i spoke to the mw yesterday and because of hemeraging (sp?) and blood loss i might be classed as high risk and wont be able to get transfered to a different hospital or have a homebirth
How much did you loss?
Do you know the reason why you had a pph? You may have not had a blood transfusion but did you have fluids, synto drip other meds to control the bleeding?
Sorry for all the questions but you should get as much info as possible, if you had a pph in a previous birth then the dr/ mws will want to manage the 3rd stage to reduce the likelihood of this repeating.
A pph is an obstetric emergency, any blood loss that compromises your health has to be considered. The mws at home are equipped to deal with it but that's only to manage it until you transfer into hospital.
You may even consider getting Misoprostol 800mcg prescribed so that the mws can give this straight away if you do start bleeding, its a great drug to have, we used to have it in our drugs kit for homebirths but due to prescribing issues we are not allowed to keep it unless prescribed for each individual women.
Good luck
they say i lost 400ml but it felt and looked like more, i had a drip put in but it was never used.. the bleeding stopped before i needed anything doing. they didnt look into why i bled so much but my mum hemeraged with all 4 of us so think i get it from her. plus i have neg blood but not sure if that was a cause
Well technically then you didn't have a PPH... the definition of a PPH is
"Primary postpartum haemorrhage (PPH) is the most common form of major obstetric haemorrhage. The traditional definition of primary PPH is the loss of 500 ml or more of blood from the genital tract within 24 hours of the birth of a baby. PPH can be minor (5001000 ml) or major (more than 1000 ml). Major could be divided to moderate (10002000 ml) or severe (more than 2000 ml)" RCOG, 2009.
If you didn't need any treatment then I don't understand what the issue is?
When a PPH occurs you are looking at 4 Ts
-Tone, uterus well contracted?
-Tissue, placenta or membranes still left in uterus?
-trauma, tear or heamatoma?
-Thrombin, unknown blood disorder?
You go through each one and rule it out... the most likely is uterine atony, that's why you need to find out why they are saying you had a PPH. Did you feel fine afterwards? what was you FBC like afterwards?
If you dont feel it affected you then I personally see that they are making excuses for you not have a hb
https://www.rcog.org.uk/files/rcog-corp/Green-top52PostpartumHaemorrhage.pdf
Bournefree, I agree with what you say... I only ever cannulate/ get meds ready if the women I am caring for has had a previous major PPH >1000mls
It really depends on the circumstances, If she has a loss because of a tear which will only be fixed by suturing I don't see the need to pump drugs in and call it a PPH which will effect the management of later pregnancies. Its very difficult in the first place to estimate blood loss, I can imagine the majority of women having a 'PPH' but we are able to cope with this loss, its only when its over managed its a problem.
In regards to Misoprostol, midwives only have a few drugs that we can give (standing orders) misoprostol in not one of them, the kit gets checked every day so if something is going out of stock its replaced and put on delivery suite, it will be used within the next 24hrs
So pharmacy has kindly informed us that if we need it we have to get it prescribed, its a shame as its fast acting and very useful if a major PPH occurs.
strange what you get excited about!! we don't seem to get provided with anything here in Norfolk...including a health visitor! Jjust had a letter to say they haven't got enough to send me one, ah it's so good to feel valued! Either that or it's 3rd child syndrome 
!!
Or did the MWs want to see you actually get out and sit on the toilet to wee to ensure you were actually wee'ing? I put it on my birth preference for my MW and doula to ensure I empty my bladder often as I know a full bladder can slow things down...
