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Postpartum hemorrhage A, E & W's mommy Due October 21; Bulgaria 15280 posts
11th Apr '13

If you've had one or are high risk for one, has your doctor ever suggested a planned Csection? I have ITP (low platelets and no one knows why) and my doctor has said that a planned section may be in my best interests in order to cauterize as they go and control bleeding. I'm thinking that feel like such an invasive approach when it seems to me I could have a vaginal delivery and a platelet transfusion at the time of delivery. Anyone with experience have any thoughts on the matter?

tonys_mama(army wife) 4 kids; 1 angel baby; Fort Irwin, California 15526 posts
11th Apr '13

I hemorrhage baldy after every birth and they have never suggested a csection. With my second I had HELLP and they didn't ever suggest it then. I would get a second opinion!

A, E & W's mommy Due October 21; Bulgaria 15280 posts
11th Apr '13

It did seem like a bit of a surgery happy suggestion :( so what do they do for you when you hemorrhage, especially with HELLP

lolajessup Due July 25 (girl); 2 kids; 1 angel baby; Beaverton, Michigan 44057 posts
11th Apr '13

Maybe discuss delivering in the OR with blood ready in case of a need for csection/transfusion? Meet them in the middle? I mean its your risk to choose, don't let him bully you into a csection. It was probably just an option to consider.

A, E & W's mommy Due October 21; Bulgaria 15280 posts
11th Apr '13

<blockquote><b>Quoting lolajessup:</b>" Maybe discuss delivering in the OR with blood ready in case of a need for csection/transfusion? Meet ... [snip!] ... middle? I mean its your risk to choose, don't let him bully you into a csection. It was probably just an option to consider."</blockquote>




She definitely was just suggesting it as an option so I'm not feeling pressured thank goodness. I do know they plan to have blood thawed and ready for me but they have to order in platelets from 5 hours away and I doubt they'd do that as a just in case measure unfortunately. We will have to discuss it more I think.

Elle With FOUR! 4 kids; Wichita, KS, United States 18964 posts
11th Apr '13

I hemmorrhaged after I had my oldest, who was born BY c-section. I had my other children by section as well.

A, E & W's mommy Due October 21; Bulgaria 15280 posts
11th Apr '13

<blockquote><b>Quoting Elle With Three &1/2:</b>" I hemmorrhaged after I had my oldest, who was born BY c-section. I had my other children by section as well."</blockquote>




That's what I'd be afraid of, going through the difficulty of a section only to hemorrhage anyway. Plus I thought if I had a vag delivery and bled excessively that they could cauderize my uterus to stop bleeding, I'm not sure how that would be so different from doing it during a section. It just doesn't seem like a c/s is really mitigating any risks at all

tonys_mama(army wife) 4 kids; 1 angel baby; Fort Irwin, California 15526 posts
11th Apr '13

<blockquote><b>Quoting A, E & W's mommy:</b>" It did seem like a bit of a surgery happy suggestion :( so what do they do for you when you hemorrhage, especially with HELLP"</blockquote>



Sorry I'm late getting back to you on this. They has platelets ready waiting for me and I had god awful fundal massages that hurt like hell. I had a high iron diet restriction after her birth and had to have iron supplements. It really wasn't all that bad. I would do that over a csection any day.

Elle With FOUR! 4 kids; Wichita, KS, United States 18964 posts
11th Apr '13
Quoting A, E & W's mommy:" <blockquote><b>Quoting Elle With Three &1/2:</b>" I hemmorrhaged after I had my oldest, ... [snip!] ... would be so different from doing it during a section. It just doesn't seem like a c/s is really mitigating any risks at all"


I had NO risk factors for a hemorrhage when it happened, but frankly we both would have died without the section. I've had two more sections since then, and will be having another one this summer.

DaniKayT Due May 3; Nevada 51 posts
12th Apr '13

I have had a PPH with every child. The first time the dr was really panicked but the next two times they knew what to look for and all they did was watch blood loss and give me pitocin for hours after the birth and also shoved some kind of pills up my @ss to help me contract along with the lovely fundal massage.. I can't wit to revisit this all again in a few weeks when I deliver this one. Here's to hoping we are all good. I've yet to need a transfusion.. Knock on wood!

tonys_mama(army wife) 4 kids; 1 angel baby; Fort Irwin, California 15526 posts
12th Apr '13

<blockquote><b>Quoting DaniKayT:</b>" I have had a PPH with every child. The first time the dr was really panicked but the next two times they ... [snip!] ... again in a few weeks when I deliver this one. Here's to hoping we are all good. I've yet to need a transfusion.. Knock on wood!"</blockquote>



Omg I forgot about the pill up the ass you said something. I felt so violated lol.

A, E & W's mommy Due October 21; Bulgaria 15280 posts
13th Apr '13
Quoting DaniKayT:" I have had a PPH with every child. The first time the dr was really panicked but the next two times they ... [snip!] ... again in a few weeks when I deliver this one. Here's to hoping we are all good. I've yet to need a transfusion.. Knock on wood!"


That's probably my biggest fear is the transfusion, I've had a major hemorrhage already (2.5 litres in 20 minutes) and they gave me 6 units of blood just to put me in surgery and then 4 bottles of plasma afterward. My insides just felt dirty, don't get me wrong, I'm more than grateful for the people who donated and saved my life, but filling your veins with not your own blood can be a bit of a disturbing feeling :( I just get worried that one of my units won't get screened properly and I'll end up with Hep C or something.