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Anyone had the injection to speed up placenta delivery?

(67 Posts)
u32ng Sun 06-Jan-13 20:11:05

I'm 36+5 so the impending birth is very much on my mind! I'd decided a while ago that I'd be happy to have the injection to speed up the delivery of the placenta but I read somewhere recently that it can make you be/feel sick.

Would appreciate it if anyone could say from experience whether this is true or not.

I don't cope well with nausea or sickness so it would be helpful to know so I can make a final decision on it - thanks!

Sargesaweyes Sun 06-Jan-13 20:14:56

I had it and tbh after labour I wouldn't have noticed anyway if I felt sick. I don't even remember delivering it! I was very sick whilst labouring and although I also hate vomiting I didn't particularly care. Congratulations btw, not long now!

WaynettaSlobsLover Sun 06-Jan-13 20:15:42

Had it twice and was fine, felt fabulous particularly after my 2nd birth smile

RyleDup Sun 06-Jan-13 20:16:09

I don't remember feeling sick tbh. Had it twice now.

Wolfiefan Sun 06-Jan-13 20:16:54

Had it twice. No sickness here.

Longdistance Sun 06-Jan-13 20:17:24

I had a retained placenta with dd1, and had it, but did have it as part of my birth plan. Didn't make me feel unwell at all. Can't quite remember if I had it the second time with dd2. I'm sure I put it on birth plan to have it again, due to what happened with dd1.

Will you be having g&a? That can have funny effects, but again worked for me no problem.

Whiteshoes Sun 06-Jan-13 20:19:25

I am very prone to nausea and get it really bad. Bad travel sickness in cars, everything. I had the injection, although if I hadn't had discussed it with the midwife beforehand, I would remember neither the injection nor the delivery of placenta. Defs no sickness at all.

I had it with both of mine (it was in my birth plan) - no sickness with either of them

sittinginthesun Sun 06-Jan-13 20:21:37

I had it. It was lovely. grin

MikeLitoris Sun 06-Jan-13 20:22:31

I had it with all three.

I dont remember ever delivering a placenta!

I was a little sick after dc3 but I hadnt felt right before the injection, and drinking a full bottle of lucozade straight after delivery was probably not the best idea.

lljkk Sun 06-Jan-13 20:22:50

No sickness but injection site hurt like hell for a week afterwards. Refused to ever have it again (3 more deliveries).

LynetteScavo Sun 06-Jan-13 20:24:22

I had it twice; no sickness.

Chose not to have it the third time.

Thinkingof4 Sun 06-Jan-13 20:25:21

I've had it 3 times and barely noticed it. Will have it again this time

SparklyandHappyMe2013 Sun 06-Jan-13 20:25:52

Had it both times and wasn't sick with it. I was sick during labour tho, my body clearly didn't like lucozade. hmm

Bunbaker Sun 06-Jan-13 20:26:43

I think I had it but I never felt it or felt sick either.

tilder Sun 06-Jan-13 20:27:36

I had it each time. Never heard of nausea as possible side effect and definitely didn't feel sick with it. Was great as it meant the placenta came out quickly while I cuddled my baby, pretty unnoticed. Could have the wonderful post birth bath quickly too.

BionicEmu Sun 06-Jan-13 20:28:15

I had the injection last time and it didn't make me feel sick. I don't even remember having any further contractions to deliver the placenta, the only thing I remember is the midwife saying "do a little push", which I did & the placenta just slithered out.

P.S. I'm now 36+5 with DC2, here's hoping it's not too much longer for either of us!

dizzy77 Sun 06-Jan-13 20:31:34

Barely noticed it, asked to be asked in the birth plan as liked the idea of being vaguely natural. When it came to it, was happy to have it as didnt fancy waiting an unknown amount of time with associated pain after giving birth. Don't remember feeling it or nausea but then I pretty quickly got high on the g&a whilst being stitched (don't think I was using it properly during the birth but I know better for dc2 in 20-odd weeks time!). grin

3ForMe Sun 06-Jan-13 20:31:37

Had it each time
Didn't notice the injection
No sickness

Have to admit I found it a little uncomfortable the mw's massing my tum to encourage placenta out-but compared to labour pain, it's nothing grin

You're too busy snuggling with your newbie/taking pics/having some tea and toast to notice much tbh

You're just on such a high you gave a new baby and relief labour is over with!

