Posted by My OB said WHAT?!?.
Oct
1
Posted by My OB said WHAT?!?.
“If You Reschedule Your 38 Week Appointment, Your Placenta Will Stop Functioning…& You Will Never Know.”
“If you reschedule your 38 week appointment, your placenta will stop functioning and detach from your uterus and you will never know.” – Nurse at the OB office.
There are 28 comments to this post.
first time mommy had this to say,
Oct 1, 2011 @ 8:36 pm (Quote)
really? it will? is my placenta out to get me and my baby?
and btw, how do you KNOW I’ll be at 38 weeks when my appt is scheduling? Thought your ultrasounds have a ratio of +/- two weeks so I might actually be at 36 or 40!
that just sounds like a really cheesy horrible supposed to be scary but is really stupid horror movie =P
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See… this is what they *really* do during those ultrasounds. They re-program the placenta so that it follows the bidding of the villainous OB. The nurse should never have warned the patient… this should have been saved for the OB’s Supervillian monologue.
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xxrae had this to say,
Oct 1, 2011 @ 10:38 pm (Quote)
This was the straw that broke the camel’s back for me..
I had a previous traumatic birth through the same OBs office and had in turn planned a UC for my second baby but continued shadow care (stuuuupid) I refused VE and tests left and right, and they must have flagged my file or something because they started getting *really* weird.
Now, I’m a midwifery student and I was planning a UC. I know a thing or two about pregnancy and birth. So when they started lying, pulling the dead baby card, telling me my baby would be too big to birth and I had GD because I refused the test -I didn’t and my daughter was 6lbs 14oz at 40+4-, telling me to stop gaining weight when I technically didn’t gain enough, talking induction before my “due date”, etc. I knew better and I ran for the hills! Or tried ..
I called and cancelled my appointment and got spewed this b.s, my baby would die and I could not care for myself under any circumstances, blah blah blahhhhh *facepalm* and day after day I got harassing calls to set up another appointment.
Needless to say, I never went back and unless my baby is a zombie my placenta did not stop functioning or detach from my uterus prematurely.
I no longer trust OBs and I now try to educate everyone I know on obstetrical lies so they can detect and avoid the stressful nonsense, lies and potential heartbreak I lived through with my first and would have lived through again if it weren’t for my education. Too many mamas are being deceived..
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BeckyJ Reply:
October 2nd, 2011 at 6:23 am (Quote)
Aww! I’m sorry! At least you knew better the 2nd go ’round. I’m battling my OB right now to agree to delayed cord clamping, but he insists that the baby will be anemic if I delay clamping. *eyeroll* I’m planning a UC as well, but to keep hubby quiet(he doesnt agree with UC), I’m trying to be on the fence about it all.
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Aron Reply:
October 2nd, 2011 at 7:22 am (Quote)
Let me just be sure I’m understanding this: your doctor thinks your baby will be anemic if s/he DOES get all his/her blood, but that fate can be avoided by short-changing him/her roughly 1/3 of the total blood volume? Huh. Fascinating!
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BeckyJ Reply:
October 2nd, 2011 at 7:25 am (Quote)
I know, right? He said that if the baby is laid on my abdomen or chest that the blood will flow back into the placenta because baby will be higher than the placenta.
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Aron Reply:
October 2nd, 2011 at 7:38 am (Quote)
Oh good grief. I am not really surprised, since I’ve heard erstwhile “professionals” say that before. But seriously: vascular anatomical structure FAIL. It just doesn’t work that way! It’s true that some blood will always remain in the placenta because the baby’s heart keeps pumping deoxygenated blood that direction, but the Wharton’s jelly in the cord is rapidly clamping that avenue of blood flow off and it will NOT flow backward against the push of the baby’s beating heart. It still won’t flow backward once the (slightly reoxygenated by its trip through the placenta) blood hits the venous side of the journey thanks not only to that strong beating heart and clamping action of Wharton’s jelly, but also to this nifty venous structure called valves. The valves in the umbilical vein prevent backward blood flow just as effectively as the valves in all the other veins of your body. It’s what helps get blood up to your brain when you aren’t lying down. And maybe that’s this doctor’s problem? He lacks venous valves and is trying to offer medical advice while his head is oxygen-starved? In other words, there is no physiologic way for his ridiculous scenario to play out. If he’s truly worried, then keep babe on your lap or between your knees until the placenta is ready to be delivered. That should be a fair compromise, in lieu of actual anatomy/physiology comprehension from him. (Sorry to assume your is OB male, it’s just less confusing to pick a gender and stick with it.)
