anyone have experience at Kensington Wing at the Chelsea and Westminster with Dr Hazem el Rafaey ?

(30 Posts)
eandz Mon 23-Jun-08 13:27:42

Long post, but I need help!

Hi, I'm about 28 weeks pregnant now and at first was having trouble with finding a place I would be comfortable delivering since I'm away from home (Texas). After carefully researching and visiting several hospitals I've decided that I like the Kensington Wing at the Chelsea and Westminster Hopsital. There is only one doctor who still has admission rights at the time I'm due and is still available. Dr. Hazem el Rafaey. I have never heard of anyone else who has used him and am a little anxious since the two times I have met him he's told me to consider having an elective c-section...

My mother who is also an obgyn in the States refuses to ever discuss c-section, but since I'm not delivering at home with her next to me she's even more closed off to the discussion of labor and delivery. She's sulking. Hopefully she'll get over it soon.

Anyway, his medical reasoning behind an elective c-section is based on three things:

1. I have Stills Disease which is like Junior Rheumatoid Arthiritis, but causes instability in my body temperature. I average about 2 fevers a day, and since I got pregnant I was told by my doctors at home to avoid all nsaids/fever reducers and anything else I was on prior the pregnancy.
2. I've gained a crazy amount of weight (about 6/7 stones) I'm totalling at about 15 stones these days. I have never been this heavy.
3. My blood pressure is unstable. Sometimes low, sometimes borderlining on high sometimes, but has never actually been high.

So I'm wondering if anyone has experience with him? has heard of him?

He however is suggesting I see a Rheumatologist to keep watch over my Stills Disease while I live in the UK...which my NHS gp and other private consultant have told me is unnecessary. But no one has suggested bloodwork to check to see the status of my Stills.

In the states, I'm always under the care of a Rheumatologist. Which does comfort me a little but I'm still weary of the idea of an elective c-section. My ideal plan was to give birth vaginally with an epidural.

Another consultant I have been seeing for my scans has suggested that he's willing to deliver me the way I'd like but that the chances of an emergency c section were higher, and he will only deliver my baby at the Portland. But this other consultant never considers my current condition (stills) and doesn't think twice about my massive weight gain.

The Portland is great for the outpatient stuff, but I'm not even comfortable thinking about other people giving birth there. I know it's a great place and people have come out fine, the birthing rooms themselves just scare me.

Sorry for the long post, but the only other person I can talk about this is my husband and he seems to think c-sections are better because thats how he was delivered.

eandz Mon 23-Jun-08 13:54:50

???

eandz Mon 23-Jun-08 14:45:09

i guess no one can help..eh?

poppy34 Mon 23-Jun-08 14:54:45

sorry to hear about your experience - even if dr hazem is decent, sounds like you are having a bit of a break down in comms with him. Totally sympathise with you re portland.

fwiw I'm about to deliver at st thomas on rationale that get the proper care there but decent doctors - I've been absolutely delighted with care I got so far from Eugene Oteng ntim. He is extremely thorough - and sounds to me like you aren't feeling entirely comfy with how much checking s going on so you feel like you are actually having an informed decision on your birth method.

And dh's do like idea of c section..somehow it seems to appeal to their sense of order wink..all very well but its not them having it!

eandz Mon 23-Jun-08 14:59:26

yeah, i liked st thomas too...but it's sooo far from where i am! it's the only reason we didn't choose it. when are you going to deliver?

my husband wants me to have a c-section to so certain parts of me wont be out of commission. hmm

poppy34 Mon 23-Jun-08 15:37:00

any day now I hope so can let you know..

sounds like you might need to be a bit more assertive with this dr hazem - for some reason loads of docs are useless unless you push em as have a god complex.

dunno about dh's logic.. in my book whatever your state down below, major abdominal surgery is prob not going to have me at my most frisky smile

eandz Mon 23-Jun-08 15:40:38

you must be very excited about delivering soon! i can't wait to have my baby.

are you going to have any pain relief? or are going for it the old fashioned way?

poppy34 Mon 23-Jun-08 15:48:04

I am very excited.. am going to try and be old fashioned about it... not sure i will forgo all pain relief but try to see how it goes on G&A.

Sounds like with all you're going through you really wish it was 12 weeks time smile

eandz Mon 23-Jun-08 15:51:51

i dooo!

and the old fashioned way...wow! you are BRAVE! i can't think beyond the word epidural as far as labor is concerned.

do you know what your having?

poppy34 Mon 23-Jun-08 16:09:40

I may well be the same.. so ask me afterwards -yes we're having a girl

twinkle3869 Tue 24-Jun-08 09:03:11

I am curious, why do the birthing room "scare" you at the portland? I had my ds son there, the rooms were beautiful, the care second to none and there are a huge range of consultants ans a superb midwife led service so you are bound to find one that suits. My own consultant is very passionate that every woman has the right to deliver any way she wishes provided that the safety of mum and baby are not compromised. I know its hard but you do have to try and not get stressed out and enjoy the rest of your pregnancy its such a special time. You do have to be more assertive with your consultant if you wish to stay with him, you are paying him so you deserve a good service.

eandz Tue 24-Jun-08 12:03:40

twinkle,
my moms an ob in the states and i think i would feel the most comfortable in a hospital that is run similarly. also, the birth room i was shown had large scary stains on the carpet and to be honest i prefer sterile looking hospital rooms.