Good luck

ArkadyRose Sun 06-Jan-13 20:33:55

I had it with the first two (hospital births), had no nausea afterwards - afterpains were atrocious though. Refused it with the third (homebirth) - no afterpains. I'll be refusing it with number 4 as well.

Eletheomel Sun 06-Jan-13 20:34:41

I had it, and it didn't make me feel sick (and I also suffer travel sickness, and still have ms at 19 weeks so vomit quite easily!) but it didn't work very well in terms of getting the placenta out. Took a further hour of syntocin for me to get it out, and was just about to get surgery, when the consultant gave a good yank and got it out.

I wouldn't be keen on having it again as it was an hour of not being able to hold my little boy, and having more painful contractions.

Pochemuchka Sun 06-Jan-13 20:34:41

Had it with each of my DC (DC3 born on 3rd January so fresh in my mind!)
Had no sickness with DC1 and 2 but did this time.
To be honest after I'd given birth to mister huge head the sickness was the last thing on my mind! (I hate being sick but it was only 3-4 times so not too bad at all)
Strangely the gas and air made me sick during labour with DC2 but not with the others so I guess you can't predict what will happen as every birth is different.

Wishing you all the best!

Snowflakepie Sun 06-Jan-13 20:48:03

No issues here either, in fact I didn't even notice them giving it and had to ask afterwards if it had been done or not! No real after pains or pain at the injection site either, in fact I have no memory of it at all. Get it over with, I think was in my plan! Everyone's different but after labour etc, there's so much else going on and normally you have an empty stomach anyway, if it was so bad they wouldn't give it so routinely?

ISpyPlumPie Sun 06-Jan-13 20:50:44

Had it with DS1 - no sickness, didn't even notice injection going in and placenta delivered with no problems.

Had planned to have it with DS2 given that there'd been no issues first time and I didn't like the sound of a potentially lengthy period of pain/pushing while I delivered the placenta naturally. In the event however, as I got out of the pool the mw checked and said the placenta looked ready to come out and it did without the injection.

I had thought that you had to decide whether to have the injection in advance as it's usually given as the head is delivered, but the mws at DS2's birth said up to an hour later would be fine so you can adopt a 'wait and see' approach. Might be worth discussing with your mw if this could be an option?

PogoBob Sun 06-Jan-13 20:51:48

I'm another who is very sensitive to nausea and sickness.

Had it with DD as was losing blood fo to a tear so they wanted to get the placenta delivered asap. No side effects at all. Had it again with DS as seemed no reason not to after having it the previous labour IYSWIM. Again no side effects.

Congrats Pochemuchka DS was born on 31 Dec so know what you mean about fresh in your mind!

Shriekable Sun 06-Jan-13 20:57:59

Had it with both of mine: injection didn't hurt, no sickness, can't even remember delivering placenta (too busy with new baby I suppose!), no pain after. I was 38 for 1st and 41 for 2nd x

BlablaSos Sun 06-Jan-13 21:01:49

I didn't have it but wished I did. I was there standing with a bowl in between my legs for ages, blowing into a bottle to speed it up (!), whilst my husband was able to coo over our baby!

timeforgin Sun 06-Jan-13 21:03:44

I had it (I have one son, used gas and air) and it did make me feel sick (I didn't know this was a side effect at the time) - I wretched once but didn't vom and as I recall the sickness feeling passed pretty quickly, eg within half an hour. Not sure of relevant, but as someone mentioned above, I am prone to travel sickness and had all day nausea (no vomming) until about 19 weeks.

Jayne266 Sun 06-Jan-13 21:05:54

I had it I didn't notice the injection OT if I felt sick and even passing my placenta lol I just had my darling boy in my arms! I would do it again

Jayne266 Sun 06-Jan-13 21:06:31

Sorry OR not OT

AnyaKnowIt Sun 06-Jan-13 21:07:36

I had it, didn't feel sick but didn't speed anything up either

Zipitydooda Sun 06-Jan-13 21:14:15

Had it twice, I can't really remember it and definitely never felt sick; I was too elatedly cuddling my babies!
Third time I wanted to wait as I wanted the cord to stop pulsating before it was cut and by that time the placenta then came away naturally anyway. I would have had it a third time if necessary.

