I agree it is probably a large succenturiate
lobe. I have seen only 2 placenta’s
like this. One was only discovered in retrospect
after a straight forward birthing process. The other had heavy bleeding and it was a
bit confusing because although the midwife easily felt the placenta below the
cervix it was still not being birthed. The woman was also experiencing a lot of
pain (first birth for this mother). The midwife did attempted to assist the birth
of the placenta, believing that it had separated and was being held up at the
cervix, with gentle cord traction, but it did not come easily. Some Syntocinon and
controlled cord traction did help the placenta birth but it was still difficult,
with more cord traction than ‘usual’ (remembering that we are used
to physiological 3rd stage) and severe pain for the birthing woman:
it was very odd. Only on looking at the placenta did we get any explanation of
what was happening. I think that one lobe of the placenta was sitting in the
cervix causing the pain whilst the rest was not separated causing bleeding. This is of course the worry that the
placenta is less likely to separate in one nice clean action and so bleeding is
probably something to be alert for and therefore a increased risk of PPH. Despite this 2nd experience I would
probably not give routine Syntocinon (I would have it drawn up) but would use
the watch closely and act quickly if my head, heart or gut alerted me. Homebirth Midwife "It takes courage to remain a true advocate for women, challenging
authority and sacrificing social and professional acceptance. It takes courage
for a woman to choose a caregiver who will truly advocate for and empower
her." -Judy Slome Cohain -----Original
Message----- Hi all I have been asked an unusual
“placenta” question tonight that I hope you can all help me
with… The woman is expecting her first
baby – there are no complications or problems with this pregnancy –
there has been no bleeding episodes during the pregnancy so far- however the
ultrasound has revealed what appears to be 2 placentas joined by a blood
vessel. The questions are: Would we expect there to be a greater
risk of 3rd stage complications such as excessive bleeding? Could
the blood vessel rupture either during the last few weeks of pregnancy or
during the labour, birth or 3rd stage? Has anyone ever encountered this
type of situation before and if so what was your experience? Would this be a strong case for
having the Syntocinon injection given routinely? Is there a greater risk of pph? Warm hug to all, Julie |
- [ozmidwifery] sharing an unusual placenta question - ideas... Julie Clarke
- [ozmidwifery] Re:sharing an unusual placenta question... Larissa Inns
- Re: [ozmidwifery] Re:sharing an unusual placenta ... Susan Cudlipp
- Re: [ozmidwifery] sharing an unusual placenta questio... Sally Westbury
- Re: [ozmidwifery] sharing an unusual placenta questio... Kirsten Blacker
- [ozmidwifery] sharing an unusual placenta question - ... Julie Clarke
- Re: [ozmidwifery] sharing an unusual placenta que... Honey Acharya