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Childbirth

Share experiences and get support around labour, birth and recovery.

About home Vs hospital, anaemia, PPH etc...

11 replies

flightattendant · 13/05/2007 16:03

Just had a lovely midwife round to do the routine checks, I hadn't met her before.
She was great, but made me feel a bit anxious about some aspects.
Mainly it's about my iron level (sorry to harp on about this). It's around 9.5, their 'limit' is 10 apparently although she said they'd have by law to respect my wishes if I still wanted a home birth.
I don't see that 9.5 is such a calamity as it's not far off exactly? I know they have to cover themselves and don't want to put anyone to any trouble.
But then she said that were I to be in hospital rather than here, they'd stick a canula in my arm 'just so it was there', in case I needed synto etc. because of bleeding.
I somehow feel resentful about this 'automatic intervention'. I don't know a lot of people who've had huge PPH problems, and to sort of assume I will just because my iron's a bit low, seems unfair and silly (though I know they just want to be on the safe side? Could be said about a lot of unnecessary c-sections as well)
Anyway I told her I didn't want syntometrine, as it made me sick, and would they be able to give syntocinon instead?
She said no!!! Apparently it's reserved for one particular situation, I can't remember what now. But she seemed to be saying they'll just bung in some syntometrine if I run into any problems with the third stage, and said it like I should be relieved and reassured by that!!! (my reaction to it was horrendous last time, so I've no intention of giving birth at all if that's part of the rules! Let me out of here...)
Does this seem a bit OTT to anyone else or am I just being overanxious? (again)

OTOH she was a sweetheart in other ways, even tried on my boots as we have the same size feet!

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flightattendant · 13/05/2007 16:05

Just reminded me of what it was like when DS was born - no discussion with the mother, just stuff was 'done' to me that I had asked NOT to be done. 'Oh it's policy' etc...
I feel a bit scared now.

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lulumama · 13/05/2007 16:07

keep taking the spatone !! good info on here!

also, if you are having an unmedicated birth you could have a physiological 3rd stage, with no syntometrine...and take it from there

flightattendant · 13/05/2007 16:11

Thanks for the link Lulumama - looks fabby!
Just hate the attitude that you need all this intervention as a sort of prophylactic thing...I don't want a blooming canula in my arm! Some earwig might find its way in there if it doesn't get used!!!

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lulumama · 13/05/2007 16:12

LOL! i know what you mean
someone i knowis having a homebirth, and has had so much opposition she is writing to complain, and i will be bringing it up at the MSLC!

Nbg · 13/05/2007 16:17

Second LM advice with the Spatone. But I've harped on enough on your threads about it

I'm not having to have any bloods done and they have said a home birth is fine for me.
Find it a bit that they would pull you up on 0.5 for your bloods.

flightattendant · 13/05/2007 16:25

Anyone know if injections are good as a last resort? There's one mention of them on the link you sent me Lulu - just read through it - but my Dr has suggested them, and I'm not sure if they would do the trick nicely...perhaps worth the pain if it keeps them happy and lets me have a peaceful, unopposed home birth!!

(Ps the trainee doula woman is coming to see us on Thurs - she sounds lovely, so that helps!)

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lulumama · 13/05/2007 16:55

might be worth it, altough i don;t know about them

glad you found someone, i bet she;ll be lovely,

Klaw · 13/05/2007 17:06

Another thing to think about flightattendant...

Do you know what your veins are like? Can they be readily found for giving blood, because if so that should give you extra ammo to argue your case against having a routine IV sited. It's not wierd to feel resentful of the 'automatic intervention', of course you do!!

also check out this . And also remember to go to the toilet regular! Do not have a full bladder at delivery. A friend of mine had a HWBAC, and unfortunately then went on to suffer a PPH, caught swiftly by vigilant MWs (as opposed to being on a ward and calling endlessly for a mw who never comes... mind you, you wouldn't be in a fit state to be calling for one, anyway). Doing her research into PPH she feels 100% sure that it was down to not having emptied her bladder, can't recall all the details, I can ask if you want?

And yes, going for a physiological 3rd stage providing there's been no interventions in labour is a good idea, knowing that IF synto is needed it will be used. And I'm sure you do have a right to ask that Syntocinon is used rather than Sytnometrine but in the event of an emergency I'm sure that all necessary steps would be taken.

RCOM Evidence based guidelines for 3rd stage
and Homebirth and 3rd stage

I'm sure that you will make the right choice for you having done all the reading!

flightattendant · 13/05/2007 18:15

Thankyou Klaw, wonderful links - it's great to know there are others around who have done loads of research and are there to lead me in the right direction!!
You and Lulu {{}}

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maxbear · 13/05/2007 20:26

You are not more likely to have a pph just because your iron is low, just more likely to have problems if you lose a normal or slightly heavy amount. I had an hb of 10.5 at 34 weeks and felt grotty with it, but I didn't take iron or anything even though my mw (who is a good friend) kept on at me about it. I had a heavyish blood loss at my home water birth (with physiological third stage) but it all came out at once and did not continue so I didn't have to have any syntometrine or anything. I felt pretty tired for the first two weeks afterwards but had minimal loss after the first few hours, no side effects from drugs and I would do exactly the same again. Eat lots of steak, broccoli and dark chocolate etc, a much nicer way of boosting your iron and it is supposed to be better absorbed through diet than supplements.

flightattendant · 14/05/2007 07:03

Maxbear that's great to read, well done! very encouraging as well. Thankyou.

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