I didn't have the injection with DC1 as was keen to keep things natural.
Placenta delivered fine but had more bleeding afterwards, then had an injection to help with this. A few clots followed in 24 hrs afterwards (sorry if TMI !)

With DC2 I was less of a purist about things and had the injection before stage 3 and have to say I found things slightly smoother with less minor issues.

HTH.

Personally after baby arrives it's nice to focus on cuddling them and first feed.
IME injection makes for less fuss placenta wise.
Never noticed any side effects from injection.

Bubblegum78 Sun 06-Jan-13 21:17:17

I had it with all 3 of mine, no sickness or nausea and I suffered from HG so trust me, I would have noticed!

Good luck. xx

treenbean Sun 06-Jan-13 21:28:35

i had it,it came out fast painless and was great.getting it with my 2nd aswell who should be here soon..smile

ItsAllGoingToBeFine Sun 06-Jan-13 21:36:41

I had it after the placenta was out to try and stop the bleeding (I had a natural 3rd stage, and delayed cord cutting). Didn't really notice it, but was pretty out of it at the time.

Cravingtomatoes Sun 06-Jan-13 22:23:42

I've had the injection (syntometrine?) for each of my 4 labours and was violently sick each time! (I was so sick after the last labour 6 weeks ago they had to give me anti-sickness drugs). I am really sensitive to anything I take though. Despite the horrible vomitting, I always wanted the whole thing over afterwards as quickly as possible, and I think you're less likely to haemorrhage??

gaelicsheep Sun 06-Jan-13 22:25:25

I had it twice with no extra ill effects. The first time it was not planned but the second stage was so long and I was losing a fair amount of blood so they insisted and by then I couldn't give a damn. The second time I opted for the injection quite happily. Why put yourself through even more hell when you don't have to?

I experienced no sickness either time. However the second time they refused me my tea and toast for ages and ages saying I would just throw it back up. I begged, I got it, and I didn't.

enjay0811 Sun 06-Jan-13 22:54:53

Had it with dc1, didn't really notice n placenta came away easily with mw tugging a little, no sickness. 2nd time, threw up violently afterwards and had horrendous afta pains. Not goin to have it this time unless advised to, due April.

DaveMccave Mon 07-Jan-13 00:37:26

I had it, it made me sick. They only just managed to whip dd off me before I was and I felt too sick to hold her straight away. I won't get it again. I'd rather bond with a new baby in future whilst waiting for placenta to deliver rather than be preoccupied delivering it immediately. IMO, it's just to save them time, not for your benefit.

I had it both times. No sickness.

To be fair, my leg could have been hanging off the second time and I wouldnt have known. I had went from 5cm to 10cm in ten minutes and pushed for 3 minutes and DD2 was born. I was a bit shocked. I was also shaking from the remifentanil withdrawal.

CelineMcBean Mon 07-Jan-13 01:02:38

Had it first time and no sickness but placenta took a long time and I remember the midwife pulling it out envy <- sick face. I also had terrible after pains.

The second time I decided not to have it straight away but to have it later if it was taking a while. Funnily enough it didn't take long at all and I pushed it out in one go without a fuss and I was still holding the baby and in the pool! Best bit? No after pains! It was the only bit of my labour that was different.

I think I bled more quickly after the second which might be a bit scary for some. If I was doing it again I would do the same as second birth; natural third stage but will accept injection if nothing happens after half an hour or so.

maximusminimus Mon 07-Jan-13 01:54:49

Had it once. Noticed neither the injection, nor the placenta coming out. No sickness whatsoever.

CelineMcBean Mon 07-Jan-13 02:26:35

I think, but I'm not 100% sure, that there may be a link between the injection and an increased risk of retained placenta. Might be worth looking up?

Nicky1306 Mon 07-Jan-13 08:25:57

Hi OP, I'm the same as both you and sarge, I HATE feeling/being sick. sad

I was sick during my labour, I didn't get any gas and air until 8cms because the midwife was concerned it would make me more sick. It didn't! I actually stopped vomiting once I got some!
The injection to deliver the placenta did not make me feel sick either and I also dont remember delivering it, think I was too amazed at DD to even notice what was going on x x

SoYo Mon 07-Jan-13 11:43:25

DaveMccave I'm sorry to correct but there's loads of duff info out there & always good to have facts. The reason to give it is there's masses of good evidence that it deceases your risk of PPH over 500ml and all the subsequant complications of that and decreases your risk of retained placenta needing to go to theatre.

