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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AIBU to be worried I’ll die in childbirth

30 replies

TheBerry · 01/06/2025 13:35

Basically I’m pretty worried I could die during the birth of my second child, and I was wondering whether anyone has had a similar experience to me.

Immediately upon delivering DD1 a few years back I had a really rapid haemorrhage. I lost a little over 1 litre in less than a minute due (I guess) to retained placenta, but fortunately my epidural was very effective and so they were able to immediately get up in there and remove the remaining placenta manually and the bleeding then stopped.

So now on my notes it mentions that I had a pph of 1L, which I understand by itself isn’t mega uncommon or a catastrophic event, but my concern is the speed at which it happened. From what I can see, for most people who haemorrhage this amount or more it happens a bit more slowly, even over a period of hours, but if I haemorrhage again at the same rate as last time and I’m not at hospital or quick action isn’t taken I’ll be dead within 10 minutes. I kind of feel that now I’m pregnant with DD2 the doctors are looking at my notes and just seeing 1L and thinking “that’s not too bad” without really taking into account how quickly it happened. I’m just feeling really uninformed and out of control and I don’t really know what I should do for my birth plan or what measures should be taken. DD1 and I ended up in hospital for a week due to the pph and also due to being placed on the sepsis pathway.

One of my concerns is that I’ve made the wrong choice of hospital. I’m less than 5mins from the local hospital, but it’s a pretty bad hospital. My mum nearly died there 30 years ago from a haemorrhage after a miscarriage due to lack of care of their part (which they admitted), I’ve personally had terrible experiences there with miscarriages, and I know other people have too. So, I had an induction with DD1 at another hospital, which is a very good hospital, and specialised in maternity… but it’s up to an hour’s drive away if the traffic is bad. There’s no history of very fast labours in my family but I guess I’m worried if I start to bleed out on the motorway on the way to hospital I won’t make it. So I don’t know whether I should switch to the local hospital, or opt for an induction again so it’s more controlled, or a c-section, or just wait for labour and risk the hour’s drive (which my consultant said would be fine but, again, I’m not positive she’s really considering the speed of the pph last time).

There’s another thing that’s really shaken me. A girl I’ve known for 20 years had complications with her first birth a few years ago and stayed in hospital for a week, same as me. She was recently pregnant with her second. She was at term and something went terribly wrong and she and her baby died. There is a 2-week inquest set for later this year (which is very long for an inquest). I expect there will be media coverage at the time and probably CQC recommendations. I keep thinking there must at the very least have been failures in her care, and she probably trusted her doctors who ultimately let her down. I’ve been trusting my doctors too, but I’m wondering if I should do more and push for another review of my history and a more rigorous protocol.

I can’t shake the feeling that I’m going to die. I can’t imagine just being ok and going home with my new baby and DD1 and DH. My family are excited and keep talking about the future and I’m like haha yeah but I’m just faking it because really I don’t think I’ll be there. I hope the inquest findings bring changes which make this kind of unthinkable event less likely to happen to other women, but it’ll be too late for me because I’m due before the inquest. I know anxiety and trauma can make you feel these kinds of things, and it doesn’t necessarily mean anything, but I can’t shake the feelings and it’s quite distressing.

Apologies for the long post!!

OP posts:
TheBerry · 03/07/2025 20:40

aaaam · 03/07/2025 10:30

I think these feelings are normal with the traumas you have been through. Definitely speak to your midwife about your worries, maybe ask for a birth debrief. This is when a midwife sits with you to go through your previous birth and help you to come to terms with it and put things in place for you in preparation for your next birth. All the best op x

I’ve now got a birth debrief / birth reflections session booked for next week. I think getting all the facts straight about what happened last time will help inform my decision on what to do this time. I’ll hopefully find out exactly what drugs I was given, and at what stage, and how long everything took, etc.

I remember last time I was induced with a pessary and I definitely started feeling contractions after that but I guess it wasn’t proper labour because after a while they broke my waters, then according to my notes 3hrs 45mins after that I went into first stage, first stage lasted 5hrs 50mins, second stage (pushing?) lasted 54mins, third stage lasted 11 mins. I think that’s quite quick for a first labour? So I guess next time it will be quicker. The pph happened at some point during the third stage.

Thanks for everyone’s thoughts so far. A lot to mull over. I’m so sorry for those of you who’ve had bad experiences and have lost babies. I know my hospital would agree readily to a section if that’s what I decide. Maybe that’s the best option. I just don’t know. I’ll see how I feel after the birth reflections meeting.

My schoolfriend’s pre-inquest review took place, and her inquest has now been increased to three weeks. There’s one for her and one for her baby, both three weeks long. There must be an absolute catalogue of items to address for an inquest of that scale. I just feel quite angry on her behalf because I can only imagine she was utterly failed by the people who were meant to be caring for her and who should have put precautions in place following the complications of her first birth.

OP posts:
goldenretrieverenergy · 03/07/2025 20:52

I am so sorry to hear about your traumatic birth!
I’ve had a very similar experience with my first DC. I was induced, had epidural and then had retained placenta (they tried removing it manual, but it didn’t work). I had a massive PPH while I was waiting for a surgery to have the placenta removed.

I am not pregnant yet, but planning a second child and already spoke to my Obgyn about this during my annual check up. I was told that any intervention might slightly increase my risk for this happening again, so I won’t be having induction this time. I will opt for planned C-section, mainly because if I have another PPH, they will be prepared for it and I’ll already be in the OP room.

Did you have any counseling to help you process the trauma? It really helped me when I was struggling (I did CBT and EMDR specifically for trauma).

Brightasarainbow · 03/07/2025 21:04

I would say it's a consideration that with a C-section you'd be in the operating theatre already. I had an internal tear that needed to be addressed in theatre, and it took them 20 minutes to get the theatre room ready - I lost 2.8 litres.

I would say though, what all of us writing down our experiences have in common is that we are all alive after PPH. It is truly, truly awful what happened to your friend - but even if you do haemorrhage again, it doesn't automatically mean that the worst will happen. As @goldenretrieverenergy has said, trauma therapy might be something to consider.

Greybeardy · 03/07/2025 21:32

Re the inquest, the planned duration probably just means there’s a lot of people to talk to and it was a complex case. The purpose of an inquest is not to ‘address’ issues, it’s to determine who died, how, where and when they died. For an obstetric case, because it’s so rare and because the process is complex, there will be a lot to work through so you can’t necessarily infer much at all from it being a long one. If any issues that need addressing are identified then decisions will be made following the outcome of the inquest.

jeezaluiza · 03/07/2025 22:28

💐 Sending love OP.

If it helps - I lost 2L of blood in a very quick PPH just as I gave birth to DC1, and needed two blood transfusions after. I thought I was dying - it happened so quickly that I was throwing up and was losing consciousness.

Like you, I was also very worried through pregnancy about the same happening again with my second, and me perhaps not living to tell the tale.

I spoke with my midwife in the lead up to labour, and she referred me to a consultant who explained what happened the first time, and exactly the precautions they’d take second time round - including a particular injection which helps to prevent excessive bleeding for those people at high risk. I also had cannulas in each arm when I went into labour, for easy access should I need blood quickly.

My second labour was a dream. Relatively quick, some time in the birthing pool, out in time for pushing. Less than 300ml blood loss.

Best of luck x

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