twinkle3869 Tue 24-Jun-08 14:36:51

I dont remember any of the birthing rooms at the portland having carpets. Is your mum an ob/gynae in a state or private hospital in the states? If it is private you will be in for a nasty shock if you go onto an nhs ward in London cut as you are private maybe the facilities and cleanliness are better. Its a shame you dont have a wider variety of consultants but you are paying for the one you have so you must make your feelings clear. Do you have access to a midwife at c and w, if so why not have a chat to her and ask her to speak to the consultant for you, it may give him a jolt into realsing how you feel. Good luck and let us know how you get on/

poppy34 Tue 24-Jun-08 14:38:33

echo twinkle - sometimes you have to give consultants a nudge...and a nudge again. mw chat is a good idea.

eandz Tue 24-Jun-08 14:48:07

Hi Twinkle and Poppy,

seriously? no carpet? the room they showed me had pink carpetting with matching walls. It looked nothing like the clean white rooms on the website. I'm going again tonight for my prenatal classes. I might ask to see the room on the website.

I've called him and scheduled an appointment for tomorrow to talk about why I don't want an elective c section. My husband is going in with me so I don't act like a shrinking violet.

the hospitals my mother works from are either university teaching hospitals or privately run.

poppy34 Tue 24-Jun-08 14:53:38

defo no carpet at st thomas - can see why you were a bit shock about it.

fwiw I 'd take a list of things you want to ask about (or print off your post)-even with dh there my mind goes blank sometimes when faced with even my lovely consultant

eandz Tue 24-Jun-08 14:59:24

Good idea Poppy!

yeah, st thomas had nice clean sterile rooms and even thought that aqua green/blue was everywhere it wasn't bad. the elevators were very slow when i went though. and it's very reasonably priced.

twinkle3869 Tue 24-Jun-08 17:56:40

Yes, you must have been shown a post natal room where you stay afterward, i went to a few of the birthing rooms for a tour, a ecv, labour and recovery after my c section and none of them had carpet, it was non slip hard floor like you get in wet rooms. It was very clean and sterile. Good for you for making that appointment, a great idea to take hubby along as well so you can be more assertive, let us know how you get on. X

tc11 Fri 25-Jul-08 21:19:39

Hi

Hazem delivered both of my girls (3 years and 3 months) and I thought he was great....he very much puts the mother first and does not believe in taking risks.....if it helps he advised me against having an elective c section second time around when i know that another consultant would have quite happily advised it - he is not scissor happy at all! if we have a third I will be back - the midwives and the care in the kensington wing has been fantastic both times.......good luck

wheelsonthebus Fri 01-Aug-08 10:04:33

Hazem delivered my daughter by elective c-section (which I wanted) and he was fantastic. He was calm and thoughtful and I was intensely pleased that he had crossed my path. He didn't push me down the c-section road; it was what i requested. As it was, I had to have a c-section anyway due to a condition which happened in late pregnancy. Go with Hazem; he is brilliant.

crackerqueen Wed 06-Aug-08 17:33:19

Hi Everyone!

Am considering the Kensington Wing. I'm in my first trimester with my first child and for various reasons really want a C-section. I haven't had an antenatal appointment yet and my 12 week scan is soon, so I don't know if there are any medical complications or anything yet.

Please could somebody tell me if it's possible to combine NHS maternity care with private maternity care? So I'm currently booked in with the Chelsea and Westminster standard unit and will have my scans and appointments there, but can I deliver and stay at the Kensington Wing? Or, do I need to commit to the Kensington from now?

I know this probably sounds very thick, but do I build a relationship with a particular obstetrician, who then delivers the baby? Will there be much opposition to wanting a C-section in either sector?

You all sound like you know what you're talking about! Please help the new girl!

conniew14 Thu 14-Aug-08 17:19:04

Know what its like to be the new girl crackaerqueen - that was me only 15 weeks ago!

Hope this helps-
1. Private maternity @ K & C gets booked up really early ( both midwife and ob led)so if you are considering it do it now.
2.Yes, if you go private you choose your ob and you'll see just him/her. I'm with Mark Johnson and so far he's been fantastic - really patient with quite a nervous patient!
3. If you can afford it and want total peace of mind I think it's well worth it.

madwives Sun 17-Aug-08 19:29:39

Hi....
The Kensington does get booked very very quickly, and even moreso now that the first phase of the new unit is open...and its gorgeous.....
The staff and consultants are great, service second to none.....
Worth every penny...

Danat Wed 26-Aug-09 11:59:51

Dr Hazem is a great doc and so true he puts the mother first and takes care of you and your baby until they are born and for any other gynecological problems he is the best ... i had an incredibly great experience with him , have a son who is 2 through C-section because i needed to have it done this way best for both me and baby , then i had an early pregnancy miscarriage and hazem was extremely supportive and helpful.. i definitely recommend him for any woman who can afford private and go through having her baby with dr rafae consultations. great guy!
dana T

TheHappyCat Wed 26-Aug-09 13:38:28

This is a very old thread - eandz ended up swapping her OB as she really didn't get along with this guy! But I agree the Ken wing is a lovely place to have babies especially now it's been done up. I had Keith Duncan & Nick Wales who were great - the MWs are excellent too.

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