Not waiting on the placenta to come out on its own can actually increase risks. It’s important that if there isn’t any uterus atony, retention or hemorrhaging, that we give the placenta time to be birthed by itself. ACOG guidelines suggest a 30mins window of time where it is safe to wait for the placenta to be birthed. Pulling the placenta out can cause: - Hemorrhaging - Parts of the placenta to stay behind - Uterine inversion (uterus collapsing- very RARE) - Uterine atony (uterus stops contract
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Here’s a breakdown of the risks and benefits: Benefits: Pitocin causes uterine contractions that may jumpstart or speed up labor. The ability to initiate labor quickly can be lifesaving for a parent with a medical need, such as preeclampsia. Encourages the placenta to release in immediate postpartum. Prevents and treats postpartum hemorrhage. Risks: Though Pitocin encourages cervical dilation, the medication does not encourage cervical effacement, which are both equally important to the progress
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Internal fetal monitoring is a form of continuous monitoring during birth. Benefits: -(When compared with continuous external monitoring) May detect the heart rate more accurately if the continuous fetal monitor has trouble due to the baby moving, or if the monitors are slipping. -The IUPC (catheter in the uterus) can identify the strength of contractions (though that is rarely necessary information). Risks: -Increases the risk for infection -Requires AROM which comes with it’s own risks -Requir
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In a hospital birth, you have the right to decline cervical checks, though it’s not the norm and you may get some pushback. Some parents choose limited checks, such as one upon admission and another before pushing, to confirm full dilation and help prevent swelling from pushing too early.If you decline all checks, you’ll likely rely on your body’s cues like the urge to push and spacing to gauge dilation. Routine checks every few weeks at the end of pregnancy are unnecessary and can be avoided, e
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