Lots of people will deliver placenta absolutely fine without injection, it's just a free more will have very heavy bleeding needing treatment.

Biggest side effect is definitely nausea and vomiting but it's only a few that get this badly and lots of those will have been sick during labour too.

Sorry if I sound like a right arse now!

lljkk Mon 07-Jan-13 12:02:16

Am I the only one who had a sore leg for 2 weeks afterwards?

lljkk Mon 07-Jan-13 12:06:11

ps: I thought the injection increased the risk of having to go to theatre afterwards? Thats what this thread seems to conclude.

shieldbug Mon 07-Jan-13 12:14:53

I had it with ds because I was at high risk of heavy bleeding afterwards. It clearly worked as blood loss was normal. It was in a drip so I certainly noticed it being given, but didn't feel sick and have no memory of the placenta being delivered. I didn't have after pains either. I will also have it with next dc (due beginning of March).

Flisspaps Mon 07-Jan-13 12:34:08

It should speed up the delivery of the placenta and reduces bleeding by making the uterus contract tightly, however, it can also cause the cervix to close before the placenta has delivered meaning you'll need the delightful manual removal <boak>

Prof. Cecily Begley at Trinity College Dublin has done some research, and concluded that there is no additional risk to watching and waiting - if you need the injection you can have it later instead of prophylactically. It works almost immediately once administered.

There was also a suggestion that prophylactic use might make it less efficient in subsequent births where it might actually be needed.

This was what I found when looking into it for my second baby anyway.

SoYo Mon 07-Jan-13 12:47:05

Syntocinon decreases risk of retained placenta. Other oxytocics that are used for have bleeding eg ergo terrine increase risk and are therefore only used after placenta delivers. Pretty sure this is right after writing previous hospital guideline & I've got this down as a reference but can't be arsed to access from iPad to check.

28. Prendiville WJ, Elbourne D, McDonald S. The Cochrane Library, Issue 3. Oxford: Update Software; 1998. Active versus expectant management of the third stage of labour (Cochrane Review)

PeggyL Mon 07-Jan-13 12:50:42

Hi, I had the injection with my first child and it was fine, it came about 30 minutes after I delivered my son and I just sort of felt a tugging where the midwife was gently pulling it out, I didn't feel sick with it and to be honest, you're so done in anyway, I'd be surprised how many woman actually pay that much attention to it. Am 39 weeks + 4 and planning on having it again.

comeonbishbosh Mon 07-Jan-13 17:29:04

I'm another one who didn't have it with DC1 (home birth) but am planning to have one with DC2 (hopefully another home birth in the next week or so!)

Last time the placenta took about an hour to deliver, and it was frustrating having to concentrate on that rather than my very newborn. This time I'd like to just get it out quickly. My midwife had advised that there is a risk of nausea, but it also should reduce the risk of bleeding. So am going to go for it, even though I can be a bit of a 'sicky' person!

egdeh Mon 07-Jan-13 17:39:24

I had it after first labour (mw wanted to speed things up so she could go to someone else) and was sick. It was very sudden & just the once, then I felt fine. I am def one of lifes pukers though!
Didn't have it after dc2 or 3 and didn't throw up either. As others have said though, sick or not it all feels fairly inconsequential in the overall labour.

rrreow Mon 07-Jan-13 17:57:15

I put in my birth plan that I didn't want it, but after the birth the midwife recommended I had it (I forget why, but she had a valid reason, or at least it sounded valid). I decided to go ahead with it for two reasons: One, I didn't really care after the baby was out. Two, I really HATED the feeling of the umbillical cord being inside my vagina (it just felt horrible to me).

I'm glad I had it and it didn't make me feel sick. Currently pg with DC2 and this time I plan to put in my birth plan that I want the injection.

perceptionreality Mon 07-Jan-13 18:00:11

I had it with my first baby. It made me sick and caused a hemorrhage - hence I did all I could to avoid ever having one again!

