, and thats cool with me.

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Old 02-23-2009, 09:26 AM
 
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We're planning another UC! My last one was so amazing and as my dh put it, "It wasn't nearly as scary as jumping out of an airplane."

We decided to UC at 37 weeks after weeks of reading, researching, talking, and having horrible midwife appointments at the birthcenter. We ordered some supplies and 2 days later, I went into labor. I labored for only 45 minutes and orgasmically birthed our baby into dh's hands in our bedroom. He tucked us into bed, threw the towels in the washer, and brought me breakfast. I had a tear and decided to have it stitched up. I called the aforementioned birthcenter and made an appointment with the other midwife for later that day and she repaired the tear. I now know that there are several HB midwives in my area that I could have called that would have been more than happy to come to me and help repair a tear.

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Old 02-23-2009, 11:18 AM
 
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I am sorta! My midwife is also my very close friend so she will be here as support and for the in case scenario but other than that, we plan to UC if at all possible. Our last birth ended in a transport after a 44 hour labor so this time, we are hoping it's shorter and more successful! At least she will be there with her expertise to keep us informed!
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Old 02-23-2009, 02:29 PM - Thread Starter
 
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Originally Posted by RMM1117 View Post
Ok ladies, dont tease me, but I have a silly question. What would you do if you tore during pushing? What would one do as far as stitches, ect?

SUPERGLUE!.

My story is that I planned a birthcenter birth with my last pregnancy only to find out at my first appt that I was carrying twins. I was dumped by the BC and devistated. I went back to my old ob but at 32 weeks after trying to get her to agree to my birth plan (she refused to even look at it) and threatened to call CPS if I refused any care while in labor (including c-section). That was It, I got my records and left. I had planned to UC before that point and keep the Dr on as my Oops insurance but with that threat I was gone. At 34 weeks I found a midwife at a hospital who was supportive of a twin a breech, twin b vertex vag delivery. If figured that that would be the best bet if I needed care but I would still UC with my family. At 39 weeks (probably due to all the FIGHTING the office did with me) I developed Pre-e and a few days later I had a c-section. To vbac at the hospital I would have to give up waterbirthing and consent to constant fetal monitoring and I'm not willing to do that, it just sounds to me like a good way to end up with another section, and not a nessisary one like last time.

This time I did see the MW for some bloodwork and an u/s because of a threatened M/C but bub's ok and I'm not going back. I'm lucky, I have never hemorraged, even with my section I clamped down hard and fast, they were shocked at how little blood I lost. I'm a little concerned about complications from having the section but I think all in all my chances of a healthy normal birth are far better if I stay home. I enjoy the company of midwives but It's an awful lot of money to spend for a friend to chit chat with. I feel very confident that I can handle most anything that might happen at home and if I need help, we are 5 min away from the closest hospital.

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Old 02-23-2009, 05:27 PM
 
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Originally Posted by RMM1117 View Post
Ok ladies, dont tease me, but I have a silly question. What would you do if you tore during pushing? What would one do as far as stitches, ect?
Mine healed fine without stitches.

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Old 02-23-2009, 07:50 PM
 
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zjande, I wonder if this may interest you:
I have a friend who is a retired midwife and RN who SWEARS BY cayenne pepper "shock tea" to prevent PP hemorrhage. Your PP hem risk increases with each subsequent child, just because your uterus becomes more "seasoned" to bleed out (Some women notice their PP bleeding gets heavier or lasts longer with each child). I visited with a lady 2 summers ago who didn't bleed AT ALL after the birth of her 6th baby. Her doctors were astounded. Throughout her 3rd trimester she drank about a quart a day of "shock tea" made with 3-4 cups of water, 1/8-1/4 tsp cayenne pepper and 2 tsp apple cider vinegar, w/honey to taste. The cayenne pepper also acts to neutralize lactic acid in tired muscles, resulting in smoother, less painful labor contractions (I've tried it with menstrual cramps too and was pleasantly surprised. AND! it's a godsend after strenuous workouts, and works absolute wonders on a sore throat, but back to topic...). Of course, these ladies' experiences are totally anecdotal and not at all to be taken as medical advice, but I've done a lot of reading about the anti-hemorrhagic qualities of cayenne and I plan to start drinking this in my 3rd trimester to reduce postpartum bleeding. If nothing else, it is a healthful drink. Read up about it, talk to your midwife or NP. Just something to consider.

