Birth # 15
This birth was a beautiful butter birth, the name comes from being smooth like butter. We got there shortly after the clients water broke. The baby was born within the hour of arrival.
This was a birth where the placenta took a bit to release and the first time that I learned about trailing membranes in the home birth setting. I have heard of it in the hospital setting.
This particular placenta left some trailing membranes. I did not know that there was a higher risk of bleeding so pitocin was offered by the lead midwife. It was declined and watch and see plan was created. I became curious about trailing membranes, so here I am learning as much as I can.
Varney's has very little info on trailing membranes, it basically says that there has been no evidence to support that trailing membranes cause more bleeding (King et al., 2018). This is the only info I could really find. I searched OVID and Google Scholar and then gave in to plain old google.
I think that should this happen when I am the primary, I may not offer pitocin as the evidence isn't there, but I will continue to dig and ask around. I will be attending a hospital birth as a doula sometime tonight and will ask what their protocol is.
References
King, T. L., Brucker, M. C., Osborne, K., & Jevitt, C. M. (2018). Varney’s Midwifery (6th ed.). Jones & Bartlett Learning.
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