Can anyone tell me what the benefits are of a physiological third stage...(and the cons too please!)
I haven't really given it much thought as yet but have now decided that I'd like to know a bit more about it...
So here's what (I think) I do understand...
Managed third stage involves syntocinen injection for quick delivery of the placenta sometimes assisted by pulling on the cord, and immediate (?) cord clamping & cutting???
Physiological is basically letting nature take it's course???
So..have I got that right? and if so,
Why would a managed third stage be the 'default' process in hospital? I don't ever recall being given an option before... what is the benefits of this as opposed to just letting it happen?
Are there any risks associated with either plan?
What is most beneficial to bub? and why?
I am planning on a VBAC... does this affect anything?
I'm not exactly sure what the hurry is when it comes to birthing the placenta (not being smart, I really don't know).
All I know is that I suffered a mildish PPH when I was given the injection with DD1. I was also annoyed I wasn't warned they were about the jab me - seriously it HURT!
I had no interference with the last 2 (actually I think the stupid middie started pulling on the cord with #2 but I asked her to stop), and the darn thing came out on its own, of course.
Without getting too medical on you, always happens! (NICU Nurse). If there is too long of a delay between cord clamping the baby's blood can start to drain back through the cord and thus the baby becomes anaemic and compromised due to low blood volume, doesn't happen everyday but it can happen. The aim of the syntocin is to evenly and quickly allow the placenta to pull away from the uterine wall and out. Yes, it can be quite painful but it ensures all products are removed and quicker than waiting for your body as to reduce infection. PPH can occur which ever way you go as this is a complication of birth, not necessarily, with the birth of the placenta. What occurs greatly depends on your own body, location of the placenta, birth of the baby, and ofcourse scar tissue from previous C/S.
I hope that helps, I'm not really swinging either way as I have been to alot of births of both, managed and physiological complications. The medical staff SHOULD be supportive in both options and yes, you have every right to decide on what choice you would like to make, however, if your health could become a concern they will do the best for you and your baby.
The uterus doesn't contract evenly, IYKWIM? When the last contraction births the baby, majority is from the sides of the uterus. The placenta doesn't fill the uterus like the baby does and therefore the uneven contraction can break away only parts of the placenta thus causing it to go into pieces and leave retained products behind.
Like I said, it happens and then it doesn't happens. Studies are showing that retained products are now having a link with the duration of labours aswell.
I had considered doing a natural third stage but my OB recommended against it. He said there is a higher chance of haemorrhaging if you opt for a physiological approach and he has witnessed it on several occassions. That was enough for me to think twice about it.
I did a bit of research and often it's fine to deliver the placenta without any drugs but I figured it really isn't going to hurt me to have the shot and get the placenta out sooner rather than later. After all that hard work I think I'll be quite happy to finish off the labour and get on with just bonding with my baby.
hey there,
I don't recall having a jab with my last pregnancy. It seemed as if the placenta was delivered quite quickly but then, my son came into the world really fast so may be I dfidn't have time to notice!!
Benefits of a physiological third stage????
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