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Thursday
Mar102011

Placenta Accreta After Cesarean

A for-real recommendation regarding a mom’s concerns about placenta accreta over her previous cesarean scar: 

“In the most unlikely event that your placenta doesn't come after 24 hours (24 HOURS?!?!) or so, and if you pull gently on the cord yourself it doesn't budge after that time, and if you have some cayenne and honey and it doesn't budge, and if you have some of Gloria Lemay's tea for postbirth placenta release it doesn't budge, and you've done a wee, eaten, walked around, squatted a coughed, had lots of booby, released any residual pain/fear/grief after your birth then you might consider going to hospital to see if there's something else going on. Since there's no actual problem till postbirth, that's the best time to go to hospital. They can't frighten you about your baby dying blabla if the babe is already earthside and fine. 

She might "consider going to the hospital to see if there's something else going on"?!?

She may not get frightened by the hospital about the baby dying, but I wonder if they tell her that she might die counts.

The “advisor” neglects to mention watching for signs of infection, especially since pesky bacteria might be climbing up that cord even as she waits for the placenta to come out. Wouldn't it just be a drag to have to be hospitalized for a two-week course of IV antibiotics because of leaving the cord dangling? Just like long-ruptured membranes and a zillion vaginal exams can introduce buggies into the pelvic arena, the baby's lifeline (no longer needed, of course) acts as a super-highway for super-bugs.  

The "advisor" also doesn’t say what to do if the concerned mom bleeds a torrent (with or without the placenta birthing). Forgets to add that when she pulls “gently on the cord” she could cause a partial detachment and subsequent hemorrhage. Or when she pulls “gently on the cord” her uterus might fall out. Doesn’t tell her the signs to recognize an occult abruption. And there certainly isn’t any acknowledgement or encouragement to listen to her instinct to not birth at home. 

Oh, I forgot. That’s the side ignored lest it sour the birth experience. Too much doom and gloom. See all the FEAR I have? No, it isn’t education and experience; it’s flat out fear. rolling eyes And who wants that at their birth? (That was a rhetorical question.)

Perfect thoughts = perfect birth, right? 

Riiigghhhht.