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Postnatal health

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Placenta delivery

8 replies

Mumtobe202310 · 21/04/2024 11:11

I'm now 7 months postpartum. I do sometimes feel really heartbroken about the first few days and months of my son being born. I felt like I couldn't speak up about my experience as much because it would often be shut down. Long story short, I had a fast labour as a first time mum was not expecting that. 3 hour 43 mins in total.

I remember hardly anything of my birth much. I remember few parts like midwife telling me am I pushing and not to push yet etc but then hearing how I am 9cm and then wait no 10cm and then suddenly remember later on my midwife saying please hold your thighs while I am trying my best to just get through labour (my husband and midwife had to pull my legs, now in hindsight I do think why we're stirrups not even provided but that's least of my concerns after everything ?) and then I remember vague moments where they were saying for me not to shout (my husband told me I didn't scream at all btw) and then next thing I remember is baby being placed on me. Oh and the gas and air was taken off from me during pushing stage because I was so tired from so much gas and air that they felt I wouldn't be able to focus on pushing which I get.

Baring in mind I thought it was fast, the gas and air knocked me outtttt. I don't smoke or do shisha and the one time I did shisha it was not nice for me. My water broke the night before due date and then in half an hour I reached hospital and in triage they said I'm downplaying my contractions that I'm actually having a lot of them. And then they took me in to see how much I was dilated. I told them I need to pass bowel movements first so I did and thennnnn my bloody show happened and freaked me outtttt. All the signs I was waiting for seemed to happen after my water broke. And then when I was checked how much I was dilated she said oh she's 6cm dilated and I can see the baby's head. Everything was a whirlwind then.

I don't think the birth was hard comparing after birth.

I put down on my birth plan physiological way I wanted my placenta delivered.

What I remember though, is I was so lacking self of consciousness that I couldn't even see my husband cut the umbilical cord I could just hear things.

Then I remember a different midwife come in and say she needs to deliver my placenta and all I could remember is my legs shaking like crazy and me saying please no not now. She rushed me saying they are understaffed etc and I felt bad and said okay. I was still very drowsy so i remember them saying somewhere that I should get the injection and because I was so not feeling myself I said yh okay whatever kinda thing although I didn't put injection on my birth plan. I don't think it's wise for someone to get consent from someone when they don't even know what's going on!

However, next thing I remember is being out on gas and air and what felt like the midwife put her hand up my uterus and me feeling like the wind is being knocked out off me while she was saying 'I'm checking for clots' and then I had stitched done which did not phase me after how bad I felt about the placenta removal. I cannot remember much after except when gas and air was taken off from me her saying 'okay you're just having fun with it now come back after a year' and she said that 'oh and you wanted to go into theatre for this' as I do rember her saying they would need to take me to theatre if I don't allow them to do it soon or something. And then I remember me laughing and saying thank you!! Whattt why would I say that, I was very polite even while high and I can't believe that.

After few days of birth and coming home while breastfeeding I remember googling and I came across manual removal of placenta. I think that is what happened to me. Also, when I asked my husband if he saw what happened he said that they covered down there with a towel which raised my mum to have suspicions when I told her about it that why would they cover it?i enquired on mumset about my birth experience and lovely mums said to have a debrief which I did. However, the notes were so short and not detailed and when I explained how I thought that the midwife put her hand in to check my placenta for clots etc the lady doing my debrief said 'oh no I don't think that would happen, I think maybe she put 2 fingers but it felt like a hand because you just gave birth and were still sore' so till this day I don't know if I was imagining this or if what the lady said is correct.

I guess I kind of want anyone to share with me if you've experienced something like this before and will I block this out of my memory soon because I don't like thinking about it to be honest.

I'm so sorry for this long post.

OP posts:
RamblingEclectic · 21/04/2024 14:37

You do sound like you've had a rough time of it.

