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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

to think this 'midwife' should be struck off

127 replies

Northernlurkerisbackatwork · 06/09/2012 13:43

I have been reading an account of an inquest in to the death of a woman who bled to death following a homebirth here

I have no quarrel with the decision to have a home birth. The mother should have been safe enough in competent hands. I cannot believe that a competent midwife would miss that so large a part of the placenta was missing. If there was any doubt about that - and she clearly noticed parts were missing she should have stayed and monitored the mothers condition. In another account I've read it mentions that she was doing CPR on the bed instead of moving the mother to the floor where it would have been most effective.

However it is her comment to the inquest '?Claire had a great pregnancy, she had a really lovely spontaneous birth at home and I hope Simon (the husband) in time will remember that.? What? Remember that shortly before his wife suffered massive blood loss and cardiac arrest she had a normal delivery? And thus be all comforted? Who is she trying to kid. The lack of insight and empathy displayed is chilling. I earnestly hope she isn't permitted to attend another pregnant woman!

Of course this case will be used to hammer home birth - when the issue is in fact a negligent care-giver.

OP posts:
edam · 06/09/2012 22:41

I think the report I read said the poor woman wanted a home birth because she had been traumatised by the previous delivery in a hospital.

Desperately sad case. It's so basic for midwives to check the placenta, goodness only knows how this idiot m/w managed to screw up quite so badly.

LackingNameChangeInspiration · 06/09/2012 22:42

I don't think it matters which 'they' it was
her husband was ringing her telling her that she did not seem fine
assumptions about what either the hospital or the couple would think of her suggesting transfer is no reason to not do it!

TwixtRockAndAHardPlace · 06/09/2012 23:15

I've name changed to post this. My blood ran cold to see this article. I hired this IM and was due to give birth next. I'd employed her to accompany me into hospital to give birth there. She transferred my care over to another IM only a month before my due date, but not until now did I know why.

To all those wondering why a mother would employ an IM and even consider a HB given previous difficult circumstances - it is often the case that a past hospital birth is so horrific that a woman looks for a way to make it less bad the next time. Many people in this situation who book an IM do so primarily to ensure continuity of care, rather than being driven to have a home birth at any cost. The poor mother in this case had already lost a baby - we have no idea exactly what happened there but whatever it was led her to have less faith in the hospital than in a woman whose details she found on the internet. I had no faith at all in the hospital.

I gave birth to my first child in the Royal Berks. I was in labour for nearly 2 days and went through 4 shifts of midwives. If you asked me to nominate my favourite one of them, I couldn't tell you. I disliked one of them especially as she was rather too aggressive in her manner, but the rest just merged into one single memory of passive uselessness. On the evening of my second day of labour I curled up on the floor in the delivery room. My husband recalls being alarmed at this and asking the MW if I was OK. She stated I was having a rest. Unbeknown to me the hospital had closed it's doors to any new patients (see here) and the head MW popped her head round the door to see whether I was any closer to producing a baby as they needed the room urgently for another patient. She called for doctors immediately and I was rushed to theatre within minutes and sliced open. There had been just enough time to site a spinal block, but not enough time for an epidural. While slicing me open so quickly undoubtedly saved my baby's life, it would have been nice if any of the MWs had noticed me slowly slipping into unconsciousness after nearly 2 days of trying and failing to push out a baby ear-first. They seemed more interested though in accurate record taking than offering any kind of assistance or advice to a first time mother. One of them actually wrote in my notes that I was asking for her to help me and she replied that only I could help myself and have the baby. 56 pages of unhelpful drivel were written about me - when I asked for my records from the hospital the clerk who gave them to me was appalled when I told her this was for a labour and birth - normally there are about 11 pages.

During the course of my slash-and-grab the doctor (who was wearing an eyepatch. I kid you not. I did wonder if I had been hallucinating at this point, but the mother of one of the other children in my child's class has the same one-eyed lady carry out her CS,) the doctor cut through a ligament and peritoneal membrane, and I started to bleed profusely. My baby was jammed enough that she took 5 minutes to yank out, and was blue and limp. She was rushed up to SCBU with an APGAR score of 1, and I didn't see her again till the next day. By this time the surgeon and anaesthetist were arguing - my spinal block was beginning to wear off and the surgeon had still not identified the source of the bleeding. I was open on the operating table for over 2 hours before a consultant was called in to repair me under general anaesthetic. I spent the next 24 hours in an intensive care room, with a dangerously low blood pressure (70/40.)

