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Discussion Starter · #1 ·
<p>Okay, I know I've typed this out at least two times before but I'm going to do it again. I'm sorry, it's going to be long! I've had issues with my placenta with each of my pregnancies and feel doomed for history to repeat itself. I'm seeing yet another new care provider and I have to see what he thinks about all of this but I'm curious if anybody here has had similar experiences. </p>
<p> </p>
<p><strong>Pregnancy #1 2004</strong></p>
<p>I was induced with cervidil at 38 weeks due to high blood pressure & the u/s showed an aged placenta. </p>
<p>8 hour labor</p>
<p> </p>
<p>I really disliked my OB. I was 20 and a very poor advocate for myself. Right after DS was born he had the nurse administer a shot to my thigh, which I ASSUME was pitocin which I think puts me on the clock to get the placenta out? I don't believe I had any excessive bleeding or any reason why that would have been done. Immediately after that he put traction on the cord and it broke. He then used his hand and went up inside of me to take the placenta out. It came out in chunks and he had to go in and out in and out. I was crying and yelling which I hadn't done even once through labor & pushing. </p>
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<p>For two weeks after I had the WORST smelling discharge, clots & cramping. I never went in and luckily the infection I probably had cleared up. He must have missed some of the placenta. </p>
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<p><strong>Pregnancy #2 2006</strong></p>
<p>I went into labor on my own, contractions started at midnight on DS's due date and he was out 5 hours later.</p>
<p>5 hour labor</p>
<p> </p>
<p>I pushed DS out easily & luckily had an epidural on board because the OB (New hospital, new ob from last time...new city entirely) used a "banjo kit" to take the placenta out. It was on my chart about last time so I don't know if she did it because of that (She was the on call ob so knew nothing of my history besides the chart) or if the cord snapped again...or...what. I was too busy loving on my baby to even notice what she was doing. (sigh) Anyway, she told me it was an ugly placenta and that was that. I had no infection symptoms. </p>
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<p><strong>Pregnancy #3 2008</strong></p>
<p>Water broke at 36 weeks 6 days</p>
<p>Pitocin was administered the next day and when I finally went into labor it was about 2 hours total. </p>
<p> </p>
<p>DD was a little scarier as I had a few gushes of blood before I started pushing and I looked down and asked the CNM "Is that bad?" and she said "We just need to get her out." So I pushed and out she came, screaming and healthy. CNM knew my history as my regular CNM had spoken with her on the phone. She put something in my rectum, tried to maneuver the placenta out, pulling etc... She eventually had to take it out with the kit. She said "That's one ugly placenta, but it made a healthy baby." Again, no infection. </p>
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<p> </p>
<p> </p>
<p>So I guess my question is...WHY are they not waiting to see if it will come out on it's own? Why do they pull on it? I'm not assertive, it'll be very hard for me to be like "DO NOT PULL on my cord unless it is absolutely necessary to get it out." It's all very stressful for me because I have very fast "easy" labors and easy pushing. I feel like the fact that I need an epidural for the placenta part is such a rip off. I also have a bicornuate, or heart-shaped, uterus which I wonder if it has anything to do with it. </p>
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<p>Any ideas or suggestions?</p>
<p> </p>
<p>I truly cannot birth at home as the closest hospital I would be able to go to is 2 1/2 hours away. </p>
 

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<p>I have no idea, mama.  I just couldn't read and not respond.</p>
<p> </p>
<p>With DD, my mw also tugged on the cord but according to my chart it had been over 45 minutes.  I didn't want tugging either - it HURT - and then she also had to reach up and help it out.  When it was delivered it had calcifications and also looked aged.  She had no idea why.  She brushed it off, but I never forgot about it.</p>
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<p>This time I asked my midwife (when I was interviewing her) what could have caused it.  She thought for a bit, asked me a few questions, and then asked if I drank or drink a lot of carbonated beverages.  I said, "Yeah, seltzer water and cola," not all the time but often.  A few times a week at least.  She said that carbonated beverages can inhibit calcium absorption.  If there is excess calcium floating around in my system and the placenta is filtering it, it will get caught inside.</p>
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<p>That shed a little light into my situation.  Not at all saying thats whats going on with you, but I just thought it was interesting and gave me some insight into what happened with me.</p>
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<p>Anyway, hugs.  I hope you can figure out what's going on so you can feel less pushed around and more in control.</p>
 

