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  1. #1
    Buttoneska's Avatar
    Buttoneska is offline Winner 2010- Most Community Minded Thread Award
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    Default 3rd stage labour - PP bleeding??

    Looking for some info on 3rd stage labour pls!

    A few of us in my DIG are interested in a natural physiological 3rd stage/delayed cord clamping and what to arm ourselves with the facts and figures about it.

    Bascially so I am in a position to make informed consent or informed refusal of interventions.

    What 'other' things can I do to encourage placenta to be delivered and reduce bleeding during the labour and PP.

    Anythign else really that you think is worth mentioning?

    Thermy - hoping you can help us out on this one love!!!

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    headoverfeet is offline The truth will set you free, but first it will **** you off. -Gloria Steinem
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    Default 3rd stage labour - PP bleeding??

    Thermy isn't here right now

    I think your looking at this from the wrong angle, delayed cord clamping doesn't cause PPH or issues with delivering the placenta, early cord clamping can. In saying that some interventions can increase the risk ie induction hormonal augmentation. So basically your best chance of a physiological 3rd stage is a normal physiological birth.

    Anything by Goria Lemay will be good to read here's a starting point for you.

    http://www.glorialemay.com/blog/?p=177

    Personally I have found some advice my 2nd midwife gave me helpful, don't wait for cx to start pushing the placenta out when you get that icky feeling give some gentle pushes and see what happens. Also remember skin-skin contact ensures oxytocin levels are where they are meant to be these hormones help with all of this.

    Have you hip read Sarah buckleys hormones are your helpers?
    Last edited by headoverfeet; 06-09-2012 at 15:36.

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    Buttoneska  (06-09-2012)

  4. #3
    headoverfeet's Avatar
    headoverfeet is offline The truth will set you free, but first it will **** you off. -Gloria Steinem
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    Default 3rd stage labour - PP bleeding??

    Quote Originally Posted by missie_mack View Post
    I remember reading about babies who don't have their cords clamped early are less prone to needing Vitamin D. Also there is so much blood left in the placenta when it is clamped and cut early that would flow into your baby if it is allowed.... I don't know where you are OP but I was told by a SA midwife that if you have an emergency CS in SA they generally leave the placenta attached. No 'facts' to back it up but interesting none the less. I wonder the reason...
    They also have higher iron levels at 6 and 12 months post birth

    Here is a little video demo on the blood volumes lost by early cord clamping http://www.youtube.com/watch?v=W3RywNup2CM

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    Default 3rd stage labour - PP bleeding??

    I just plainly told my hospital I wanted to delay the cord clamping, they happily obliged. Perhaps just have a chat to your midwifed to see what your hospitals stance on it is :-)

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    Default 3rd stage labour - PP bleeding??

    http://www.midwiferytoday.com/articl...natalresus.asp on neonatal resuscitation with the cord intact, nothing horrible!

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    Default 3rd stage labour - PP bleeding??

    http://midwifethinking.com/2010/08/2...ion-equipment/ this link mentions the review missie Mack posted, talks about the placenta as resuscitation equipment.

    Eta it also addresses the issue of jaundice bought up in that review.

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    Default 3rd stage labour - PP bleeding??

    Dd1- immediately cord was cut and bub removed to dad as I had goning into shock and then started losing blood. I had the oxytocin injection as I was bleeding horrendously due to long induced labour. Lost 1L of blood.

    Dd2 - spontaneous natural birth, delayed cord clamping but again injection as I was losing blood quickly. Lost 800-900mL. dad got bub and placenta as I was being sorted out by medical staff.

    Both times I got prepped for transfusions as a precaution.

  10. #9
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    Default 3rd stage labour - PP bleeding??

    Oh I never came back to this thread thanks for the replies. I was induced and had csect and pph and am still anaemic. Joy!

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    Default 3rd stage labour - PP bleeding??

    So yep no delayed cord clamping


 

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