BacardiNCoke Mon 07-Jan-13 18:00:26

I had it as routine after having dd2 as I had an awful time trying to deliver the placenta after dd1. It was almost more painful than the birth! confused

I would totally recommend it, after having dd2 it just completed the perfect birth after the trauma of having dd1.

LovesBeingAtHomeForChristmas Mon 07-Jan-13 18:03:29

I had it with dd no problems but with ds I wanted a natural one in the end due to complications I had to have it anyway. Never felt I'll.

Springforward Mon 07-Jan-13 19:51:16

I had the injection with DS, no sickness and I don't remember the placenta being delivered.

NAR4 Tue 08-Jan-13 11:14:18

I had sickness throughout my first three labours so wouldn't notice the differrence. Fourth labour I didn't have any sickness but had to have two injections of differrent anti sickness medication to stop the profuse vomiting afterwards. No idea if it was connected in any way to the injection to deliver the placenta. Just wrote it off as a normal side effect of labour.

Like you I have quiet a phobea about being sick but was surprised how well I coped with it during labour. Also found it a great distraction from the pain.

PickledInAPearTree Tue 08-Jan-13 11:16:43

I had it and it made me sick. It wasnt that bad and I didnt feel queasy but I was sick a few times, only lasted 5 mins.

I had it as I know a few people who have had a retained placenta, and being sick sounds like a walk in the park in comparison.

So I am going to have it again.

u32ng Tue 08-Jan-13 19:05:13

Thanks heaps for all your responses - quite a variation of experiences!

I quite like the idea of a 'wait and see' approach but will probably make the call at the time then depending on how I'm feeling/how the labour's gone.

Def don't like the idea of missing out on new baby hugs tho because i'm having to fanny (sorry!) about with delivering the placenta!

helebear Tue 08-Jan-13 19:21:51

I was same as rrreow, it was in my birth an not to have it but when it came to it I was tired after labour & just wanted the placenta out so I could cuddle my baby so I couldn't be bothered to wait for a natural placenta delivery & made on the spot decision to have it. Didn't feel any pain when I had the injection or afterwards & placenta came quickly with a little tug from midwife so no regrets and ill be having it again with dc2.

beingginger Tue 08-Jan-13 19:40:48

I had it with all 3. I had wanted a natural 3rd stage with dc3 but he needed to be resuscitated and I ended up with it anyway. No vomiting and tbh I barely even noticed them injecting me

CelineMcBean Tue 08-Jan-13 19:48:01

You might find the following review and website useful? The review is the latest research from The Cochrane Review for 2011. Interestingly it does not comment at all on retained placenta in the abstract but the website does refer to retained placenta being more likely with the injection and has some links to sources. The interesting point for me was that it confirmed after pains are linked to the injection which was something I'd mused on on my previous post. I wished I'd known! So if you're low risk for bleeding the review reckons it doesn't make much difference and could be slightly better for baby to do watching and waiting (I paraphrase so do read for yourself as I have a bias and it's difficult to disregard it when I don't have the review in front of me but I'm going from memory).

Personally, having done it both with and without I can say that it was much easier to cuddle the baby the second time round when I didn't have the jab. I had two midwives and the first was very keen to give me the injection, cut the cord etc but the more experienced one said "let's just wait and see" so we did and baby and i bobbed about in the birthing pool. First time round I was on the bed, legs akimbo with a midwife pulling it out and baby at other end of room with dad although I did request the cord was not clamped until it had stopped pulsing both times. I'm not sure now that it happened the first time.

However, all that said you can probably cuddle baby and do it your way just by specifying that you want skin-to-skin straight away.

onlinelibrary.wiley.com/doi/10.1002/14651858.CD007412.pub3/abstract

www.thirdstageoflabour.org/thirdstagechoice.html

perceptionreality Wed 09-Jan-13 00:42:07

I think it does all depend on how the labour goes - if you can avoid much intervention during labour then you can usually have a physiological 3rd stage, which I did with dd2 and dd3 - both took only about 10 minutes and were painless and I had much less bleeding in the weeks afterwards.

TimeyWimeyStuff Thu 10-Jan-13 07:41:45

i had the injection. i also vomited, once and very quickly, after DC was born. i have never linked the two and thought it was something that just happens to some woman as part of the bodyshock. It was only water anyway. And having a new baby makes nothing else matter.

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