RE: [ozmidwifery] managed versus physiological 3rd stage, was: after birth pains

[Nicola Morley]

Title: Message

This reminds me of a question I have after being a doula at a birth with a physiological 3rd stage. The mother in question chose physiological and found 3rd stage far more painful than she had with 2 previously managed (synto) 3rd stages. So painful that she felt she couldn't hold her baby safely(apart from a brief cuddle in the moments following birth). They also only gave her 1/2 hour to deliver placenta physiologically, so she felt pressure to try and breastfeed before her and baby were really ready to try and get things moving.   I have a couple of questions, partly "professional" for my future reference, and partly personal because I am considering options for my own birth! Is it normal for third stage to be more painful if done physiologically? Is it normal to set a time limit of 1/2 hour (this was at a low intervention, low risk only hospital - Wyong, whereas I am delivering at the more interventionalist Gosford so imagine it could be even less??? Anyone know who works at either of these hospitals?)? Early skin to skin contact with my baby, and time to allow baby to self attach to the breast are both more important to me than a physiological 3rd stage, so if choosing that option is a risk to either of those things I would prefer they gave me the synto (after waiting for cord to stop pulsing before clamping and cutting)!!   Also, I didn't think to ask at the time, but what is the plan if the 1/2 hour is up and the placenta is not delivered? Can you give synto then, or is it too late and there are other things that need to be done? I am just thinking that if there is no problem delaying the synto, can anyone think of any good reason why I couldn't ask for a physiological 3rd stage, then if it was taking too long, or was too painful to hold baby, or I was being rushed to feed to get things moving, I couldn't just say, ok give me the synto then??   Nicola Trainee Doula   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Susan Cudlipp Sent: Sunday, April 02, 2006 7:01 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] after birth pains Hi Lyn I don't know if this woman had actively managed or physiological 3rd stage with her first 2 but I know of one (now grand) multip whose 2nd birth I attended - she suffered dreadfully with after pains in all hosp births but has had the last couple at home with physiological 3rd stages and told me that the after pains have not been a problem .   Sue "The only thing necessary for the triumph of evil is for good men to do nothing" Edmund Burke ----- Original Message ----- From: lyn lyn To: ozmidwifery@acegraphics.com.au Sent: Sunday, April 02, 2006 9:02 AM Subject: [ozmidwifery] after birth pains Hi all   I am seeing a mother G4P3 now at 36 weeks who has asked me if there is anything she can do about after birth pains.  She had severe suffering after her last two and would like to avoid if possible.   Can they actually be avoided.  and if so could that mean that there is a risk that her uterus will not contract down strongly and therefore she may bleed heavily.   A midwife I know talked about using coosh (not sure if blue or black, i have no experience with either).  Supposed to be an antispasmodic, which may not be ideal if we want a contacted uterus.   Thanks in advance for any help you may provide   lyn No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.385 / Virus Database: 268.3.4/299 - Release Date: 31/03/2006