MROP - chances of a 2nd manual removal of placenta?

[amanada]

Just wondered if anyone else had a manual removal first time round and what the chances are of it happening again?
Conflicting advice from midwives (never get to see the same one twice of course).
One says more chance this time round others say no more chance than anyone else....
They have suggested a physiological third stage might help. (but this was the woman who suggested I eat whitebait for extra calcium instead of feeling I had to drink more milk )

This happened to me with ds2, and with subsequent labours I was advised to have the oxytocin jab but to have it a little later than normal procedure which is as the baby crowns, I think. (Cant remember that clearly !) Anyway, giving it to me later reduced the risk of the uterus shutting down on the placenta again, while also reducing the risk of me bleeding. It was all explained carefully to me, and I was given the option of a physiological third stage, but decided against it. HTH

A friend MW is VERY VERY good at doing reflexology to avoid this. Everytime it happens in the labour ward and she is on, she is called and manages to do her stuff !
There is a higher likelihood of a retained placenta with syntometrine (the injection).

Retained placenta is more likely with active management of labour (using injection).

However I cannot give you the figures how likely it is to recur as I have experience of both things - retained placent arepeated and no problem next pregnancy. More common with smokers - does that apply to you?

Thanks everyone. No I've never smoked but I did have the injection immediately last time. Good to know that you can still have the injection a bit later on - I thought it was immediate or not at all. Perhaps I'll try a physiological 3rd stage but take advice/the jab if it goes on too long.
Really want to avoid a repeat as it meant I didn't get to see DS for several hours last time and only got the lovely epidural after I'd delivered which seemed most unfair!
Thanks again.

amanada, by later on I meant just after delivery, so the time difference is only a minute or so, sorry. Mears is right about the physiological third stage carrying less risk, but I was steered away from it because I also had a history of blood loss - depends on your own personal circumstances.

had retained placenta with dd3 - had a hemmorage because of this. Had to have an epidural for the manual removal. With ds4 had an injection at some point after the birth as had very quick labour of just over 10 mins!! Placenta came out whole with no probs. Best wishes xxx

I had a retained placenta which had to be manually removed with epidural after the birth of my DS.
The lovely anaesthetist who was there said that apparently the chances of it happening are 1 in 200 and that this increases to 1 in 100 for subsequent births. Long odds but I still worry about it too.