Considering another pregnancy after pph

[Anonymous]

I’m looking for recommendations on where to deliver if I decide to pursue another pregnancy. With my second a few years ago I retained my placenta and hemorrhaged and had it manually removed by the OB. This wasn’t in the DC area, so looking for practice/hospital knowing that I am at higher risk for this to reoccur.

[Anonymous]

just had my first baby in dec and had the same issue with retained placenta that was manually extracted and then pph. I had my baby at GW and felt very well cared for during the whole ordeal and also afterwards.

[Anonymous]

i'm high risk for a different reason and haven't given birth, but i'm with the MFMs at GW and am happy with my experience so far. last time i was with WHC and while i don't have major complaints, you can't have an MFM as your primary doc there.

[Anonymous]

Anonymous wrote:I’m looking for recommendations on where to deliver if I decide to pursue another pregnancy. With my second a few years ago I retained my placenta and hemorrhaged and had it manually removed by the OB. This wasn’t in the DC area, so looking for practice/hospital knowing that I am at higher risk for this to reoccur.

Hi OP, something similar happened to me too (only parts of the placenta though). This was my first (and probably will be my only) pregnancy. I delivered at Sibley and my OB was Capital Women’s Care.

[Anonymous]

I love gw but all hospitals are equipped to deal with emergencies. You can’t go wrong with any of them.

[Anonymous]

I would recommend GW or Georgetown over Sibley. Not that Sibley is bad but they deal with more crazy and challenging situations at those other hospitals and are able to respond quickly if there are any issues.

[Anonymous]

My OB says Sibley has all the same blood products as GW and the are fully equipped to handle PPH. I also think one of the problems of GW, IME, is that they are so busy and the environment is so cluttered by nature of the large population served and being a teaching hospital, that it can actually be difficult to get attention when you need it. That was my experience as a midwife patient, at least.

[Anonymous]

Fairfax hospital.

[Anonymous]

Anonymous wrote:My OB says Sibley has all the same blood products as GW and the are fully equipped to handle PPH. I also think one of the problems of GW, IME, is that they are so busy and the environment is so cluttered by nature of the large population served and being a teaching hospital, that it can actually be difficult to get attention when you need it. That was my experience as a midwife patient, at least.

As a midwife patient who blacked out when they put in my IV, the doctors/nurses at GW actually move really remarkably fast when you truly need attention.

[Anonymous]

Anonymous wrote:

Anonymous wrote:My OB says Sibley has all the same blood products as GW and the are fully equipped to handle PPH. I also think one of the problems of GW, IME, is that they are so busy and the environment is so cluttered by nature of the large population served and being a teaching hospital, that it can actually be difficult to get attention when you need it. That was my experience as a midwife patient, at least.

As a midwife patient who blacked out when they put in my IV, the doctors/nurses at GW actually move really remarkably fast when you truly need attention.

Don’t dismiss my experience. You have no idea if my condition necessitated immediate attention but the implication that it did not is frankly, insulting. Glad you got good care from them, I did not.

[Anonymous]

If you are at risk of PPH, I would ask any provider about interventional radiology too. I think any major hospital in DC will have that available, but it's just another thing to keep in mind (along with availability of blood products).

[Anonymous]

Anonymous wrote:

Anonymous wrote:My OB says Sibley has all the same blood products as GW and the are fully equipped to handle PPH. I also think one of the problems of GW, IME, is that they are so busy and the environment is so cluttered by nature of the large population served and being a teaching hospital, that it can actually be difficult to get attention when you need it. That was my experience as a midwife patient, at least.

As a midwife patient who blacked out when they put in my IV, the doctors/nurses at GW actually move really remarkably fast when you truly need attention.

NP here. This is the problem.

I felt completely unheard the entire time at GW. I was healthy and youngish (30) delivering my first child. It was a pretty bad and stressful experience. I delivered my second child at Shady Grove. It was like night and day. They actually came and talked to me. I ended up having a complication that required doctors and nurses mobilizing fast like what you described. It was much more reassuring to have had responsive medical staff ahead of time. I would have been stressed beyond belief if the same ting had happened at GW after being ignored. I ended up with 2 healthy babies with 2 very different birth experiences. It matters.

[Anonymous]

Poc here...I am terrified of maternal mortality in the US. I have spent a lot of time researching which hospital in the dmv is most prepared for what can really kill pregnant women-hemorrhage/pe/cardiomyopathy.

Ask your doctor or midwife:
1. How do they decide if you are at risk? Do they have a hemorrhage score? What precautions do they take if you are high risk?
2. Post partum hemorrhage cart
3. Massive transfusion capability
4. Access to interventional radiology
5. Icu
6. Do they estimate your blood loss or do a quantative blood loss analysis?

I hope this helps you.
6.

[Anonymous]

Anonymous wrote:just had my first baby in dec and had the same issue with retained placenta that was manually extracted and then pph. I had my baby at GW and felt very well cared for during the whole ordeal and also afterwards.

Hi! If you dont mind me asking who was your OB and who did you deliver with? I am currently almost 20 weeks and am at GW. Could be at risk for similar issue. Thanks so much!

[Anonymous]

Anonymous wrote:Poc here...I am terrified of maternal mortality in the US. I have spent a lot of time researching which hospital in the dmv is most prepared for what can really kill pregnant women-hemorrhage/pe/cardiomyopathy.

Ask your doctor or midwife:
1. How do they decide if you are at risk? Do they have a hemorrhage score? What precautions do they take if you are high risk?
2. Post partum hemorrhage cart
3. Massive transfusion capability
4. Access to interventional radiology
5. Icu
6. Do they estimate your blood loss or do a quantative blood loss analysis?

I hope this helps you.
6.

This is great, thanks, PP. What hospital did you end up choosing? Any that scored particularly poorly?