Hi, I had planned a natural home (water) birth however due to a fibroid in a slightly awkward position I have increased risk of post partum haemorrhage. This was not diagnosed by the NHS but by a well-known private consultant. He has advised me that a homebirth is out of the question, dito a stand alone birthing centre given that I need full medical back up. Also, he advised that I should not consider a physiological third stage (as I had planned) but a medical third stage (ie managed). He also said that I should be able to have a water birth as long as I have a carefully managed third stage (obviously outside the pool) with full medical back up.
I have discussed this with the person in charge of a birthing centre at a major London teaching hospital and put in my birth plan that I would like to have the third stage carried out by either a senior midwife (who has recent experience with managed third stage in situation where there is a fibroid) or consultant. However, it looks that they will not guarantee that the third stage will be carried out by a senior midwife, basically the view is that the midwife (suppose could be junior) will ask for backup as she sees fit. What would you do in my situation? Shall I let go of the idea of a natural birth and ask to move to the labour ward where at least I will be sure that there is a consultant straight away in case I get into difficulty?
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Childbirth
High risk third stage: what would you do in my situation?
15 replies
despair · 03/02/2006 19:20
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