The midwife explained that they use 2 different types of drugs to help expel the placenta. I can't remember the correct names but they sound similar. This first is the injection at birth and the second is administered via iv if the first doesn't work.

Because I have had a rp they'll skip the first and administer the second straight up. This is insure my uterus contracts sufficently to expel the placenta. They want to prevent possible PPH.

At the same time the mid told me that neither of these drugs work if my placenta will need to be removed manually. This is what happened last time!!! So if the placenta is going to get stuck then it will be stuck and there is not point to administering the second drug.

I absolutely hate canulas and I feel that my birthing experience will be more uncomfortable than required. I would prefer to labour without a canula and see what happens. I will be pushing the point