natural third stage with bad history

[tellytubby]

Yeah i'll definately have a chat with the doc next week
Talk about pro's and cons. Might do a bit more reading on BB about the third stage to see if i can become more informed

thanks ladies

[femme]

To have a natural third stage what you may need to stay away from is managed labour (inductions) your more likely to have a PPH after an induction. The retained placenta no one knows why it happens to some and not others but pulling on the cord before the placenta is ready to detatch (aggressive management of third stage) may be one cause. Your Ob may see this history as even more reason to manage even more aggressively next time ie a syntocinon drip after the birth rather than just an injection. What have you been reading to get more educated and informed about natural third stage ?

[BellyBelly]

I second that last post by femme. Inductions or augmentations with syntocinon increase your risk of bleeding, it makes the uterus pump harder and faster than what naturally occurs, so you can imagine what happens if you start to bleed - pump, pump, pump... Inductions are my pet topic, avoiding them would avoid so many c/s and PPHs.

[Jaffaz]

Just the thread I was looking for!!!

I find out on monday if I will need to be induced at 37-38 weeks due to low levels of amniotic fluid. With DS I had low levels and was having monitoring and US every other day from 39 weeks, i was in the public system and they let me go 9 days over before i was induced. I only needed the 1st app of gel and things got going. Labour was fine just had a bit of gas, but the placenta didn't come away and needed a GA and manual removal (no blood trans). Long story but bleeding didn't stop went back to hossy a few times they weren't concerned, was still bleeding 3 months later when I went to my own GP who sent me for a US and found retained placenta, in the next day for D&C. After D&C I started to recover from the birth and get some energy back, but the 1st 3mths of DS's life I was a real mess.

So with my history of retained placenta I am very nervous about the possible induction and potential for problems delivering the placenta. Plus at 37 weeks i imagine i would need the full induction gel and drip to get things going.

What is more risky low amniotic fluid vs retained placenta and possible haemmoraging???
And what is the chance of needing another manual removal?

Thanks Ladies