Likeliness

[Mummyof32020]

Hi I currently have 3 kids and we are talking about trying for baby number 4. When I had baby number 3 in 2020 I was induced at 38+4 weeks and when my waters finally went it was all very quick and baby was out within about 30 min. However after my placenta wouldn't come away and I started to haemorrhage. The doctor had to manually remove clots from my uterus and i was injected with ecery medication they had in their "box" the next step if bleeding and clots didn't stop was surgery. The only thing putting me off trying for baby 4 is that happening again. My question is, is that very likely to happen again and would it be worse? I know nothing is 100% but thought I'd see what others say. I should also add with baby 1 and 2 I never haemorrhaged or anything like that.

I think it would be good to find out what exactly happened, most hospitals have a service where you can talk through your notes from previous births. Loads of things can contribute to haemorrhage. Could it have been related to whatever reason you were induced?

For example, high blood pressure could be a reason for induction and could cause more bleeding (all other things the same). Removing the placenta too quickly probably increases the odds of some left behind (but absolutely necessary in the case of haemorrhage and generally totally safe).

Another example, very quick births can cause your body to go into shock. You then dont always produce the hormones for clotting and detatching the placenta, your body doesn't 'believe' the baby has been born. It's why breastfeeding is sometimes recommended if the placenta doesn't want to come away. In my case it took 2.5 hours and some effort to get it out (but almost no bleeding).

Alternatively, if this is your only worry, elective section could be the answer. It won't really be an issue then, and you're already open if anything does need sorting.

Induction increases chances of PPH. Were your other babies induced?

Hiya, no my first 2 weren't induced, only my third x

That seems like an obvious connection!

Also, serendipitously, I've just seen this most recent podcast episode is all about bleeding and haemorrhage, including risk factors for PPH. Might be worth a listen!

Link might be useful: open.spotify.com/episode/7757iOu1vHHAHBaCNckEP8?si=aTq8aeEXT2ynem6hOLAHtg&utm_source=copy-link

This happed with my first. I wasn't induced, but it was a two hour labour. It didn't happen with my following labours including another two hour one.

Thank you so much will give it a listen x