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BeckyJ Reply:
October 2nd, 2011 at 7:46 am (Quote)
I have been looking for studies or proof of what you’re saying so I can show him and agree not to clamp the cord until it’s not pulsing anymore, but to no avail so far. 
And you’re not assuming my OB is male. lol I mentioned above that my OB is a “he”.
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Aron Reply:
October 2nd, 2011 at 8:37 am (Quote)
Here are a few abstracts to get you started. Sorry they aren’t just links, but I was using my university’s database. Google Scholar might help you get hold of the entire article in PDF format. Ready for an enormous post? Hold on:
Timing of umbilical cord clamping: New thoughts on an old discussion
Author(s): Arca, G (Arca, Gemma)1; Botet, F (Botet, Francesc)1; Palacio, M (Palacio, Montse)2; Carbonell-Estrany, X (Carbonell-Estrany, Xavier)1
Source: JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE Volume: 23 Issue: 11 Pages: 1274-1285 DOI: 10.3109/14767050903551475 Published:NOV 2010
Times Cited: 1 (from Web of Science)
Cited References: 40 [ view related records ] Citation Map
Abstract: The optimal time to clamp the umbilical cord in preterm and full-term neonates after birth continues to be a matter of debate. A review of randomised controlled trials comparing the effects of early versus late cord clamping on maternal and infant outcomes was performed to assess data in favor of immediate ordelayed clamping. Although there is no conclusive evidence, delayed cord clamping seems to be beneficial in preterm and full-term neonates without compromising the initial postpartum adaptation phase or affecting the mother in the short term. However, further randomised clinical studies are needed to confirm the benefits ofdelayed cord clamping.
Effect of Timing of Umbilical Cord Clamp on Newborns’ Iron Status and its Relation to Delivery Type
Author(s): Shirvani, F (Shirvani, Fariba)1; Radfar, M (Radfar, Mitra)1; Hashemieh, M (Hashemieh, Mojgan)1; Soltanzadeh, MH (Soltanzadeh, Mohamad Hossein)1;Khaledi, H (Khaledi, Hossein)1; Mogadam, MA (Mogadam, Mohammad Alavi)1
Source: ARCHIVES OF IRANIAN MEDICINE Volume: 13 Issue: 5 Pages: 420-425 Published: SEP 2010
Times Cited: 0 (from Web of Science)
Cited References: 29 [ view related records ] Citation Map
Abstract: Objective: This study was conducted to evaluate the hematological effects of umbilical cord clamp timing and delivery type in term infants 48 hours after birth in Imam Hossein Hospital, Tehran, Iran.
Method: From Oct 2007 – March 2008, 100 mother-infant eligible pairs were selected and divided by cord clamp timing 15 s) for hematologic value determination between the two groups. Data analysis was performed with SPSS for Windows statistical package (version 13).
Results: Maternal hematological status was assessed upon admission to the delivery room. A total of 100 mother-infant pairs were divided into two groups: delayedcord clamp time within 15 s (n=70) or early cord clamp time [15 s after delivery (n=30)]. The groups had similar demographic and biomedical characteristics at baseline. Forty-eight hours after delivery the mean infant hemoglobin (Hgb; 16.08 gm/dL vs. 14.5 gm/dL; P<0.001) and hematocrit (Hct 47.6 vs. 42.8; P15 s; P<0.001).
