Hi,

Had a heated discussion with OB lastnight.
He is a big believer of early clamping (immediatly) syntocin and controlled traction for placental removal (or something like that)

My feelings
1) dont care either way about the inj.
2) wanted plactenta to finsh pumping before clamping
3) traction / manual removal of placenta is it necessary????
4) wanted to BF to stimulate 3rd stage
5) didnt want time limits

His view point
1) Best practice statistics demonstrate it is the safest way to avoid post partum heamorrhage
2) agrees that BF and the nautral process will stimulate placental detactment.
3) 'I will be as flexiable as youlike with most things, but i believe that this compromises your safety to will not change my view'

He will agree to delaying clamping my 5 minutes...
Will not negotiate on other aspects of this proceedure.

To be fair - he has a low intervention rate, is happy not to have any medical intervention unless apsolutly necessary - i told him that i would prefer him just to watch and he was cool with that... so he will accomodate most things (he is also encouraging of me hypnobirthing and has others that are having water births)

My big question is : how long on average does the placent pump for (he couldnt answer this as he has NEVER waited). Is 5 minutes adequate?
Spoke with DH and he feels that OB decision is OK as he has been a bit flexable and that my safety is # 1

Thoughts please
thanks