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Old 02-23-2009, 08:41 PM
 
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Originally Posted by AuntieLiz;
1 towho is a retired midwife and RN who SWEARS BY cayenne pepper "shock tea" to prevent PP hemorrhage......
(sorry, my toddler pushed buttons & messed up your quote...)

Wow, thanks! What an interesting coincidence, too because I *just* stuck a sticky note to the page in Hearts & Hands that mentions taking cayenne to prevent PPH. I look forward to asking my new midwives all about that at my very first appt. I'm definitely going to research cayenne this time, I've never tried that before.

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Old 02-23-2009, 11:01 PM
 
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I am seriously considering a UC this time.

.

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Old 02-24-2009, 12:03 PM - Thread Starter
 
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I have heard of Cayenne too. I have a bottle of Womb stringe JIC. I have heard some midwives use it rather then a shot of pitocin because it's just as or more effective. How fast did it happen in the past? I've read that hemorrhage is a slow process and you can get to a med provider pretty fast if you need one.

Has anyone tried the placenta in your cheek remedy for bleeding? It's supposed to help you clamp down after.

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Old 02-24-2009, 04:06 PM
 
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I would love to UC in my heart, but I'm not totally there yet. Also, my husband is definately not there, and he would freak and be a negative energy in that situation - and I want him there. So, I'm going to try and find a midwife that will be hands off, sit in the other room or down the road, and come when I need her. I have a midwife like that right now, but I just found out I'm moving to an entirely different state hundreds of miles away, most likely before the birth. I've told my husband that if I can't find a midwife I like where we are moving, then I want to come back here and have my current midwife attend me at a friend's house or something. Maybe we will be ready for a UC in the future. I'll love to hear all of your stories!
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Old 02-24-2009, 05:02 PM
 
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Originally Posted by fyrebloom View Post
I have heard of Cayenne too. I have a bottle of Womb stringe JIC. I have heard some midwives use it rather then a shot of pitocin because it's just as or more effective. How fast did it happen in the past? I've read that hemorrhage is a slow process and you can get to a med provider pretty fast if you need one.

Has anyone tried the placenta in your cheek remedy for bleeding? It's supposed to help you clamp down after.
For baby #3, my first hemorrhage, since I wasn't expecting it, my MW just gave me a shot of pitocin & that worked. For the next baby, our UC, I took alfalfa while pregnant, drank tons of RRL tea, and then started doses of Blue Cohosh before the placenta came out, then doses of Wombstringe every couple minutes after it came out. You're supposed to keep taking it til your bleeding lessens so I ended up taking the whole bottle. I also breastfed immediately (tandemed, actually ), ate a piece of placenta & tucked one between my mouth & cheek. I stayed upright, & ate food.

One thing I didn't do was any kind of uterine massage. Those herbs were causing me to contract continuously so my "labor" continued about an extra hour after the baby came out. The last thing I wanted was to start shoving my hands into my labor pains, ouch! But then again maybe that will be something the MW will end up doing for me this time.

I recently bought Susun Weed's book, it has some good PPH info. And I'm going to look into the cayenne. Those are a good start I think.

I DO really want to know how Shepard's Purse (Wombstringe's main ingred) & Pitocin compare.

Fyrebloom, I think the hemorrhage began with the emergence of the placenta, so just about 15 mins or so after the birth. It was a slow but heavy drip for, geez my sense of time is wonky so, I'm guessing around an hour - 90mins before I fell asleep. I was very faint, hot & ringy in the ears, couldn't stand up straight. I knew all along that I could call 911, the FD is 1.5 miles away from us. But I SO didn't want our totally awesome birth to end like that! Ug, that would have been traumatizing to our whole family. Sooo, I'm hoping that having a MW there to help me out will ensure (hopefully : ) my avoiding being totally afraid like I was last time, AND a lovely trip in the ambulance.