Conclusion: Delaying cord clamping increases the red cell mass in term infants. It is a safe, simple and low cost delivery procedure that should be incorporated in integrated programs that are aimed at reducing iron deficiency anemia in infants in developing countries. Vaginal delivery facilitates this action.
Evolution of neonatal transfusion practices: Current recommendations
Author(s): Plaisant, F (Plaisant, F.)
Source: TRANSFUSION CLINIQUE ET BIOLOGIQUE Volume: 18 Issue: 2 Pages: 262-268 DOI: 10.1016/j.tracli.2011.02.004 Published: APR 2011
Times Cited: 0 (from Web of Science)
Cited References: 26 [ view related records ] Citation Map
Abstract: Newborns and particularly preterm infants are a population at high risk of transfusion. The implementation of strategies to prevent transfusion by reducing blood loss, use of recombinant human erythropoietin, administration of iron and vitamins and delayed umbilical cord clamping have reduced the frequency of transfusions neonatal periods. The emergence of more stringent recommendations on indications for transfusion has been involved in this development. Various transformations and qualifications for red cell concentrates, platelet concentrates and fresh frozen plasma must be known to better adapt the blood products to newborn term and preterm according to their pathologies. Preparing pediatric units from a single donor for repeated transfusions reduces the allo-immune and infectious risks. (C) 2011 Elsevier Masson SAS. All rights reserved.
The role of resuscitation drugs and placental transfusion in the delivery room management of newborn infants
Author(s): Wyllie, J (Wyllie, Jonathan)1; Niermeyer, S (Niermeyer, Susan)2
Source: SEMINARS IN FETAL & NEONATAL MEDICINE Volume: 13 Issue: 6 Pages: 416-423 DOI: 10.1016/j.siny.2008.04.017 Published: DEC 2008
Times Cited: 4 (from Web of Science)
Cited References: 92 [ view related records ] Citation Map
Abstract: Medications are used rarely in newborn resuscitations and are probably justifiable in less than 0.1% of births. Doses used are mainly extrapolated from animal and adult data. Despite this, the drugs used, their order and route of administration have all been sources of controversy for many years. There have been polarised views, often focusing upon adrenaline and sodium bicarbonate and more recently new drugs such as vasopressin have been suggested, once again extrapolating from adult experience. This article examines the sparse data behind the use of any medication at birth and the poor outcome data available. The appropriate decline in the indiscriminate use of volume expansion is considered and balanced by the increasing evidence in favour of delayed clamping of theumbilical cord. Focusing on the basic steps of resuscitation, improving the quality of their application and avoiding relative hypovolaemia, must improve the quality of outcome data. The place of medications in newborn resuscitation should be regarded as experimental and still requires evidence to justify their use especially in premature babies. (C) 2008 Elsevier Ltd. All rights reserved.
more research here:
http://www.gentlebirth.org/archives/cordIssues.html#Research
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How cool is it that this Momma’s placenta has a calendar in there with it?! Come on, ya’ll… that’s pretty dang impressive!
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jaed Reply:
October 1st, 2011 at 11:50 pm (Quote)
Not just a calendar… an alarm clock! The kind that’s rigged to explosives when the countdown timer reaches zero!
(I think the best part of this one is the last. “If you lie to a pregnant woman to try to bully her into compliance, your vocal cords will stop functioning and your tongue will break off… and you will never know! MOO-ha-ha-ha-ha!”)
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Kate, Ren's Mama Reply:
October 2nd, 2011 at 7:36 am (Quote)
Heh, imagining the timer counting down to zero then a placental explosion made me laugh! Thanks for the visual 
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Uh, from what I have heard, you can totally feel placental abruption. Or at least you will be able to SEE that something is wrong from all the blood pouring out of you. Not to mention, OB appointments don’t magically stop this from happening.
Nice threat doc, could you repeat that one more time into this tape recorder? I’m gathering evidence in case I need it later. You never know!
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Add Your Comment.
My placenta will know I rescheduled and retaliate eh? Yeah, I bet. Do I have stupid written on my forehead?
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