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  1. #11
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    Thanks everyone great suggestions I might do up a draft and take in to my next appt to check if there's anything else etc. I am lucky the hospital and my OB are very pro VBAC and we've already discussed wireless monitoring and water birth etc (which they actually do for VBAC regularly). I've already signed the forms for that 😊

    Similarly my OB does delayed cord clamping etc as standard for both vaginal and c-sec. However I'll note these things on paper too.

    I agree the things I need to think about are preferences if things go wrong ie if I end up with another emergency c or under GA etc. Also the post birth stuff is something I didn't even consider last time so need to find out what's possible at my hospital.

  2. #12
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    Just wandering what others have done with regard to placenta delivery? From memory it's standard practice to have a syntocinon shot to assist placenta delivery. I'm undecided on where I stand on this one. Part of me thinks I Prob won't care what happens once I have the baby in my arms, but what's the scenario if I don't get it? Can I delay the shot, ie if placenta isn't out within X amount of time etc?
    Pros? Cons?

  3. #13
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    Quote Originally Posted by sunnygirl79 View Post
    Just wandering what others have done with regard to placenta delivery? From memory it's standard practice to have a syntocinon shot to assist placenta delivery. I'm undecided on where I stand on this one. Part of me thinks I Prob won't care what happens once I have the baby in my arms, but what's the scenario if I don't get it? Can I delay the shot, ie if placenta isn't out within X amount of time etc?
    Pros? Cons?
    You can definitely do that. My first I did delayed cord clamping then syntocin shot to help deliver placenta. Second I did delayed cord clamping and had consented to the shot but she suggested that as DS2 was having a good feed and I was getting some contractions she didn't think it was far away, and she was right, so I delivered it unaided.

    Went through it briefly with my midwife last appt and we agreed to attempt to have a natural third stage again. We would wait for up to an hour for delivery of placenta and then if not then give it. And also if I had any significant bleeding I would have it after DCC.

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  5. #14
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    following. this is something I need to do too. I feel like I have a rough idea of what I want in my mind but really, it depends on what happens on the day.

  6. #15
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    does the shot of syntocinon affect your ability to encapsulate your placenta?

    I'm having encapsulation done and don't want anything that will compromise this.

    a GA is my absolute worst nightmare. not being awake to see/experience bub being born would really really make me sad I think. I definitely need a contingency plan for that.

    we aren't having any hospital visitors so I'm not worried about in laws having a cuddle before me but the feeding thing is a good point.

    I think dh and I need to sit down and write up a birth preferences list. is it something you actually give to the midwives once you're admitted or do you just keep it in your bag?

    I'm hoping for delayed cord clamping too.

    yes to the shots too.

    not sure about stuff like lighting and no talking. I generally hate peripheral noise but who knows how I'll feel in labour. I might jot it down just in case lol

  7. #16
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    Default Birth plans

    @turquoisecoast I don't think it does. Syntocinon is designed to contract the uterus to help the placenta separate from the uterine wall. I don't believe it crosses into the placenta. I can ask one of the midwives I work with if you like though, she does placenta encapsulation.

    Also with your birth plan/preferences, give it to the midwives the moment you're admitted to hospital. It means we can have a read of it and see what you do/don't want without having to actually ask you. Particularly helpful if you're "in the zone" during labour. The last thing you want is a million questions coming at you. Plus then if something is going awry, they can discuss it with you as per what your preferences are. For example if there's meconium in your waters, they can tell you that a) you'll need to be monitored, but b) they have a wireless monitor to allow you to remain active.
    Last edited by M'LadyEm; 15-01-2016 at 19:11.

  8. #17
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    I've always wanted a natural 3rd stage but due to my history of PPH I was denied this.

    This might sound very silly but a dark and quiet room was so peaceful. My labours have always stalled in a brightly lit room but once the lights go down or off it speeds up. Hence I hide in the toilet or shower.

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  10. #18
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    Quote Originally Posted by turquoisecoast View Post
    does the shot of syntocinon affect your ability to encapsulate your placenta?

    I'm having encapsulation done and don't want anything that will compromise this.

    a GA is my absolute worst nightmare. not being awake to see/experience bub being born would really really make me sad I think. I definitely need a contingency plan for that.

    we aren't having any hospital visitors so I'm not worried about in laws having a cuddle before me but the feeding thing is a good point.

    I think dh and I need to sit down and write up a birth preferences list. is it something you actually give to the midwives once you're admitted or do you just keep it in your bag?

    I'm hoping for delayed cord clamping too.

    yes to the shots too.

    not sure about stuff like lighting and no talking. I generally hate peripheral noise but who knows how I'll feel in labour. I might jot it down just in case lol
    Not to my knowledge. The syntocinon is just to deliver the placenta, doesn't affect how the placenta comes out.

    Hot tip for no visitors (not saying that you'll do this!) - don't tell anyone that you're in labour or that you've had the baby especially on social media. The amount of people that are all #inlabour and then complain about the visitors are amazing - don't bloody tell them!!

    With the birth plan - take it to your antenatal appointment around 36 weeks. Discuss with the midwives and they can let you know if there's anything funky or something that doesn't gel with the hospital policies and then can also file it in your chart so that it can be found easily when you come into labour.

    Don't be cranky if some things get double checked - even though you've said yes to syntocinon or vitamin k in your birth plan, I still need to get verbal consent from you at the time.

    Same as things like "discuss all things with my support person, not with me". Unless they are your legal guardian and are legally making medical choices for you, I do need to discuss things like concerns, possible interventions and complications etc with you as well.

    Don't feel like you can't change your mind either - if you've said 100% no to an epidural in labour in the plan and you decide for whatever reason that an epidural sounds like an awesome idea, just do it. No one's going to think any less of you for not sticking to your plan. Changing your mind on one thing also doesn't mean that everything else on the plan goes out the window either.

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  12. #19
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    Default Birth plans

    Quote Originally Posted by Rose&Aurelia&Hannah View Post
    I've always wanted a natural 3rd stage but due to my history of PPH I was denied this.

    This might sound very silly but a dark and quiet room was so peaceful. My labours have always stalled in a brightly lit room but once the lights go down or off it speeds up. Hence I hide in the toilet or shower.
    I have a tendency to turn all the lights off when I work in birth suite. I only have my desk light on so I can see. I wish hospitals had more ambient lighting/dimmer lights in birthing suites. It is a much more pleasant environment to labour in - especially an active labour. I think women do much better as it makes it more "homely" as opposed to the bright fluros that scream "hospital".


    ETA actually, I have a tendency to want to turn all the lights off at work wherever I am. Maybe because I want to make it more calming? Unfortunately, turning off all the lights on the ward at 10 in the morning is frowned upon for some reason... I HATE working with people who don't turn light off at night. It's hard trying to sneak into a room to check on mum and bub when there's a glaring bright light following you as soon as you open the door.
    Last edited by M'LadyEm; 15-01-2016 at 19:18.

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  14. #20
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    Yea. My last two births were in the dark and both times the lights were turned off by the wonderful mw.

    My last birth- that amazing wonderful woman sat with me in the shower and used a portable Doppler to check on but as I refused to leave there.

    The mater midwives are just AMAZEBALLS!!!


 

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