Mothering Forum banner

1 - 11 of 11 Posts

·
Registered
Joined
·
2,334 Posts
Discussion Starter · #1 ·
I posted this in Health and Healing and someone recommended that I try here as well...<br><br>
It's now been some time, but I am still searching for an explanation as to what happened, and what I can do to prevent it happening again.<br><br>
Basically after an absolutely stunning birth <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/joy.gif" style="border:0px solid;" title="joy">:, my placenta would not detach... it was a HB with an OB and he did everything he knew how to to birth the placenta and ended up transferring me to have it removed under general anaesthetic...<br><br>
So, I do not have any scar tissue in my womb, this was my first pregnancy and birth.... and it does not make sense to me that this would be a random thing! Thinking of going to a TCM doctor for their opinion... but was hoping there is someone on MDC who might know something... have an opinion to offer?
 

·
Registered
Joined
·
5,492 Posts
how long was the placenta retained ? when you got to the hospital did they do an ultrasound? it could be just a time line diagnosis, some placentas take longer than a provider is willing to wait, sometimes it has grown into/in through the uterine wall. yes there is an association with scar tissue when that happens but not always could be the interplay between your immune system the thickness of your endometrial tissue compared to how the placental stem cells thought they should grow in order to link up to a blood supply, lots of variables in that including what day the egg and sperm met up ( there are other things like fibroids, or scaring from infection) ,<br>
sperm health ....<br><br>
clients of mine have had a range of delayed placentas, there was one friend of mine who's birth I attended and the placenta did not detach for 4 hrs, the placenta looked double thick- it was probably 2.5 inches thick and the size of a dinner plate- I think that the size and thickness kept the uterus from closing down around it enough to get it to start peeling off-- eventually after mom had gotten up to pee the 2nd time , baby had nursed and fallen asleep the placenta came<br><br>
some general things that you might do all the time like eat berries, drink red raspberry leaf tea, eat green veggies 2-3 times a day, exercise, limit the simple sugars you are exposed to --<br>
there is also the issue of provider timing -----
 

·
Registered
Joined
·
2,334 Posts
Discussion Starter · #3 ·

<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>mwherbs</strong> <a href="/community/forum/post/11611364"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">how long was the placenta retained ?</div>
</td>
</tr></table></div>
Well, I think he gave it about 20 -30 minutes before he started to do the full western medical managed thing - injection into the clamped/cut cord, injection into the thigh, tugging on the cord and me eventually just pushing him off!!! The pain was UNREAL! And my natural birth was falling apart around me <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/bawling.gif" style="border:0px solid;" title="bawl"> It must have been about 1 1/2 hours until we left for the hospital, a 20 minute drive away<br><br><div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">when you got to the hospital did they do an ultrasound?</td>
</tr></table></div>
No, I was bleeding profusely at this point (although I do not know how much - I just saw huge amounts of blood and had fainted on the way to the vehicle) and he pretty much had me in the OR in a couple of minutes. After the surgery he told my husband there was a very small piece of the placenta that had remained fixed to the uterine wall<br><br><div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">it could be just a time line diagnosis, some placentas take longer than a provider is willing to wait, sometimes it has grown into/in through the uterine wall.</td>
</tr></table></div>
I think it was a time line diagnosis... not sure, but he kept looking at the clock and not at me, but maybe also placenta growing into the uterine wall???<br><br><div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">there are other things like fibroids, or scaring from infection</td>
</tr></table></div>
I've since seen another OB who did an ultrasound and said that the uterine wall was totally smooth and looking good (8 weeks post partum), and she did say she could see a small fibroid, but that she does not think it was related... Any tips on treating fibroids without surgery??<br><br><div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">some general things that you might do all the time like eat berries, drink red raspberry leaf tea, eat green veggies 2-3 times a day, exercise, limit the simple sugars you are exposed to --<br>
there is also the issue of provider timing -----</td>
</tr></table></div>
Drink RRL tea even when I am not pregnant? Fixing my diet up already now - basically I have gotten addicted to sugar... but am breaking that habit<br><br>
Thanks so much for getting back to me and sharing! I really am beginning to get quite angry about this whole experience! Also after reading up links someone sent me on the H&H post, I realise that there was much that the OB did that was not so cool! I had educated myself on the pregnancy and birth phases 1-2. I never thought to get into detail about birthing the placenta - I thought it just happened.... my mistake
 

·
Registered
Joined
·
16,116 Posts
20-30 mins is *nothing*.<br>
if you're wanting to avoid this next time, just give it longer (as long as you're not bleeding profusely and everything else is okay, of course).<br>
managed 3rd stage can cause a lot of complications.
 