While obviously I can't be certain, your description does sound like a manual removal to me. It's possible the wind being knocked out of you could come from her pushing down on your abdomen too hard - external massage is one method to try to get the placenta to finish detaching and move out the placenta and any clots - but the rest of your description with of the internal and repeated mentions of theatre before and after - especially "and you wanted to go into theatre for this'" sounds like a manual removal. She might mean for third stage, but really - you'd only be going to theatre for a manual removal. It also seems unlikely to me you'd mistake 2 fingers for a hand, no matter how sore.

With three of my kids I had enlarged placentas that caused issues with the third stage. With two of them, it just took significantly longer, at lot of external massage and there were a two finger checks for the placenta's progress, but they weren't covering me and nothing like feeling a hand inside. If anything, it was far less painful than the ones that happened in labour. I had a manual removal with my third as only a small part of it came out with the umbilical cord, after the midwife has yanked on the cord and did much as you're describing, causing the placenta to tear. I did end up in theatre under general because of that, but before that point, yeah, it sounds similar to what you're saying. I wasn't on gas & air or anything - it hurt worse than the labour I had just been in, worst pain of my life.

It's sad that the debrief midwife was dismissive and didn't even consider the possibility, even if she would be unlikely to do so. Debriefings can be great when a professional is willing listen and consider that their colleague may have done things differently, may have even fucked up.

The emotive part and vividness does fade with time in my experience, it comes up less and less in the memories until eventually it's only when directly brought up.

crumblingschools · 21/04/2024 14:45

I had to have a manual removal of placenta but a consultant did it and I was offered to have it done in theatre but I didn't want to leave DH and baby DS so had to have it under gas and air, rather than a spinal. My placenta was retained, cord snapped when they pulled on it, they waited an hour before manual removal and I would not recommend having it under gas and air only. It also took time, was not an easy procedure.

What you had does not sound like what I had

FTMaz · 22/04/2024 15:23

Hi
sorry if this sounds harsh but often birth plans go out the window depending on need. They are for an ideal situation.

I wanted my labour in the birthing suite with as little intervention as possible but ended up on the labour ward due to complications, epidural because my contractions were too close together and the drugs they administered to slow them down didn’t work. Forecep delivery and then a hemmorage which resulted in me being taken to theatre to stop the bleeding and consenting to my womb being removed whilst on the table if needed to save my life (which they didn’t need to do). I then stayed in hospital for 3 nights. Non of this is of course what I wanted and far from the natural labour I planned. You’re lucky that yours was quick and it sounds like the midwives just did what was necessary. What is it that you are hoping for?

Mumtobe202310 · 22/04/2024 19:01

FTMaz · 22/04/2024 15:23

Hi
sorry if this sounds harsh but often birth plans go out the window depending on need. They are for an ideal situation.

I wanted my labour in the birthing suite with as little intervention as possible but ended up on the labour ward due to complications, epidural because my contractions were too close together and the drugs they administered to slow them down didn’t work. Forecep delivery and then a hemmorage which resulted in me being taken to theatre to stop the bleeding and consenting to my womb being removed whilst on the table if needed to save my life (which they didn’t need to do). I then stayed in hospital for 3 nights. Non of this is of course what I wanted and far from the natural labour I planned. You’re lucky that yours was quick and it sounds like the midwives just did what was necessary. What is it that you are hoping for?

No, it doesn't sound hard at all. I'm so sorry you had such a horrible experience also and I hope that any birth after goes a very positive way for you.

I guess, what I was hoping for was some clarity as to what I was thinking (that is it possible a hand was put into my uterus) or was I just imagining things. I think the reason why I was more upset was it was done in a way where they didn't give me appropriate pain relief. Nhs guidelines I've read up state that if a manual removal of placenta should be done, an epidural or spinal anaesthetic, due to the pain. I had none of them so it ended up me being put on gas and air and feeling so beyond any control that I felt manhandled afterwards and traumatised and couldn't enjoy early moments with my son.

