retained placenta

[ugglyduckling]

how likely is it to have a retained placenta with your second pregnacey?
I had a retained placenta with my DD and had it surgically removed the pain before the surgery was worse than delivering my DD. I am now pregnant with my second child and i am so exited im a little nervous about the birth but more so about the retained placenta. i just ahd gas and air for the delivery and then they gave me an epidural to remove the placenta, so i was kind of thinking if its very likely to happen again i may as well have an epidural from the start!

Ugglyduckling, you are slightly more likely to have a retained placenta if you had one the 1st time, but it is only a small percentage more.

I had a retained placenta with my 1st and did a lot of reading as I was desperate not to have one again. In the end I decided to go for a physiological 3rd stage, meaning that I did not have syntometrine and delivered the placenta naturally. There is also an increased risk of a retained placenta if syntometrine is used. AIMS do a brilliant booklet on the 3rd stage which you can order on their website. I went onto have a very quick 2nd labour and delivered the placenta naturally so it worked for me.

I had a retained placenta 1st time round and the manual removal left me feeling degraded. My labour was very quick.
I am pregnant again and have spoken to consulatant about the chances and having a physiological 3rd stage, she told me as the placenta got stuck to the lining of the womb and wasn't just trapped by the cervix, then a physiological 3rd stage wouldn't help, she told me a managed would be much better for my case, as they will know early on and can take action quickly.
I explained being awake terrifies me the most if it has to be manually removed again. She told me GA may be best for me.
I have to go back at 36 weeks and discuss my birthing plan, and decided if I want managed, and if it happens again if I would prefer GA.
Still in the thinking stage for me. I am terrified and have been having trouble enjoying this pregnancy as the placenta issue is constantly on my mind.

I was told there is an increased risk that it will happen again, but it isn't a definate.

I was given a spinal anaestetic though not an epidural.

I am favouring more for the GA as knowing what was happening and hearing everything being said, and done, and the tugging and pulling sensation I had really has left me feeling degraded and violated. At least with GA I won't have to watch it all again.

thanks for your advice, it wasnt that i felt degraded it was the actual pain, it felt like my insides were being ripped open when they were trying to remove it. the staff were fantastic and i couldnt fault them.

thankyou for the advice regarding a physiological 3rd stage i will certainly talk to my midwife about it.

its the only part of the labour thats really worrying me fingers crossed anyway

i had retained placenta following a c-section with dd would you believe?! only a small amount but enought to still be giving me issues 10 week post natally.
i was v anxious this ould happen again when i had c-section with ds but consultant was excellent - did the op himself and made to show me the intact placenta as soon as it was removed!