My dh would prefer to have another UC, & thinks I worry a bit too much about my bleeding, but is supportive of my MW plans. But DUDE, I was worrying about bleeding to death after our UC & he told me to go take a nap! lol Thankfully I was fine when I awoke, but no one was paying attention to whether I was bleeding into the mattress or not! My MW will help with that I hope.

ANYWAY. I'm sorry that I've written a novel . There aren't very many outlets in the world for me to get all this stuff out! Thanks for letting me spew it all here!

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Old 02-24-2009, 06:09 PM
 
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For baby #3, my first hemorrhage, since I wasn't expecting it, my MW just gave me a shot of pitocin & that worked. For the next baby, our UC, I took alfalfa while pregnant, drank tons of RRL tea, and then started doses of Blue Cohosh before the placenta came out, then doses of Wombstringe every couple minutes after it came out. You're supposed to keep taking it til your bleeding lessens so I ended up taking the whole bottle. I also breastfed immediately (tandemed, actually ), ate a piece of placenta & tucked one between my mouth & cheek. I stayed upright, & ate food.

One thing I didn't do was any kind of uterine massage. Those herbs were causing me to contract continuously so my "labor" continued about an extra hour after the baby came out. The last thing I wanted was to start shoving my hands into my labor pains, ouch! But then again maybe that will be something the MW will end up doing for me this time.

I recently bought Susun Weed's book, it has some good PPH info. And I'm going to look into the cayenne. Those are a good start I think.

I DO really want to know how Shepard's Purse (Wombstringe's main ingred) & Pitocin compare.

Fyrebloom, I think the hemorrhage began with the emergence of the placenta, so just about 15 mins or so after the birth. It was a slow but heavy drip for, geez my sense of time is wonky so, I'm guessing around an hour - 90mins before I fell asleep. I was very faint, hot & ringy in the ears, couldn't stand up straight. I knew all along that I could call 911, the FD is 1.5 miles away from us. But I SO didn't want our totally awesome birth to end like that! Ug, that would have been traumatizing to our whole family. Sooo, I'm hoping that having a MW there to help me out will ensure (hopefully : ) my avoiding being totally afraid like I was last time, AND a lovely trip in the ambulance.

My dh would prefer to have another UC, & thinks I worry a bit too much about my bleeding, but is supportive of my MW plans. But DUDE, I was worrying about bleeding to death after our UC & he told me to go take a nap! lol Thankfully I was fine when I awoke, but no one was paying attention to whether I was bleeding into the mattress or not! My MW will help with that I hope.

ANYWAY. I'm sorry that I've written a novel . There aren't very many outlets in the world for me to get all this stuff out! Thanks for letting me spew it all here!
That does sound scary. I don't blame you a bit for being cautious. I wonder if I'm at a higher risk for hemorrhage now that I'm on my 3rd and these last are closer together? I didn't bleed much with the last one.

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Old 02-24-2009, 08:18 PM - Thread Starter
 
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Yeah that sounds pretty scary! Maybe I should keep some Pit on hand JIC. I think you can get it at Cascade medical supplies. Dunno. Perhaps you can have a midwife come after for PP care. I think that still counts as a UC then. This is my 3rd birth too and my last was 13lbs of twin. With my son I bled alot. but the B*&%H of an OB used traction and ripped my placenta out. I never even got to see it . I know my CBCs were low but not too low. With my twins (c-section) it was MUCH less bleeding and I was not even close to anemic after the surgery. Hemorrhage and cord prolapse are the two things I am most concerned about but not enough to stop me esp where I have no prior history of hemorrhage and prolapse is rare when the waters are left intact (as they would be at home)

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Old 02-24-2009, 11:04 PM
 
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From Taming the Obstetrical Tiger by Robert Oliver MD Ph.D.

