Homeopathics for retained placenta & subinvolution

Question 1

uterus is inflamed/infected
more a remedy for retention of a piece of placenta after 4th stage
woman is anxious, restless, wants company and reassurance
want everything hot (hot packs, bath, etc)

Answer 1

arsenicum

Question 2

copious, bright red blood hemorrhage
blood feels hot and clots quickly
face is also red, flushed
she is sensitive to the least jarring, touching the cord
hour glass contractions 
bounding pulse
if was on the edge of pre-eclampsia

Answer 2

belladonna

Question 3

Spanish fly
indicated when there are no UC’s to expel placenta
burning with urination or burning of pelvic area
entire abdomen is sensitive
swollen os
vomiting

Answer 3

cantharis

Question 4

scanty bleeding despite retention of placenta
lack of muscle tone and weak contractions in labor
women has prenatal hx: fatigue anemia, sluggishness, weakness

Answer 4

carbo veg

Question 5

retention of placenta dt weakness
primip postpartum atony
retention may cause flooding dt partial separation
if you have to pick any single remedy to give a primip
“this is so hard, why can’t I just have the baby and no placenta?”

Answer 5

caulophyllum

Question 6

absence of contractions but tearing pains
she reports soreness all over, even eyeballs
seems like she is in more physical pain than practitioner can explain

Answer 6

cimicifuga

Question 7

wildly alternating emotions
exuberance and gratitude to rage
hemorrhage is: dark and slimy, mb w/stringy blood, large clots
large variety of emotions

Answer 7

crocus

Question 8

exhaustion after delivery
that jasmine state: sleepy, dopey, unresponsive
severe lower abdominal pains radiating up and back
use more often in labor for stubborn os that won’t dilate

Answer 8

gelsemium

Question 9

firmly adhered placenta
or if os closes down after delivery of baby
remedy helps dislodge stuck placenta

Answer 9

gossypium

Question 10

used preventatively in women w/hx of adherent placenta

use either low potency or mother tincture

Answer 10

hydrastis

Question 11

constant nausea
bright red blood flow
sharp, pinching pains around umbilicus which shoots into uterus
worse lying down

Answer 11

ipecacuanha

Question 12

no expulsive contractions
just spasms of uterus
intermittent blood flow mental/emotional pic: emotional, needy, restless, weepy, requests fresh air, cool air

Answer 12

pulsatilla

Question 13

constant bearing down pains
no palpable uterine contractions
or hourglass, ineffective contractions

Answer 13

secale

Question 14

strong bearing down sensation
sharp, shooting or burning pains in the cervix
irritable, snappish, controlling
flaccid muscle tone

Answer 14

sepia

Question 15

other major remedy for adherent placenta
bright red blood, partially clotted
signs of shock
sacral pains that travel down into pelvis

Answer 15

viscum

Question 16

uterus remains enlarged and low down
sense of weight and bearing down
poor pelvic tone
woman may report inability to stand dt bearing down sensation
constipation with dry, knotty stools which take much straining to pass
woman may be unaware of constipation for long periods of time
she may need to insert vaginal finger to express stool or use perineal counterpressure

Answer 16

calc carb

Question 17

uterus remains weak and enlarged dt poor tone
etiology can be excessive blood loss
prenatal weakness
anemia

Answer 17

carbo veg

Question 18

enlarged, bloating feeling of lower abd, not specifically uterus
all of pelvis feels swollen
intense bearing down sensation
she feels the most relief by applying counterpressure to vulva
urgent desire to move bowels
aching in low back and knees
all is better when resting 
lots of pieces of different remedies

Answer 18

lilium tig

Question 19

etiology of prolonged congestion and afterpains
poor recovery after childbirth
very sensitive to: music, noise, loud talking, unexpected noises

Answer 19

nat mur

Question 20

enlarged uterus presses against bladder
pain at end of urination 
pain worse if she delays urinating 
urinary incontinence 
stress incontinence with coughing
prolapse with no bearing down sensation

Answer 20

pulsatilla

Question 21

bearing down sensation in entire abd
foul smelling d/c
thin, dark lochia
general weakness following delivery
thin, weak, emaciated women who look older than they are
prolonged weakness postpartum

Answer 21

secale

Question 22

constant bearing down
venous congestion of uterus and rest of pelvis
grandmultiparity
weak, worn out feeling with low back pain
would feel much better with exercise

Answer 22

sepia

Question 23

uterus remains enlarged- flabby with constant aching, bearing down
worse with nursing
os remains dilated and flabby
pains shooting into thighs

Answer 23

ustilago