Original | Pregnancy
If the pain of giving birth to a child = breaking 20 bones!
The pain of postpartum hand stripping of the placenta is 100 times greater than the pain of giving birth to a child!
A while ago, I brushed up on the experience of a caesarean section mother, because of the doctor's mistake, she experienced the pain of hand stripping the placenta and was in danger!
The mom recounted this dangerous experience in the mom group.
"27 days after giving birth, my lochia was finished and bleeding, and the amount of bleeding was still a bit large.
By 4:00 a.m., suddenly the bleeding could not be stopped, and I went to the emergency room overnight, and after a few hours of pain, a placenta was discharged!
That's right, a complete placenta! How does the placenta deliver?
After arriving at the hospital, the doctor tried to clip out the placenta with forceps, but failed, and finally dripped uterotide, which hurt for more than three hours before it was discharged.
At that time, almost people confessed! Bleeding can't stop!
Because the situation was urgent at the time of delivery, the baby was circumnavigated 4 weeks, and it was delivered by caesarean section under general anesthesia, so the subsequent placental treatment did not pay attention.
Unexpectedly, the placenta remained in the womb until 27 days after childbirth.
This month is a waste, and I run to the hospital every day! ”
Many mothers listened to it and expressed their incredulity: Isn't the placenta excreted after birth? This is completely medical malpractice, it is too terrible, too dangerous!
For specific follow-up treatment, the hospital said it would communicate with this mother and let her take good care of her body first!
Such a mistake is really too undeserved, because the placenta remains, and the consequences are really serious!
Hand stripping of the placenta is an extreme pain and very dangerous!
Placental residues like the caesarean section mentioned above are still rare, and mothers don't have to worry too much.
Most commonly, during childbirth, the placenta cannot drain itself and must be manually stripped.
What is it like to strip the placenta by hand? The experienced mother said this:
"I, without pain, gave birth on my own, cut sideways, and the baby came out. After that, I was asked if I had ever saved the fetus, and then I began to try again and again, and finally changed a doctor with a small hand to take it out, or there was still residue, and three days later I did the Qing Palace. ”
"The second child, no painless, laborious to give birth to a child, placenta adhesion, hand peeling placenta, feel more painful than giving birth to a child, changed two doctors to successfully reach into the uterus to remove the placenta, pain died."
"No painless beating, hand to get the placenta, and adhesions, than raw baby sour."
"Hand peeling the placenta, more painful than the contractions of the child, more painful than the tearing of the stitches, than the postpartum pressure of the stomach pain, that is a feeling of no love!" 」
Hand stripping of the placenta can be said to be a nightmare for smooth birth mothers, although not all mothers will experience it, but once it happens, it will hurt a hundred times more than giving birth!
What is the operation of hand stripping the placenta?
As we all know, childbirth is divided into 3 stages, that is, the 3 stages of labor mentioned in medicine.
The first stage of labor: from the contraction to the opening of the uterine opening, the general first maternal process of labor takes about 11-12 hours, and the maternal labor process only takes 6-8 hours.
The second stage of labor: from the opening of the uterine opening to the birth of the baby, the first time for the mother is about 1-2 hours, and the menstrual mother is generally less than 1 hour.
The third stage of labor: until the placenta is delivered, most mothers only need 15-30 minutes, and at this point, the entire production process is successfully completed.
In the normal third stage of labor, within 30 minutes of the baby's birth, because the uterus contracts, the placenta will naturally deliver, this process, as long as the mother uses force again.
If the placenta is not excreted within the allotted time, the doctor performs a hand-stripped placenta.
What is the process of hand stripping the placenta?
The doctor slowly reaches the uterus with his hand in search of the placenta.
Find the edge of the placenta in the womb, hold the other hand on the mother's belly to avoid the placenta from sliding, and then peel the placenta out.
After the placenta is removed, the hand is also deep into the uterus to check for residue, and if so, repeat the second step.
