Retained Placenta and Class 4 Hemorrhage
I am suffering from some pretty tough depression when I think about my birth experience. I had a midwife attended birth at a birth center. My hard labor was only 6 hours and I found it to be intense but a really positive experience. Right when I thought I couldn't handle it anymore, the midwife told me I could push. After I delivered I sat on the bed and just held my baby. I asked what time it was so I could know when my daughter was born. I didn't even have time to check and see what sex my baby was before the midwife had me stand up and gave me a pitocin injection. I was really confused and asked what it was for. She said I was bleeding to much. I asked if I tore and she said no. She told me I needed to delivery the placenta and told me to push. I didn't feel the need to push like I did with my daughter and told her I just wanted to sit down. She gave me a shot of pitocin in the other thigh and finally let me sit down. I wanted to nurse the baby, but the midwife just kept telling me I needed to get out the placenta. When I looked at the clock it had only been 16 minutes since my daughter was born. Then the midwife tractioned my placenta (pulled on the umbilical cord) I felt the placenta rip from the inner wall. I still hadn't been able to know if I had a daughter or a son. The midwife just kept telling me I really had to deliver the placenta. I asked what was wrong and she told me I was going to have a lot of problems if I didn't get the placenta out. I just wanted to nurse and she said after I delivered the placenta. I pushed and pushed for another 15 minutes or so and after a third shot of pitocin the placenta came out. Finally, I got to nurse my baby and by that time 45 minutes had gone by since she'd been born. I bled out for a total of 2.5 hours before I was sent to the hospital. I had 3 blood tranfusions. I had to have a D&C at the hospital which they put me under for. I was unconscious for 6 hours after the D&C and my poor baby was so hungry during that time frame, but my husband knew I didn't want her to have anything but breast. When I woke up they told me in addition to the retained placenta fragment I had a 6 inch second degree tear. I later developed an infection due to the transfusion and had a fever of 104 for 3 days. I spent the first 9 days of my daughter's life in the hospital. My midwife told me that she had to traction because my cervix was closing. I think that the pitocin is why my cervix was closing and she says that they didn't give me any pitocin until 45 minutes post partum. But it was practically immediately. I have trouble even thinking about the birth without feeling a great sense of remorse and sadness. I want to be able to view it as a happy experience. I am grateful that I got to delivery naturally, but am sad that for all the work I did, I had to suffer at the hospital for 9 days and suffer at home for 8 weeks post partum. I want to know if this is something I will likely face in the future or if it is likely because of the pitocin and traction interventions. I sought out midwifery care to avoid interventions and I feel like the interventions are why I had such severe post partum hemorrhage. Ultimately it is estimated that I lost about half of my total blood supply.