Natural passing of placenta.

[Spaceboundeminem]

I forget what it's called but can someone tell me the increased risks or benefits of this please?

Physiological 3rd stage. If you have an intervention such as induction or instrumental delivery it is not recommended also sometimes a bit tricky if you've had an epidural however if you've had a normal vaginal delivery then the risks are low and it benefits baby hugely . Benefits include better HB at 6m old, calmer, more relaxed. Also makes placenta slightly smaller and easier to pass. Risks are bleeding for you but ad I said if all normal up until why intervine with an injection?

Thank you it would be dc4 and all three dc were natural births so I am thinking of going for this.

Definitely. I did it with both of mine xx

I had a Physiological 3rd stage with DD but I had a PPH (a lot to do with induction and fast labour rather than the physiological 3rd stage though) so this time I'll be put straight on a drip.

If you've had no complications previously though it's worth going for.

I've been doing some reading up on it and if you give birth naturally with no intervention and in an environment that you feel comfortable in, baby gets skin to skin and even better if u bf straight away then there'll be loads of oxytocin produced so you can deliver placenta naturally. There are issues if you have stressful birth for whatever reason and oxytocin doesn't get to the right levels which is why fake oxytocin is injected in to you to help with placenta delivery. I'm going to go without injection this time if all is well. My first baby was incident and intervention free delivered naturally but I had injection because I didn't really want any risks for my first. However it plopped out very quickly without pushing or anything like that and I think that's because my oxytocin levels were very high anyway.

Are there risks after an hour if it's not delivered? I only ask as my home birth midwife was fairly unsupportive of my natural third stage and 'allowed' me an hour to deliver the placenta. I got to 55 minutes and get a bit fed up of her hovering and pushed it out no problems.

If the placenta is retained it can be a problem and risky to remove the more time has passed. It is however unhelpful if your caregiver puts time pressure on you ( increased stress = increased adrenalin = decreased oxytocin). Midwives who are used to using the injection are impatient because the injection is quick (works in 8ish mins). Home midwives have the added stress of having to wait a period of time after 3rd stage is complete before they can leave (not right but true!)

Littleluna has highlighted the fact that it's not suitable following intervention. Having said that the definition of PPH is fairly low because we (society) are so used to using the injection and therefore used to/expect a lower level of blood loss. Having said that PPH can be extremely dangerous and all efforts should be taken to avoid it. You should discuss your risk factors with your midwives and be prepared to make a considered decision at short notice once your baby is in your arms. Don't get railroaded but be safe x

My experience had the injection with first baby, couldn't deliver the placenta, ending up having a catheter to help empty my bladder (fun with a labial/clitoral year), standing up to see if gravity helped, MW was getting antsy about the magic hour and was on the phone booking the manual extraction when another one decided to give it one last tug and it came out. Coupled with the extensive repair job it kind of ruined my first few hours with DD1.

DD2 was a home birth, physiological 3rd stage and delayed cord clamping, she had her first BF still attached to me. Lovely.

DD3 the same.

DS had to be a hospital birth and although I got delayed cord clamping and natural 3rd stage the MW was never really comfortable with it.

thanks posey, I did think all the mithering about it was counterproductive. However I was incredibly zen, ignored her and concentrated on breastfeeding my dd.

I wanted a physiological third stage, but ended up getting injection after a long pushing stage. It was given 10 mins or so after he was born so still got the delayed cord clamping which was the main reason for wanting physiological.

Thank you all of you. I am wondering I bleed heavy so heavy that on dc2 mw thought I had torn my cervix. Is the fact I bleed heavy a problem?

There are some other circumstances when you might be recommended the injection. I was on blood thinners for much of my pregnancy then my placenta needed to be sent to the recurrent miscarriage clinic for testing. Therefore the injection was recommended even though I had an intervention free birth.
I still had immediate skin to skin and breast feeding.