Press your hands on the woman's stomach to help stop the bleeding and determine if the blood in the uterus is clean.
In the process of hand stripping the placenta, the operation process must be gentle, and the violent forced stripping must be avoided, and the number of operations must be reduced.
This process can be said to be a pain visible to the naked eye!
Hand stripping of the placenta is painful, and it must be done!
Manually peel off the placenta, the pain is unimaginable!
The British "Daily Mail" has reported that a 22-year-old russian mother, because the doctor forcibly ripped off the placenta, the huge pain caused the mother to fall into a coma, and died of shock because of cardiac arrest.
The result of the official investigation is that the mother's uterus is naturally inverted, and the doctor's operating methods and proficiency also have a certain impact!
Of course, such examples are still very rare, and today's doctors will operate cautiously to protect the safety of mothers.
Some mothers may ask: Since hand stripping of the placenta is so fatal, will it have an impact not to remove the placenta?
Definitely!!!
Once the placenta is stuck in the womb or is not peeled off, it can cause a series of problems, which can be life-threatening in severe cases.
Affects uterine rejuvenation. As long as the placenta remains a little, the uterus cannot be restored, and the postpartum lochia will continue, and gynecological diseases such as postpartum, puerperal infection, and uterine polyps will occur.
Causes heavy bleeding. Once the broken placenta is decomposed, it will contaminate the uterus and cause uterine infection, and the entire uterus may have to be removed, even endangering the life of the mother.
In the "Emergency Department Doctor" starring Zhang Jiayi, it is mentioned that a pregnant woman has caused heavy bleeding due to placental residue, and finally can only cut the uterus to save her life!
(Image source: @Emergency Department Doctor)
That's why when the placenta is stuck, it's also necessary to strip it manually!
Which mothers are more likely to experience placental retention and need to be hand-stripped?
Hand stripping of the placenta, no one wants to experience, but if there are the following conditions of the mother, the chance of encountering hand stripping placenta is higher.
Prolonged labour leads to weakness in contractions
Contractions play a very important role in childbirth and placental delivery.
In the early stages of childbirth, uterine contractions are most powerful.
If the labor process is too long, the contraction of the uterus will gradually become weak, and in the case of the loss of external force boost, the placenta will be difficult to naturally excrete with the contractions.
The placenta is abnormally shaped
During childbirth, it is stuck in the uterine opening due to the abnormal shape of the placenta, resulting in the placenta and the uterine wall adhesion can not fall off on its own, which also requires manual peeling by the doctor.
History of multiple miscarriages
The thinner the uterine wall, the more prone to placental adhesions.
Women who have a history of miscarriage and ectopic pregnancy, because of surgery, have damage to the uterus, and the uterine wall is relatively thin, which will increase the probability of placental adhesions.
Multiple pregnancies
Physical damage to women during childbirth is inevitable, especially to the uterus.
If it is a mother with multiple pregnancies, the toughness of the uterus and the thickness of the uterine wall will be affected to some extent, which will also increase the risk of placental retention.
Placental implantation
Placental implantation means that the placenta is deeply attached to the wall of the uterus and is difficult to discharge.
According to the degree of placental attachment, it is divided into adhesion placenta, embedded placenta, and penetrating placenta.
This implantable placenta is often difficult to separate from the uterine wall, and may cause severe bleeding when manual peeling is attempted, which can endanger the life of the mother.
The specific cause of placental implantation is unknown, but may be associated with placenta previa and previous caesarean sections.
The last thing to say is that although the pain of hand stripping the placenta is unbearable, and there is no way to directly prevent the placental problem, a healthy pregnancy, a timely obstetric examination, and moderate exercise can also reduce some risks while ensuring the smooth progress of childbirth!
I hope all the best for pregnant mothers!
Reference articles and image sources
@Medical Obstetrics and Gynecology Channel @Pregnancy Weibo @Watch The News @Emergency Department Doctor