Third Stage Natural Birth.

[EvaW]

After My first birth I had a traumatic time delivering my Placenta and had to be rushed to hospital and an operation remove it. With this birth I have been told I have had to have a managed third stage. As I am doing a Hypnobirth I am trying at all costs to avoid this, so I am looking for natural ways to help the third stage.
I have been give 45 minutes for My Baby to do a Breast Crawl and start breast feeding, before I will have to have Syntocinon and Misoprostil. I have read that keeping the umbilical cord attached may help but would really like to know if anyone has had this happen and what I can do to avoid it again.

Thank you

You don't have to do anything or have time limits imposed on you. They may want you to behave how they want you to, but you do not have to agree to it.

Research into the pro's and con's and make your own informed decision.

Also, search on here because I read a really informative thread on 3rd stages a week or so ago.

Did you have a managed 3rd stage last time?

I'm having a water birth with the cord not cut until placenta delivered. I am intending to stay in the pool as believe all the 'good things' that make birthing a baby effective, apply also to the placenta so will not have any intervention or interuptions.

My first 3rd stage was a disaster too so was recommended to have it managed next time. I went the opposite way and had it completely hands off and, the method I described above was fantastic, efficient and led to next to no bleeding, and very little thereafter, which is why I'm doing it again.

Unfortunately I'm with a new pct this time and they're being a bit wierd about it!

Thank you for your advice.
I only had a managed 3rd stage after I lost too much blood and become unconscious. It was also a Home birth and this time we have had to go with a midwife run unit located in the hospital. This is why we are in "discussion" on how my 3rd stage is managed. I am worried I will be stopped from going there and have to use the normal maternity unit, which it not going to help with the hypnobirth.
Keeping the cord uncut sounds like a good natural way of moving this along.

And bfing/cuddling with skin to skin etc.

Maybe look into the stats of pph? If you had one previously, are you more likely to have one again?

Also, I can't remember whether it is anecdotal or proven, but it is believed that cords take longer to stop pulsing when it is in the warm water. So if the MW's start getting twitchy, then maybe get out of the pool - doing this may stall them. Mind you, being in the pool gives you a barrier between you and the MW. And just because the placenta takes a while to come out, it doesn't mean that there is actually a problem.

With ds2 (waterbirth, delayed cord clamping) the placenta sat at the opening of my vagina for seemingly ages. So I got out of the pool and squatted over a bucket and it plopped out I think the placenta delivered about 30 mins after ds.

DS3 (waterbirth, delayed cord clamping) the cord took ages to stop pulsing (not that I cared, I wasn't in a hurry!), I gave a little push and delivered the placenta into the pool. It was delivered 45 mins after ds.

Both times I didn't have any contractions to deliver the placenta. Although with ds3 I did have afterpains which I guess are contractions of sorts.

Usually a cord isnt cut until its stopped pulsating. Having a breast feed soon as is an excellent way of getting the oxytocin going and getting the uterus to contract, that's why you can get after pain cramps for a while when feeding ( these are good though as you want to uterus to contract efficiently) I have only seen actively managed third stage and sometimes the midwife 'rubs up' a contraction to help get things going. I know that the third stage is an anxious time as there needs to be a really thorough inspection of the placenta ( anything retained?). Good luck, I hope it all works out really well for you