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Counting On Season 8/9/10 4: Babies, Babies, Babies

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Mama Mia
2 hours ago, Charliemae said:

Firstly I just want it out there that postpartum hemorrhage is one of the leading causes of maternal death in America.  I think it's deeply irresponsible to go for a homebirth if you have a history of PPH They have an incredibly high rate of recurrence as well (I've heard 50% chance for uterine atony).  It is not a complication, or level of risk, that people should be so comfortable ignoring.  (Source had a PPH and needed 6 units of blood, almost died- choosing a c-section this time because of the risks of it happening again). I'm surprised that a midwife could consider someone with that history low risk enough for a homebirth. 

Midwives can sometimes use pitocin for hemorrhage.  This is controversial because midwives are not allowed to use pit for induction or to help contractions.  So in some states midwives have no access to pit, in others they can have a small quantity for PPH.  Which means that some midwives are legally barred from being properly prepared for a PPH.  Those midwives absolutly shouldn't be taking on patients with a history of PPH.    

A shot of pit is only going to work if your uterus needs a little help contracting back down.  It wont do any good for a severe bleed, and it can't replace the blood you already lost.  In the hospital it's one of the first things they do for PPH, they also have a lot of other resources if the pit isn't enough.  If I had had a homebirth, with the PPH I had, I would have died. 


For those wondering usually the bleeding is from where the placenta detaches.  This wound is the size of a dinner plate until the uterus contracts back down.  If everything is going well the uterus will contract on it's own.  If that doesn't happen it's pitocin and very painful uterine massage to try and get it right.  If that doesn't work they shove a balloon and/or sponges in there and stanch the bleeding that way.  If that doesn't work you're off to surgery.
 https://www.chop.edu/conditions-diseases/postpartum-hemorrhage

I don’t know much about the details. I believe she used the same hospital linked nurse mid-wife for both her hospital and home delivery, but not 100% sure. She also lives in a major city minutes from a hospital, so that was likely a factor. 
 

Side note- I nearly fainted watching them push on my daughter’s abdomen to make her uterus contract following her c-section when she was bleeding too much  - that was — rough 😮 

Additionally Some idiot nurse  was insisting she keep holding her newborn for “bonding“- while they were basically punching her in her incision! 

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bucherwurm

Thankfully in Ontario, where we have educated registered midwives, they come prepared with pitocin if needed, along with a whole bunch of medical gear. I had a home birth two years ago, and could not imagine putting my life in the hands of those midwives the Duggars seem fond of using. I especially wouldn't use them if I knew they didn't carry pitocin, and extra especially if there was a history of postpartum hemorrhage. It just seems all kinds of stupid. 

I did think it was interesting that Jill was mentioned in this episode, and there was video of her, when they have been acting like they just disappeared. If they want to keep the show real, they can at least briefly address that Jill and her family "decided to keep a more private life", than just ignore it. It would even make it seem like the adults have a choice. 

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moreorlessnu
On 12/12/2019 at 7:22 PM, Peaches-n-Beans said:

Also do you think the paramedics in this town keep track of the due dates? like "Oh X is due on x day, better have someone ready to take them in cause we know they won't just go on their own".

I thought, and I don't remember where I heard it from, that when you are having a home birth, you call the non-emergency line of the fire department and inform them that you are in the middle of a home birth so that they have a heads up (and possibly some details??) prior to the ambulance being needed. Has anyone who has planned a home birth done this?

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Waffle Time
JMO

I agree, what Jessa did by having another home birth is incredibly ignorant and irresponsible.  She could bleed out and die in minutes for all the reasons listed above.  There's no time for calling an ambulance much less getting to a hospital.  At the end of pregnancy at any one point 20% of her blood flow is going through her uterus.  

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IsmeWeatherwax

I had a home birth 11 years ago. A women in the next road to me was also having  home birth at the same time. My 2 midwives were in phone contact with her 2 midwives and there was a fair bit of competition as to who's Lady delivered first lol (I won that one!) 

During our chats I discovered that it is practice to have an ambulance specifically on standby for when a home birth is happening. 

This is South East England.

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Peaches-n-Beans
10 hours ago, IsmeWeatherwax said:

I had a home birth 11 years ago. A women in the next road to me was also having  home birth at the same time. My 2 midwives were in phone contact with her 2 midwives and there was a fair bit of competition as to who's Lady delivered first lol (I won that one!) 

During our chats I discovered that it is practice to have an ambulance specifically on standby for when a home birth is happening. 

This is South East England.

I really hope this is the case with the Duggars, especially with their history

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