"Eighty-five percent of pregnancies do not need a doctor and maybe, as in unassisted childbirth, don't require the attendance of a midwife."

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Old 02-26-2009, 02:15 PM
 
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Not UC'ing, but I wanted to add a note of caution about using cayenne for hemorrhage.

From the Wise Woman Herbal for the Childbearing Year by Susun Weed:

"Although Capsicum is recommended by some herbalists as successful in controlling postpartum bleeding, this fast-acting herb is in disfavor among midwives; some go so far as to call it dangerous. It does slow down a hemorrhage, but it also stimulates circulation. The danger hides in a false sense of security: having seemingly alleviated the problem, the midwife tends to other concerns, only to find that the hemorrhage has returned with increased vigor behind her back. In addition, Cayenne does not contract the uterus, a necessity if the bleeding is to be totally controlled."

According to the Naturally Healthy Pregnancy by Shonda Parker:

"A tincture of cayenne may be used, but the above herbal combination (HemHalt Formula) should follow the cayenne. While cayennne initially may halt the bleeding, it is a stimulant herb that may cause bleeding to renew shortly."

The herbs in the aforementioned HemHalt (made by TriLight Herbs) are: Shepherd's Purse, Blue Cohosh, Bayberry, Yarrow and Capsicum.

For one of my mother's births, the midwives gave her cayenne. It appeared to stop the bleeding, but in actuallity it was just coagulating it. Giving the appearance of stopping, but instead, filling the uterus with coagulated blood. I would not recommend it.

Here are some other considerations:

If the placenta is not out, Angelica can help shear it off and Blue Cohosh contracts the uterus.

Other herbs to consider: Shepherd's Purse, Trillium, Yarrow, Motherwort.

If the hemorrhage is caused by a boggy uterus: Blue Cohosh, Cotton Root Bark, or Cannabis (!), used in combination with a hemostatic herb such as Witch Hazel or Lady's Mantle.

Susun Weed's Antihemorrhage Tincture #1:

Blue Cohosh; Shepherd's Purse; Motherwort.

Antihemorrhage Tincture #2:

Blue Cohosh; Witch Hazel Bark; Valerian or Lady Slipper.

Nettles and Alfalfa taken during pregnancy can help prevent hemorrhage.

My Mother-in-Law is an herbalist and she said that she would reach for Trillium over Shepherd's Purse. Trillium can be hard to find though.

I hope this helps!
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Old 02-26-2009, 09:21 PM
 
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cfiddlinmama, thanks! I hope you didn't have to type all that out! I actually have those books, and most of those herbs.

Yeah, total mom brain, but as soon as I was reminded that cayenne is the same as capsicum I thought "duh, I researched the heck out of that last pregnancy & know I don't want to go with that!" That's why I chose Wombstringe over HemHalt.

In total, during my last birth, I utilized Bayberry bark, Witch Hazel bark, Shepherb’s Purse herb, Motherwort leaf & Cinnamon bark, Blue Cohosh, Crampbark, Black Haw bark, Yarrow flower, & Motherwort leaf. I ate placenta, tucked some in my cheek, breastfed, and I also took tons of alfalfa, nettle & RRL during my last trimester.

serenyd & fyrebloom, thanks! It's funny, it actually reassures me to hear others say that they'd be worried about the bleeding I experienced, too. Like, too often I think maybe I'm just overreacting or being paranoid or not trusting my body or somesuch. I don't think Pit is something you can just purchase online, I'm pretty sure it's one of those hardcore drug thingies on;y a doctor/midwife can prescribe. But I'd say definitely have some Wombstringe on hand, JIC! And yeah, technically your risk of PPH increases the greater # of babies you have, and the closer together they are. Yesterday my (brand new, yay!) midwife told me that with my history (this being my 5th baby, the last 3 close together, 2 PPHs already...) that it's pretty much guaranteed that I'll hemorrhage with every birth from here on out. Bummer. Oh well, could be worse!