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<p style="margin-top:0px;margin-right:0px;margin-bottom:0px;margin-left:0px;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;">In regards to carbonated beverages, I'm a cola addict, have been for every pg, I have drank one day for years now. And sometimes I have seltzer water, etc... 3 babies, 3 very healthy placentas. I can't shed any light on why your body tends to have placentas that are poor, having the bicornuate uterus is interesting, obviously it is a good sized uterus since you have made it to your EDD previously. Providers in hospital settings tend to do cord traction, some are more aggressive, others are more gentle, but I've yet so one that just let it completely alone. I know some do, it just isn't routinely done. And with your previous history, I can see a provider looking at the chart and thinking they need to keep on top of the placenta, not saying it is right but I'm sure with such a history of placentas that shred they are worried about hemorrhage.</p>
<p style="margin-top:0px;margin-right:0px;margin-bottom:0px;margin-left:0px;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;"> </p>
<p style="margin-top:0px;margin-right:0px;margin-bottom:0px;margin-left:0px;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;">The only advice I have is do interview new providers, lay your history out on on the table and talk about what they would do. Ask direct questions and get their response, maybe you can find someone that is more willing to work with you. </p>
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<p>I don't know.  It seems like maybe they all had a reason to want to get it out though if they were being so extra aggressive about it?  I have had three hospital births too and they are always very quick to want to get the placenta out.  I think cause once that's done the doctor is pretty much done and leaves at that point.  I never stopped them though cause in my case mine kind of just fall out.  But I would have no problems demanding for them to wait if I had a history of it being unpleasant (I am mean and bossy in the labor room).</p>
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<p>Could you maybe get a doula or somebody to help you stand up for yourself more this time?  Or is this a conversation you could have with the doctor/nurse ahead of time maybe?</p>
<p> </p>
<p>I have no real words of wisdom.  I just couldn't read and not post either.  Hopefully this birth will go smoother for you.</p>
 

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Discussion Starter · #5 ·
<p>Thank you all so much for responding. I wish I had some answers but without sitting down with the three different providers I feel I'm unlikely to get very far. I did request my birth records with DD but they didn't say much beyond the placenta being removed and it being aged/ratty. </p>
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<p>I feel it's a possibility about the carbonated beverages thing because I've always drank them during pregnancy though this time I have an aversion...so we shall see!! Thank you again, it means a lot to hear back from you all. </p>
 

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<p>I second the doula idea, if you can do it. If I hadn't been able to figure out a home birth solution, I had a few friends who were willing to chip in on the doula idea for me, for which I was very grateful. It's so important to have someone who can be a bossy b%*@& for you if you are in too much pain to do it for yourself, or if you just aren't as in touch with your inner b%*@& as some of us are. <img alt="wink1.gif" src="http://files.mothering.com/images/smilies/wink1.gif"></p>
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<p>Originally Posted by <strong>CrazyCatLady</strong> <a href="/community/forum/thread/1290748/long-but-need-insight#post_16177591"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></p>
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<p>Could you maybe get a doula or somebody to help you stand up for yourself more this time?  </p>
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<p>This is absolutely a conversation that you should have with your care provider (and others if you are still not settled) soon. There is no sense worrying and guessing about it when they can at least give you their opinion on what happened in the past and, most importantly, discuss with you how it will be handled this time. Your body has never been allowed to deliver its own placenta, you've been given this label of poor placental delivery basically because people have been going in there and yanking it out! And how rude to call it "ugly", it's part of your body! Are you working with CNMs this time? They tend to be more open to letting things happen in their own time so perhaps you could have a plan in place ahead of time, like "we'll give it 30 mins (?) on it's own (if you could get the baby to nurse right away that would act like Pit), then we'll try Pit, ..... no one touches to cord....." I don't see why you shouldn't be allowed to try to let your body handle it, especially since it souonds like your body does a great job of pushing out babies! :)</p>
 

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Discussion Starter · #8 ·
<p>LOL I guess I'm not during labor/delivery...like if I make one tiny moan I'm saying "I'm sorry..." and the nurses look at me like I'm crazy and say "You don't have to apologize!" But after the baby's born I'm a raging lunatic...One nurse almost lost her eyes after asking me if I knew what a digital thermometer was and when they wouldn't quit trying to give DD formula... I guess it takes the momma bear in me but during labor it doesn't quite happen. I know I need to be more assertive and that I can get what I want it's just harder for me at that point. I'm going to look into doulas for sure, I think that would be a huge stress reliever. <br>
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<div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>Mommel</strong> <a href="/community/forum/thread/1290748/long-but-need-insight#post_16178107"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a><br><br><p>I second the doula idea, if you can do it. If I hadn't been able to figure out a home birth solution, I had a few friends who were willing to chip in on the doula idea for me, for which I was very grateful. It's so important to have someone who can be a bossy b%*@& for you if you are in too much pain to do it for yourself, or if you just aren't as in touch with your inner b%*@& as some of us are. <img alt="wink1.gif" src="http://files.mothering.com/images/smilies/wink1.gif"></p>
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<p>Originally Posted by <strong>CrazyCatLady</strong> <a href="/community/forum/thread/1290748/long-but-need-insight#post_16177591"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></p>
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<p>Could you maybe get a doula or somebody to help you stand up for yourself more this time?  </p>
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<br><br><div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>clovermom</strong> <a href="/community/forum/thread/1290748/long-but-need-insight#post_16178143"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a><br><br><p>This is absolutely a conversation that you should have with your care provider (and others if you are still not settled) soon. There is no sense worrying and guessing about it when they can at least give you their opinion on what happened in the past and, most importantly, discuss with you how it will be handled this time. Your body has never been allowed to deliver its own placenta, you've been given this label of poor placental delivery basically because people have been going in there and yanking it out! And how rude to call it "ugly", it's part of your body! Are you working with CNMs this time? They tend to be more open to letting things happen in their own time so perhaps you could have a plan in place ahead of time, like "we'll give it 30 mins (?) on it's own (if you could get the baby to nurse right away that would act like Pit), then we'll try Pit, ..... no one touches to cord....." I don't see why you shouldn't be allowed to try to let your body handle it, especially since it souonds like your body does a great job of pushing out babies! :)</p>
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<p><br><span><img alt="yeahthat.gif" src="http://files.mothering.com/images/smilies/yeahthat.gif"></span></p>
 

