Some of my closest friends are having a baby. Her water broke at 5:30 this morning. I will be headed to the hospital soon.
Good vibes, please!
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Good vibes for sure! I thought she wasn’t due until next month…
The baby was a month early. The labor and delivery went well, but there were complications with the placenta. It was a really sick ironic twist of fate, actually. She did the whole l & d with no analgesia, then had to get a spinal for an immediate d & c for probable placenta accreta. It’s a rare complication, especially for a first time mom.
Wow. Accreta with a first-time mom? That would indeed be pretty darn rare. Can you put a number on it? I’m scratching my head trying to guess at one.
Has she had any procedures that might put her at greater risk for accreta?
How long did they wait for the placenta? Did it come out in pieces? I’m just curious to hear more details of what happened. [Obviously if you can't share, we understand.]
My heart goes out to her. I hope she and the baby are okay, she didn’t lose too much blood, and the bfing is going okay for her…..
Update us if you can!
Hmm, as far as I know, she wouldn’t mind if I gave some details. The placenta did come out in pieces, and the Ob tried a manual removal. It was coming out like hamburger meat, and from what I saw on the tray (and on the floor…this was the one of the messiest births I have ever seen, and it was all from the post partum) less than half of it was out. The manual removal was SO painful (she had no analgesia) that there was no option for him to go in again with his hand to try to remove the rest. I think the mom would have stood up and run if he tried again; she said it was more painful that the whole labor and birth combined.
From the statistics I looked up, accreta happens in less than 1 in 2500 births, and more than 60% are due to prior cesarean scars. She had a prior miscarriage that was missed or incomplete, and had to be removed by a D & C. I am not sure of the exact details, but I think it was a particularly stubborn miscarriage to remove, and they watched her afterward for blood levels to make sure they got it all. Maybe it was an accreta, too? Or, maybe her uterine wall got damaged during the procedure and had scar tissue? Who knows?
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Me narrating The Vagina Monologues
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