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Childbirth

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

Midwives in particular please...can I have your opinions on my pregnancy/birth experience?

7 replies

ess · 12/02/2008 22:24

4 months ago I gave birth to my beautiful daughter but the birth was quite traumatic and I can;t seem to stop thinking about it.
At my 20 week scan I was told the placenta was low lying. I was re-scanned at 32 weeks and it was still low, though not covering- about 3cm from the cervix. I had another scan at 36 weeks and the sonographer said- it's fine, high now. Saw the consultant afterwards who thought I shouldn't have even been rescanned as 3cm wasn't dasngerously low.
I carried on with the pregnancy with no worries and ended up going overdue. I started to get very strong contractions on and off at about a week overdue but nothing happened. When I was 7 days over I woke up and felt very damp- went to the toilet and had a massive bleed-it literally gushed out like my waters had broke.
We went to hospital where I was monitored- the baby seemed fine and I was kept in for 24 hours. The bleeding seemed to ease right off. Whilst in there we saw a consultant who said she didn't think a scan was neccessary as the placenta was now high and it was @one of those things@. I was sent home the following day.
I didn't have any more bleeding but was given no advice on taking things easy, etc. 4 days later, and now 11 days overdue I had another bleed though not as heavy as before. I went to the hospital where I was monitored again. The baby's heartrate was quite high and I spent all morning on the monitor. Again, they decided a scan wasn't neccessary.
We saw a consultant that afternoon who said as the bleeding hadn't stopped and I was so overdue they would induce me.
We were taken to the delivery suite and the consultant told me he'd like to do a scan before I was induced as he couldn't understand how the placenta could go from low to high so quickly. He went off to get a mobile scanner but returned saying he couldn't find one and as the babies heartrate seemed fine he would break my waters anyway.
I had my waters broken at 2pm and within 0 minutes was getting very strong contractions with no space at all inbetween. I went from 2-6cm dilated in 2 hours. All the time I was still bleeding quite heavily. Things progressed very quickly and the babies heartrate was being monitored continually.

OP posts:
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ess · 12/02/2008 22:36

I got to 9 cm dilted within the next two hours. No time really for an epidural just gas and air/pethidine. All of a sudden I had another massive bleed and the room suddenley filled with people. The consultant said the baby was in severe distress and they would like to perform an emergency c-section under a general. My dh wasn't allowed to come with me. I was terrified (and very high at this point!). We got into theatre and was just about to be given the general when the MW noticed I was fully dilated and asked me to push. I managed to push my daughter out, thankfully and she was fine- beautiful if very cold.
A while after delivery I was told the placenta wouldn't come away and it would have to be removed manually. I was given a spinal(after a bit of routing around with no epidural- not nice!) and it was taken out.
I was then back on the delivery suite with DD and later on the post natal ward where the midwifes looked after me. I was told that the blood loss was borderline for a transfusion and they decided that iron tablets would suffice. We were discharged the next day (feeling a bit rough but I wanted to get home).
Since having DD I can't help but wonder:-

Should I have been given the scan when I was first admitted?
Should I not have been induced then, considering I was a week overdue and bleeding?
Was the scan at 36 weeks accurate-the consultant seemed to think it odd the placenta was suddenley high?
Was it negligent of them not to have scanned me before I was induced? Surely a placental abruption would have showed up and I would have been given a c-section?
All these things have really worried me. I know DD is here and she is fine but it could have been a very different story I think. The whole experience was quite traumatic- I had nightmares after for weeks. I think it would have helped if someone had spoken to me after but no one did. I'd really apperciate your thoughts. Thanks.

OP posts:
yurt1 · 12/02/2008 22:39

gosh it sounds traumatic. Could you go through it with someone so they can explain what happened. maybe your GP could help? Or the birth crisis helpline run by SHelia Kitzinger.

Mintpurple · 13/02/2008 10:02

hi ess - Sorry that you had a horrible time of it.

I hope I can help with some of your questions -

Should I have been given the scan when I was first admitted? - If you were bleeding, its obvious that you have had an abruption, but even a lot of blood can be caused by a very small bit of placenta lifting, and a scan only picks up less than 50% of causes of bleeding anyway, so not much point really.

Should I not have been induced then, considering I was a week overdue and bleeding? - Most places probably would have induced you in case of further bleeding, seems a bit odd that they sent you home, but each hosp / doctor would have their own ideas about this.

Was the scan at 36 weeks accurate? - You will never know the answer to this, but placentas generally do move up as the uterus grows. More likely that he questioned the high part as opposed to the fact that the placenta was out of the way of the os. Its a little unlikely that it was high, as is usually used to describe a fundal (top of the uterus) placenta, but was high enough to be considered safe for vag delivery.

Was it negligent of them not to have scanned me before I was induced - as before, there was no real benefit in scanning you, so not negligent

Surely a placental abruption would have showed up and I would have been given a c-section? - a placental abruption can be a reason for a c/s, if it is big enough or baby is distressed, but the majority of women who have had bleeding in pregnancy (aside from cervical) have had an abruption and most dont need a c/s. It is a reason to get baby delivered and so you were induced.

It is really common for labour to progress quickly with bleeding as blood is an irritant to the cervix and often seems to make it dilate quickly.

It sounds like you had a further detachment of a bit of the placenta at 9 cm, which baby didnt tolerate well and they did the right thing by taking you for a crash c/s. Standard policy is to do a quick VE before the c/s starts, just in case you are fully dilated and they can deliver baby by forceps, or if the heart rate is ok, by pushing, if its likely to be quick, which sounds like what happened to you.

Baby would not be cold at delivery as she is at your body temp, but she may have got cold while being with the paed.

The retained placenta was bad luck, and with abruption and retained placenta, its not surprising you lost a bit of blood.

Although it is very traumatising for you and your partner, everything seems to have been done correctly and certainly does not sound negligent or dangerous, however, because it is probably happening quite quickly, with lots of people running around etc, it can be very traumatising for you both, and your partner probably thought he was going to lose you and baby when you went into theatre.

I think its really important to debrief with the hospital if you can, and it would be very worthwhile to get in touch with the birth trauma association for counselling.

I hope this helps.

maxbear · 13/02/2008 13:55

I would agree with everything mintpurple has said, slightly surprised that they sent you home instead of inducing or keeping you in, but not necessarily the wrong decision, but if bleeding has stopped after 24 hours that is the normal thing to do. Although it was awful for you, the fact that you did not have a cs will make any future deliveries safer and probably easier for you. Hope you are able to put it behind you and enjoy your lovely baby.

merryberry · 13/02/2008 15:47

ess, you could also ask on UKmidwifery group, a midwives/mother's mailing list

ess · 13/02/2008 19:17

Thankyou everyone for your advice. It does seem to make more sense now. I just wish the consultant had had a chat with me after so I could have talked it through with him. I think the reason I wasn't induced after the first bleed was the delivery suite was full. People were turning up for inductions and being asked to go home and two women were in labour at reception! Thanks again.

OP posts:
BetsyBoop · 13/02/2008 20:40

Ess

our hospital offers a "birth afterthoughts" service where you can go through your notes with a m/w & get answers to any questions you have - there is no time limit on using it.

It might be worth enquiring if you hospital have something similar?

I was lucky after my DD (1st child) was born by em c/s that the registrar who did the c/s came & talked me through things the next day, it definitely helps

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