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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

C-Section offered after Shoulder Dystocia and Retained Placenta

4 replies

IJustWantToReadMyBook · 10/03/2025 15:15

Sorry this is a long one....

I'm 31 weeks pregnant with baby no. 3 and have been offered the choice of a c-section or natural delivery. My 1st DD was born at 41+5 weighing 8lb1 after many sweeps with a natural birth which took a very long time to progress and resulted in an epidural and forceps but no other issues. My 2nd DS was a quick labour after multiple sweeps, 4 hours all in from pains to birth, at 41+4 weighing 9lb1, but he had mild shoulder dystocia which was resolved with the McRoberts Manoeuvre and then I had retained placenta so had to go into theatre for a spinal with manual removal.

The consultant has said there is an increased chance of both shoulder dystocia and retained placenta which is why a c-section has been brought up but a natural birth with no complications is possible so the ball is in my court. The other alternative is being induced at 39/40 weeks to prevent the baby getting too big, as my pregnancies usually go over, however this doesn't appeal to me as i've read/been advised that induction can sometimes lead to shoulder dystocia so that option doesn't seem so appealing/logical?!

My midwife is VERY firmly of the opinion I should go for a natural birth as she believes both can be avoided if managed well by a midwife. Problem is, both times I have given birth, the care has been stretched due to the how busy it was so my faith in care provided during birth is limited. Both times no rooms and/or midwives were available and I spent a lot of my active labour in a waiting room. The thing i'm most scared of is choosing a natural birth and complications happening to the baby due to getting stuck and having to live with making that choice. With two risk factors I was leaning towards a c-section but my midwife has made me feel silly for even considering it so I'd really appreciate any opinions/advice/experience on the matter!

Thanks all!

OP posts:
Almahart · 10/03/2025 19:19

I'm not a medic but one of my babies was huge. I had a lovely midwife who was sure I could deliver naturally.

He ended being pulled out in theatre and it was touch and go if they'd have to get him back up the birth canal and out through a c section. I had a fourth degree tear.

This was 20 years ago when care was ok. I think your concern is really valid..

Take the section!!!

Lammveg · 10/03/2025 19:47

If you're nervous/scared/worried, that won't help with a vaginal delivery (oxytocin and all that). Don't worry about what the midwife wants, it's up to you x

ZZTopGuitarSolo · 10/03/2025 20:13

I'm curious to know how your midwife plans to manage your delivery in a way that would prevent another retained placenta. They can reduce some risks but not all. That would be a question I'd be asking in your position.

Please don't let anyone make you feel silly for considering these decisions carefully, and do ask for statistics and evidence-based guidance.

IJustWantToReadMyBook · 10/03/2025 21:29

Thank you so much for taking the time to respond, it's all really helpful.

@Almahart so glad your little one was okay. That sounds very traumatic for you and baby.
@Lammveg Thank you <3
@ZZTopGuitarSolo I asked this and the midwife said post-birth I should ask for the injection to help deliver the placenta to be delayed as she reckons this may have caused it. However the consultant has said with SD deliveries they encourage it given asap to prevent blood loss so contradictory advice again.

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