This is no3 for me and will be my 3rd girl. If I was an IM I could be your midwife lol. I'm a midwife but work through the hospital setting (and its the medical model not midwifery based so not pleasant) I would look for another midwife if your concerned about the relationship between you both. You want someone your confident in and feel comfortable with to support the birth you want.

No my first birth was fairly typical of a first timer. It was long and exhausting and I pushed for over 2hrs. My DD was posterior and I refused all intervention mainly because I was scared anything they did would increase my pain so I couldn't handle it (I was 17 at the time, aspiring midwife so I read and read and read) everything I read said an ARM, Synto, monitoring would increase pain and not support the natural process of labour so when it was taking along time and they wanted to intervene I wouldn't allow it (DDs heart rate was always very reassuring) as I felt I was barely coping as it was and anything they would do would throw me over the edge.

When DD was eventually born vaginally the placenta wouldn't budge. After an hr and the typical drugs the Drs managed to snap the cord but then were able to stick the clamps up there to clamp it of. I was waiting for theatre (rural hospital, not enough staff etc) for 4.5hrs before I started haemorraging and was rushed of in an emergency. I had a general anaethetic and during the procedure they Drs (they were both registrars) couldn't get it out so called in the consultant who later said the placenta was growing abnormally into the uterine wall or lining or something. They mention accreta then but by that stage I was good again (just very anemic) and only had concerns for my new DD who I hadn't seen for a number of hours. I didn't have no2 until 6years later and there were no problems with her birth. Because of what happened with DD1 I had extra drugs to prevent a PPH although I don't think it was neccessary as by the time I had them the placenta was already out and the placenta not coming out was the problem with DD1 that caused all the bleeding.

Funny thing is with this pregnancy at my first appointment my Ob at 15weeks (who has been wonderful treating our infertility and commencing the IVF process which didn't eventuate as I was already pregnant) he mentioned my risk of accreta due to DD1s birth and the 2 surgical procedures I have had done in the months leading up to this pregnancy. It was then at the morphology scan that the risk factors for placenta accreta were discovered (multiple large placental lakes as seen in both previa and accreta) as well as a very vesselly placenta. I had a few sonographers come and give their opinion. The first one thought it was a previa and the second was concerned about accreta. My Ob down played it when I saw him last at 21weeks and basically said at this stage he will put it down to been a variation with a follow up scan at 32weeks to see if they can get a better look. So thats where I am now waiting for answers I'm told I most likely will get at birth not my next scan.

Provided my placenta moves up as its going to the os but not over it the risk is after birth. If I knew it was an accreta I'd transfer to Sydney for birth (as I am currently going to birth in a rural hospital) with the plan for a vaginal birth, go to theatre to have most of it removed (through the vagina) and leave the roots in there to fall out at their own time. It sounds so gross but thats one of the main successful treatment options to save the uterus which I would want to do. The other option is to have a c/s and for them to remove the placenta during the c/s and part of the uterus thats affected by the accreta. If thats to occur their are much greater risks for future pregnancies as they do take a part of the uterus out. They would be my 2 options before a hysterectomy which I think would only be neccessary if the placenta was a precreta which is worse case scenario. I'll be extremely unimpressed if it is an accreta and nothing was done about it until the birth not giving me the option to transfer to a high risk delivery hospital which is skilled in the area.

So did you find out this bub is a boy? I found out my bub is a girl so it will be 3 DD's for me. Hopefully it wont be the last (but it very well could be) so preserving my uterus is very important to me not to mention having a hysterectomy usually starts menopause which then increases your risk of other health problems so I need it because of that also.

Yes keep in touch.