Anyway, thanks again for letting me spew my PPH novels here guys.

North Idaho rural living  mama to: 23 yo DD, 16 yo DS, 8 yo DS, 6 yo DS, 4 yr old DS, 2 yo DD, and 1 yo DS. And someone new coming this Christmas!
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Old 02-26-2009, 09:37 PM
 
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Originally Posted by zjande View Post
cfiddlinmama, thanks! I hope you didn't have to type all that out! I actually have those books, and most of those herbs.

Yeah, total mom brain, but as soon as I was reminded that cayenne is the same as capsicum I thought "duh, I researched the heck out of that last pregnancy & know I don't want to go with that!" That's why I chose Wombstringe over HemHalt.

In total, during my last birth, I utilized Bayberry bark, Witch Hazel bark, Shepherb’s Purse herb, Motherwort leaf & Cinnamon bark, Blue Cohosh, Crampbark, Black Haw bark, Yarrow flower, & Motherwort leaf. I ate placenta, tucked some in my cheek, breastfed, and I also took tons of alfalfa, nettle & RRL during my last trimester.

serenyd & fyrebloom, thanks! It's funny, it actually reassures me to hear others say that they'd be worried about the bleeding I experienced, too. Like, too often I think maybe I'm just overreacting or being paranoid or not trusting my body or somesuch. I don't think Pit is something you can just purchase online, I'm pretty sure it's one of those hardcore drug thingies on;y a doctor/midwife can prescribe. But I'd say definitely have some Wombstringe on hand, JIC! And yeah, technically your risk of PPH increases the greater # of babies you have, and the closer together they are. Yesterday my (brand new, yay!) midwife told me that with my history (this being my 5th baby, the last 3 close together, 2 PPHs already...) that it's pretty much guaranteed that I'll hemorrhage with every birth from here on out. Bummer. Oh well, could be worse!

Anyway, thanks again for letting me spew my PPH novels here guys.
Anytime Actually, I'm kind of glad you brought it up.

 nak.gif Mommy to fencing.gifKai 2/03, hammer.gifCaden 1/08, energy.gif Kara 10/09, angel1.gif 3/21/13, &

rainbow1284.gif baby.gif  Cole 2/3/14 ♡ Happily unmarried to geek.gif Papa since 2002 ♡

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Old 02-27-2009, 02:30 AM
 
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Not quite sure if I should be joining here, as I'm still undecided on UC or not, but I won't be UPing. I seriously considered it, but decided that, if I could find a midwife I felt comfortable with, prenatal care from someone I could dump all my pregnancy talk on was something I'd appreciate. Lo and behold, I found myself a midwife I actually get along with, and she's fine with the slightly higher chance I won't be calling her for the birth itself. She's literally 5 minutes away from me, so if something happened during labor that I felt needed someone there, she could easily come quickly (and the hospital is 5 minutes the other direction).

Our last child was an unexpected UC, but since I labor so fast (and don't usually realize I'm in labor until around 8cm) DH and I have been preparing for a possible UC since our first was born. I feel totally ok with his and my knowledge level, and trust in my body, with a few exceptions that we've both discussed. I think the biggest reason I might go UC, honestly, is so I can keep DH with me the whole time, as strange as that might sound. If the midwife were here, I'm certain he'd be checking on our other kids much more often (they do very well taking care of themselves when needed), and I'd lose my Rock, and there is no way the midwife could make up for that. So... still fence sitting here.
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Old 02-27-2009, 01:33 PM
 
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cfiddlinmama, thanks! I hope you didn't have to type all that out! I actually have those books, and most of those herbs.
No problem! This is a subject I'm fascinated by. I actually had a skill's class on PPH last night. For the record, given your history, I think you are very wise to utilize a midwife. I personally would try herbs/placenta/breastfeeding first and then go for pit. And yes, the average consumer can't get pit.

I just wanted to post what I did above for anyone reading. I would really hate for someone to be counting on cayenne to work for them.

Best wishes to all of you!
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