- blood loss
Mothers face pale
Lips blue ALL SYMPTOMS OF HEAMORRAGE
Low blood pressure
Rapid pulse (100, 110)
* Average blood loss is 435 cc ( 4 cups ) to 800cc (6 cups) - 1 full pad = 1/2 a cup
* Women can lose up to a litre of blood ( 8 cups) and still survive ! - however we should be vigelant about blood loss and keep it to a minimum
* 500cc of blood loss = 1g heamoglobin loss
* In waterbirth if you can see the bottom of the tub then the blood loss is normal.
* If a woman is bleeding too much her uterus needs to be closed - if the placenta is still in it has to be removed.
* To keep the cord intact helps the placenta trigger the seperation - the whole system remains oxygenated
* Routine use of pitocin ( synthetic oxytocin) or oxytocic herbs to over stimulate labor can be cause of bleeding
* Normal birth= normal placenta delivery
* Let the uterus expel the baby- assist the baby and mother to skin to skin contact
* to watch the physiological stages of seperation means to assist the true way of expulsion
* placental expulsion can take from 30 mins to 6 hrs!
* To pull on the cord when the womb is not contracting will only cause problems
* Hold the cord, fel the womb , feel the slack - DO NOT TUG!
* Watch, Wait, Allow physiology to progress - be like the animal and let nature take its course
* Shepherds purse herb can stop bleeding and contract the uterus
* You can also use your hands to contract the uterus- rub the mamas belly flat handed, support under the uterus and push from above - you are trapping those blood cells and stopping the bleeding.
* Also nipple stimulation and breastfeeding can help
* A thumbnail piece of placenta in the mothers mouth activates uterus contractions in 20 seconds!
* Getting upright and blowing in a bottle bothe help the placenta to seperate
* Get the mama to cough or sneeze this can also help
* The best way is to not disturb the natural bonding space of mother and baby- leave the room for 20 mins or make yourself invisible - leave the woman to birth her placenta herself with no fuss!
hi lara, you take great notes, but I need to post a correction there. I probably mispoke something in the class. "I" was not the midwife who said to leave the room for 20 minutes to give the mother privacy to birth her own placenta. I said I know of this teaching and assisted a midwife once who followed this. "I don't personally do this or advocate it; I just know of some who do, but I'm personally not comfortable with leaving her. I always stay with the woman, nearby but as much out of her way as possible, so I can observe her and her baby and help if needed. But I try to stay quiet and pretty invisible and unintrusive. I could be on a chair nearby, or perhaps just by the door, but I don't leave About using your hands to stop bleeding: The hands are the best and most effective tool. Faster than medications. About placenta -- it is a very effective emergency treatment, and the knowledge should be reclaimed. It used to be known throughout the world but has been forgotten in many on Hemorrage and 3rd stage difficulties - Gail Hart