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Childbirth

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

Delivering your placenta

61 replies

thattravelphotographer · 18/06/2020 21:40

I'm a FTM and so I have no idea which option for delivering my placenta I want!

Everything I have read either gives a very clinical description or is too brief for me to be able to make a decision from, so I'm keen to find out what other mums what you did/would suggest: wait to naturally deliver your placenta, or opt for the injection for a quicker delivery?

Thank you!

OP posts:
BernardsarenotalwaysSaints · 18/06/2020 22:53

Injection, 5 dc here didn't take long at all with dc 1-4 & they used traction after dc 5 because the mw seemingly couldn't read my notes (in which the Consultant had clearly stated cord traction followed by the drip wouldn't be needed, as no risk factors aside from it being dc5. Had a call a week later apologising). I wasn't sick with any of them due to it.

KobeWan · 18/06/2020 22:54

I don't remember any of this! I can't even say what happened to me! Will have to ask OH! 😂

Mummyme87 · 18/06/2020 22:55

So your options are active management or physiological.
Active is recommended if you are at an increased risk of bleeding... induction, prev PPH, precipitate labour, large for dates baby, prev CS, BMI over 30, synto drip in labour, etc. There are two options for it which I decided by your midwife, syntocinon or syntometrine (syntocinon and ergoMetrine). The latter more likely to be used if your risk of bleeding is significantly higher. The ergometrine is l know to make you quite sick soon after, but obvs not in every scenario, but definitely a big side effect. A lot of units do not use this as a first line.

Physiological is an option where post birth bleeding risk is lower, so spontaneous labour, no augmentation of labour etc.

In normal circumstances baby out, given to mum, delayed cord clamping of at least a few minutes, then if you want active, have injection, clamp and cut cord, midwife applies traction to cord and hopefully delivers placenta. Increased risk of cord snapping, inverted uterus and retained placenta.

If no increased risks of bleeding and you don’t have a major preference, I usually suggest jut waiting it out a bit, no rush, sit upright (stool, chair, in pool) and see what happens.

rainbowscalling · 18/06/2020 22:55

I had the injection but then had a retainer placenta. Cord snapped and had to go to theatre, have a spinal block and a manual removal which resulted in more stitches than I would have needed otherwise. Having done some midwifery training I know how brutal manual removal is even if I didn't feel it.

I would not leave it to chance if I had a second and would again have the injection.

TrashPanda · 18/06/2020 22:57

I had the injection first time and natural second, both fine. Third I was on a trial of different methods so I had an injection but it could have been any of 3 different drugs or none, as far as I remember. Lost more blood that time and passed out from it.

lavenderlove · 18/06/2020 22:58

Is it really odd that I have a 7 year old but never knew about this? I didn't have an injection and never even knew one existed!

buzz91 · 18/06/2020 23:01

Injection, no vomiting, don’t remember the placenta though or how long it took

Bingaling30 · 18/06/2020 23:16

Injection here. Came out with a minor push and tug about 2mins after DS! No problems, no vomiting. But a pretty spectacular bruise on my thigh for a couple of week afterwards!

mellowww · 18/06/2020 23:34

I've always had the injection. It's out then within seconds.

Having said that, I'd be interested to wait and birth it. I didn't even know there was an option.

fool11 · 19/06/2020 11:12

also Injection, wanted to get it over and done with. Wasn’t sick at all.

mellowww · 19/06/2020 22:10

No I didn't feel at all sick any time with the injection and I'm sensitive to things.

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