·
Registered
Joined
·
1,446 Posts
I'm not a birth professional, but I had a UC with my ds, and my placenta didn't come for almost 3 hours. I didn't worry, because I wasn't bleeding very much and I felt fine. Eventually I started pushing (without contractions or a pushing urge) and it came. Everything was fine.<br><br>
I'm going to be a gestational surrogate in a few months and I'll have to give birth in a hospital. I'm a little worried about the third stage being managed. I think if I had had a midwife with ds I would have ended up with a managed third stage or a hospital transfer.
 

·
Registered
Joined
·
2,989 Posts
I had a five hour wait during my UC. No excess bleeding and I felt fine. I finally had some nice afterpains and some bleeding after my daughter nursed well the first time and it came shortly afterward.<br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> I'm sorry.
 

·
Registered
Joined
·
7,527 Posts
It sounds like you had a partial separation, which was likely a result of all the messing the OB did to get the placenta out. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br><br>
20-30 minutes is not a big deal. As long as mom is NOT bleeding, waiting is fine. Keeping baby to breast and having her sit on a birth stool or toilet often helps.<br><br>
This isn't a fault of your body, just rigid time frames.
 

·
Registered
Joined
·
2,334 Posts
Discussion Starter · #8 ·
Thanks all for the support! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br>
I finally spoke to the the OB about it and found out that I was not bleeding that profusely (I did not need any blood transfusions), but that he thought that enough time had passed!!! He did say that it was a mild case of accreta...<br>
Can placenta accreta detach without surgery?<br><br>
I will definitely be looking into avoiding managed 3rd stage in future pregnancies
 

·
Registered
Joined
·
7,527 Posts
Accreta is only removed through surgery. However, his mention of "mild accreta" has be bewildered. It's pretty black and white.
 

·
Registered
Joined
·
5,492 Posts
was this a lab diagnosis or did the doc just presume it to be so because he had a hemorrhage and transfer?<br>
accreta does vary in depth and the further into maternal tissues it becomes percreta and there are some other names as well, depending on depth of tissue invasion - usually accreta isn't removed simply as pam has said-<br>
all we can say without some sort of lab dx is that you needed a manual removal, -<br>
another cause for a retained piece is a placental lobe- so the main part of the placenta may detach but the lobe sticks<br><br>
we transferred one client who's placenta did not deliver after we tried what we know to do and mom and dad wanted to transfer- the ultrasound showed it was still well attached- just a very small edge was loose not enough that they even worried- she was in a very large hospital and they were very busy so 8 hrs after the birth they were able to wheel her in and manually remove it- there was no explanation as to why it was so adherent - it wasn't accreta it was just firmly attached
 

·
Registered
Joined
·
2,334 Posts
Discussion Starter · #11 ·
pamamidwife - he told me it was mild and then when I asked him for clarification, he went on to say that it can be really serious where the placenta has so deeply penetrated the uterine wall that a hysterectomy is sometimes needed. BUT, that what I had had was a placenta that had only mildly penetrated the uterine wall...<br><br>
mwherbs - the same OB that attended the birth did the transfer and surgical removal... don't know if there was a lab test done, but he said that my cervix had already closed (2 2 -1/2 hours from delivery) and that he had had to remove this small bit with a cutting instrument ( cutterage?).<br><br>
Does a cervix normally close that quickly, or was it because of all the<br>
stuff he injected into me?<br><br>
Anyway, he reassured me that there is a small risk of it happening again - that if the placenta attaches somewhere else in the uterus things should be just fine.
 
1 - 11 of 11 Posts
Top