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Discussion Starter · #10 ·
<p>The good thing is...this new OB I'm seeing is an older man and he's VERY caring. He takes a lot of time to go over every little concern I have. He loves women and the miracle of birth and he really respects a woman's body. I know that if I bring this up to him he'll be sensitive to my concerns so I'm going to do that, I've only seen him once but have just heard rave reviews. He's a little touchy feely but then, so am I.<img alt="2whistle.gif" src="http://files.mothering.com/images/smilies/2whistle.gif"></p>
 

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Discussion Starter · #11 ·
<br><br><div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>clovermom</strong> <a href="/community/forum/thread/1290748/long-but-need-insight#post_16178143"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a><br><br><p>This is absolutely a conversation that you should have with your care provider (and others if you are still not settled) soon. There is no sense worrying and guessing about it when they can at least give you their opinion on what happened in the past and, most importantly, discuss with you how it will be handled this time. Your body has never been allowed to deliver its own placenta, you've been given this label of poor placental delivery basically because people have been going in there and yanking it out! And how rude to call it "ugly", it's part of your body! Are you working with CNMs this time? They tend to be more open to letting things happen in their own time so perhaps you could have a plan in place ahead of time, like "we'll give it 30 mins (?) on it's own (if you could get the baby to nurse right away that would act like Pit), then we'll try Pit, ..... no one touches to cord....." I don't see why you shouldn't be allowed to try to let your body handle it, especially since it souonds like your body does a great job of pushing out babies! :)</p>
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<br><br><p>Sadly I moved and there are no CNM's available, I did love the CNM team at my old hospital. I agree in that I think they should give it SOME time to come out on it's own, barring any excessive bleeding...I just don't understand why that's not a possibility. I've never had time to even get my baby to my breast before they start pulling it out. I'm definitely going to ask my OB...My friend went to this same man and she had to have Csections...she asked that she be able to hold her baby after he was born and this OB went to the hospital and got things arranged so that she and other moms could do so. So, even though he is extremely busy I know he makes an effort to make birthing as special as possible for the Mother. I really hope he'll be open to a wait-and-see approach. </p>
 

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<br><br><div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>clovermom</strong> <a href="/community/forum/thread/1290748/long-but-need-insight#post_16178143"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a><br><br><p>Your body has never been allowed to deliver its own placenta, you've been given this label of poor placental delivery basically because people have been going in there and yanking it out! And how rude to call it "ugly", it's part of your body!</p>
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<br><br><p><span><img alt="yeahthat.gif" src="http://files.mothering.com/images/smilies/yeahthat.gif"> Your body made three functional placentas that grew three healthy babies. That equals beautiful to me! Your new OB sounds good, I hope you are able to have a good talk with him about this and hopefully they will leave your placenta alone for at least a while after you give birth! There's no reason they shouldn't if you aren't having too much bleeding. I agree with the pp who said that if your body can push out children so easily it can probably deal with placentas too. Good luck!</span></p>
 

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<p>This thread is a real eye-opener for me!  I had absolutely no idea that it was just standard practice in hospitals to rush the placenta out immediately and to go retrieve it if it doesn't come straight away.  How horrible.  I have only had homebirths.  With the first one I had no third stage labor because the placenta detached at the same time as the baby, strangely.  With the second we waited 1:15 or 1:30 after the birth and then finally I stood up and blew into a plastic bottle and I think they might have pulled very gently at the same time.  That was mostly because I was really sick of having those contractions and my cord was very short so I was having trouble holding my baby in pool without drowning him!</p>
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<p>As for how to assert yourself in a difficult time, I suggest that you have a birth plan on file with the hospital so that they know that you want to let the placenta come out on its own.  And you could also write up a short statement in a large font and print that out to put in your hospital bag to be handed to the OB or whoever immediately after the birth.  It would state very clearly that you do not authorize any cord traction or any other kind of placenta interference without prior consent from you or your husband (if he can be trusted to stand up to pressure).  That way you don't have to be articulate or strong at that moment, you just have to remember to hand them that piece of paper.</p>
 

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<p>It sounds like you might have more luck with your new doc.  If you discuss your concerns with him ahead of time and ask him questions about it, maybe he can give you the answers you need.  If you feel comfortable with him, definitely express your desire to try deliver the placenta without force.  If he frowns about that, you can ask why and hope that your are satisfied with the answer.  I honestly don't know why you wouldn't be able to at least try for a few minutes to deliver it on your own.  Why they are immediately tugging on it makes no sense to me.  I hope he can give you reassurance and answers.  Good luck!!</p>
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<p>Bree</p>
 
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