But I feel better now hearing from you and the other posters. Thank you x

OP posts:
Mumtobe202310 · 22/04/2024 19:03

crumblingschools · 21/04/2024 14:45

I had to have a manual removal of placenta but a consultant did it and I was offered to have it done in theatre but I didn't want to leave DH and baby DS so had to have it under gas and air, rather than a spinal. My placenta was retained, cord snapped when they pulled on it, they waited an hour before manual removal and I would not recommend having it under gas and air only. It also took time, was not an easy procedure.

What you had does not sound like what I had

Ahhh that sounds horrible!! I'm so sorry to hear all of that. I hope you recovered well from it all and you all are doing well. If you ever give birth again I'm hoping for a positive one for you x

OP posts:
Mumtobe202310 · 22/04/2024 19:06

RamblingEclectic · 21/04/2024 14:37

You do sound like you've had a rough time of it.

While obviously I can't be certain, your description does sound like a manual removal to me. It's possible the wind being knocked out of you could come from her pushing down on your abdomen too hard - external massage is one method to try to get the placenta to finish detaching and move out the placenta and any clots - but the rest of your description with of the internal and repeated mentions of theatre before and after - especially "and you wanted to go into theatre for this'" sounds like a manual removal. She might mean for third stage, but really - you'd only be going to theatre for a manual removal. It also seems unlikely to me you'd mistake 2 fingers for a hand, no matter how sore.

With three of my kids I had enlarged placentas that caused issues with the third stage. With two of them, it just took significantly longer, at lot of external massage and there were a two finger checks for the placenta's progress, but they weren't covering me and nothing like feeling a hand inside. If anything, it was far less painful than the ones that happened in labour. I had a manual removal with my third as only a small part of it came out with the umbilical cord, after the midwife has yanked on the cord and did much as you're describing, causing the placenta to tear. I did end up in theatre under general because of that, but before that point, yeah, it sounds similar to what you're saying. I wasn't on gas & air or anything - it hurt worse than the labour I had just been in, worst pain of my life.

It's sad that the debrief midwife was dismissive and didn't even consider the possibility, even if she would be unlikely to do so. Debriefings can be great when a professional is willing listen and consider that their colleague may have done things differently, may have even fucked up.

The emotive part and vividness does fade with time in my experience, it comes up less and less in the memories until eventually it's only when directly brought up.

Thank you so much. Your words really helped me to not feel like Im crazy as I kept questioning myself! Thank you for being so reassuring and kind xxx

I'm so sorry you had a difficult time with your placenta removals too.

Yess that's so true, they just didn't even consider that it could have happened, no acknowledgement of it so it left me feeling like there was no way what I'm thinking could be true.

Thank you once again for holding my hand through these feelings and reassuring me it will fade xxx

OP posts:
Daisy4569 · 22/04/2024 19:09

I didn’t have the same experience but did feel like I was out of it and couldn’t remember much of my birthing experience. I requested my notes this year (my little one is now 3 so there’s no rush!) I didn’t feel mentally ready to read my to read them until now but due my second and felt I needed to know how it all unfolded. Might be an option if it would help you to process it

FTMaz · 22/04/2024 19:59

Mumtobe202310 · 22/04/2024 19:01

No, it doesn't sound hard at all. I'm so sorry you had such a horrible experience also and I hope that any birth after goes a very positive way for you.

I guess, what I was hoping for was some clarity as to what I was thinking (that is it possible a hand was put into my uterus) or was I just imagining things. I think the reason why I was more upset was it was done in a way where they didn't give me appropriate pain relief. Nhs guidelines I've read up state that if a manual removal of placenta should be done, an epidural or spinal anaesthetic, due to the pain. I had none of them so it ended up me being put on gas and air and feeling so beyond any control that I felt manhandled afterwards and traumatised and couldn't enjoy early moments with my son.

But I feel better now hearing from you and the other posters. Thank you x

Hi
I could be wrong but I think an epidural has to be done at a certain point before labour progresses too far. I had one so I can’t comment on the pain you felt but gas and air for me was rubbish.

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