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2nd home birth after 1st home birth complications?

Stefanie - posted on 08/16/2009 ( 10 moms have responded )

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I had my 3rd daughter May '09 and it was also my 1st home birth. Everything went great until it was time to deliver the placenta and I experienced uterine atony and severe PP hemorrhage. I was transported to ER by ambulance when 5 shots of Pitocin failed to clamp down my uterus. This was the first birth where I had this complication.
I'm wondering if anyone experienced this during a home birth and went on to have another home birth? Did it happen again the 2nd time?
My midwife said she's more than willing to allow me to have another home birth. I lost a lot of blood but b/c of how well my body handled it she's confident that even if it happens again it can be managed well again. We've already talked about steps she and I will take next time to help prevent a transfer but I'm just wondering what my chances are of it happening next time.
Thanks in advance!

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Ivy - posted on 09/15/2010

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I had severe bleeding after my son's homebirth three years ago, and am planning my second homebirth this november. With me, the bleeding was caused by enormous clots which were preventing the uterus from contracting properly. The midwife said she'd just seen this for the first time with a diff. client earlier in the week and that was why she thought of it so quickly- she had me sit up on a birth stool and pushed on my stomach repeatedly, and out "birthed" several enormous blood clots- then the uterus kicked in to normal post-placental-contractions mode on its own.

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I know I'm late to the conversation but I thought I would mention this because I didn't see it in the comments. I hemorrhaged after my first homebirth and my midwife ended up giving me a shot and a pill to stop the hemorrhage and while we waited for the medication to kick in she actually clamped my uterus down herself with her hands. She held my uterus tight for like 15 minutes straight. Her arms were shaking toward the end but it was what my body needed, it was just too tired to do the work after being in labor for so long. It sounds like it was painful but it was actually the most merciful thing she could have done rather than kneading and kneading my belly over and over which I think is painful. I am now planning my 2nd homebirth with my 3rd baby. YAY for homebirths and amazing midwives!

Ivy - posted on 09/08/2011

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Hi Stefanie,
My second home birth was smooth sailing. It was super fast- my doula showed up in the afternoon and I thought that I'd called her too soon because it seemed to slow down and I was so relaxed- but after a late dinner - I was still so relaxed I ate a big dinner- I suddenly was in noticeable labor and an hour later I climbed in the birth tub to help cope with the labor pains- doula called the midwife to warn her getting closer but twenty minutes later spontaneously pushing- another call to the midwife but baby arrived quickly- 15 minutes or so- doula had to catch! It was a fast experience.....midwife arrived 25 minutes later and the placenta was really slow to come out- probably nearly an hour past- she pushed on my tummy and the placenta popped out (much as the time before with the clots-) but there was no emergency, everyone was healthy and thriving, no hemorrhage----good luck!

Stefanie - posted on 09/08/2011

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Ivy Lynn, I'm curious how your 2nd HB turned out. Did you have any complications this time.
I'm due in Dec. with my 4th baby and we are planning our 2nd HB. I've been taking RRL tea this whole pregnancy to help avoid uterine atony.

Allison - posted on 03/10/2010

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Thanks for this post! I had a severe PP hem after my 1st birth, at home. My midwife gave me double doses of pitocin then methargine THEN cytotec, and even homeopathy, but didn't help a bit. Had ambulance transfer, but ER care was really bad and I almost died waiting for OB and stronger drugs (hemabate worked), so I am nervous to birth at home again. Couldn't imagine leaving my son without a mom. Not pregnant yet, but think about it a LOT if I want to be in a hospital. Or if I could get concurrent care with an OB somehow for a quicker transfer? Any experience with that or suggestions? I know it's a long shot and might have to be somewhat sneaky to keep my OB whilst planning a home birth, and I hate that idea.

Stefanie - posted on 09/16/2009

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No she didn't I will ask her about that though. She is a natruopath so she'll probably know some things like this to do next time.

Sarah - posted on 09/16/2009

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Did your midwife have you take alfalfa? My midwife always started me on alfalfa tablets in the last trimester, it promotes healthy clotting function, and is also very healthy. You might give that a shot, it won't hurt but it might help.

Gen - posted on 08/30/2009

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i had two severe pp hems...and then my third hb was perfect. come to find out that certain herbs don't agree with me...and that asprin, or anything like pepto with asprin in it, causes a hemorrhage. one pp hem isn't a sentence for more....now i'm looking at my fourth hb any day now..and don't anticipate any troubles. :)
Gen

Stefanie - posted on 08/18/2009

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Yep, I know about the cord thing. The midwife didn't do anything at all during the "birth" of the placenta. I declined the pitocin after the baby came out as well and we talked about definitely doing that next time since, in my case, it is a good idea from now on to help protect against uterine atony. We also talking about me eating chilled placenta in case a hemorrhage occurs (I know, gross) b/c it is more effective than pitocin.
I'm hoping it wont happen again but I'm not sure. But I'll do whatever I can to try and prevent it.

Thanks for your advice.

Rebecca - posted on 08/18/2009

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I was warned that I may have a similiar problem during the birth of my third child. Everything went okay, thank goodness. One thing I was told about and I don't know if you were told of this or not but I'll tell you anyways. The cord should never be tugged on to assist the placenta out, since this could tear the placenta off the wall and cause excess bleeding. I was also given the option of having a shot of pitosin once the head was delivered before the body, I declined this option. I really didn't want any drugs unless absolutely needed. I don't know if this helps at all, but good luck and congrats!

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