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Re: [Birth Control] Blood Transfusion

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 27 Nov 2001 15:12:33 -0600 (CST)


At Tue, 27 Nov 2001, Geri wrote: >
>I am in my 28th week of pregnancy. when I delivered my son I was 37
>weeks pregnant. I had no problems birthing him. It was after he was
>out. The placenta did'nt come out on its own so the doctor had to
>retrieve it manually (painful!) Worse than having my 10lb3oz baby.
>Needless to say I lost alot of blood when this happened my blood count
>went down to 6pts. Now my question is can this be prevented this time?
>Why did this really happen?

It is not likely to happen again, though I'll bet your doctor is going to be worrying about it from now till then. Retained placenta is a very serious problem, and the real cases (as opposed to those that are called retained, but are actually just impatience) lead to the horrific bleeding that you appear to have experienced. There is a mechanism within the junction between the placenta and the uterine wall that leads to the placenta shearing off with loss of blood pressure in the placenta. Like all biologic systems, it is not foolproof, though it generally works ok. There are things, like uterine scars from surgery or trauma, that make this more common, but most of the time it is unexpected and without identifiable cause. If you had it once, you are more likely than the average woman to have it happen again, but it would still be a reasonably rare thing.

--
William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.




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