I was treated patronisingly by the ward staff, my catheter tube was cable-tied to the bed leg in order to prevent me from wandering off to see my baby (and no one would take me to see her,) and left in the same blood-stained clothes I arrived in. My husband had been shoved into the corridor when I was given the GA and no one would tell him if either of us were even alive till the next morning. My mum cried when she came in to see me. I was allowed no privacy to sleep, breastfeed or anything, as the nurses wanted the curtains round my bed left open so they could see me without having to get up. They inserted needles into my hand while I was sleeping to administer high dose IV antibiotics, unable to use the original cannula sight as it had become infected. 5 long days after arriving at the hospital for what I assumed would be a normal birth after a healthy pregnancy under the care of the West Berkshire Trust, I was limped out having discharged myself and my baby after no one had bothered to check on either of us that day.

So in case anyone is wondering what on earth persuades an intelligent woman to hire an independent MW, it IS possible to have horrific experiences at the hands of the NHS. I was IN hospital and it still took them a day to realise things were going wrong. I remain convinced that the lack of continuity of care and general uninterest (whether that be due to being overstretched or whatever) contributed to such a difficult birth. I would probably have needed a CS anyway, but maybe not if any of the NHS MWs had been as skilled and enthusiastic as the IM that I had in labour was. It would have been nice to have moved to CS a bit sooner though, once it became apparent that I would not be able to give birth to this baby vaginally. And so I came to employ an IM - the IM in this article, as an advocate and a companion for a planned hospital birth (NOT as Royal Berks this time!) I can't comment on what she would have been like as a birth companion, but certainly she seemed to be much more interested in her patients than any of the NHS MWs I came across in my first pregnancy and labour. Other than that, I can't really think of anything to say about her. She seemed nice enough and was competent for the first 8 months of my pregnancy. I just wanted to answer, in detail, how it is that a woman who has had a difficult first pregnancy can come to consider a birth outside of the NHS.

thebeesnees79 · 06/09/2012 23:25

kanyo I agree with you, no way would i have a home birth. its not worth the risk. I have never fancied it and this makes me feel more sure that I wouldn't!

Northernlurkerisbackatwork · 06/09/2012 23:27

Thank you for posting. I'm sorry you've had a shock when reading these news stories. I have no difficulty at all in understanding why a traumatic birth results in women wanting to avoid hospital. For most women it's possible to give birth safely at home. It should have been possible for this woman if she had been given proper care.
The issue here is not that the woman made a bad choice. This issue is that she was given bad care.

OP posts:
AGiraffeOnTheDivingBoard · 06/09/2012 23:37

Oh Twixt Sad.

I totally understand why someone would want to avoid a hospital birth.

joanofarchitrave · 06/09/2012 23:38

Twixt I couldn't read that and not post again - nothing useful to say but your point sure makes sense.

gimmecakeandcandy · 06/09/2012 23:40

She should go to prison - I felt sick for that poor family reading about it.

DoubleLifeIsALifeHalved · 07/09/2012 01:26

Oh twixt your experience sounds terrifying :(
I hope you managed to get your complaint taken very seriously.

I hear so many bad birth stories - why is it acceptable for people to treat labouring mothers like ignorant worthless animals?!

It makes me so angry.

sashh · 07/09/2012 02:40

There seems to be selective reporting of this. The bbc says the inquest is over and that the MW was not responsible for the death.

www.bbc.co.uk/news/uk-england-berkshire-19510075

There is a lot that is disturbing about this, both the MW and the husband. If your wife (who is nervous of hospitals) is asking you to call an ambulance surely you call an ambulance, not send a text?

A horrible situation all round.

elizaregina · 07/09/2012 07:13

www.readingchronicle.co.uk/articles/1/203

Twixt this hospital used to be excellent and has been hit by one of the highest rates of immigration to the area.

In 2007 The MW were complaining they couldnt cope with the sudden and swift rise in popultaion, not backed up with resources, ie more mw and rooms. They also said alot of ladies were walking in without english nor notes. That means they have no idea of bloods - have to get interpreters in, the extra time and resources that takes....mw said they felt sad they had to turn away local girls who had done everything by the book, simply because they couldnt fit them in.

I also belive now there is a very high number of still births at the hospital.

If a hospital has capacity for x number of women - thats all it has capacity for.

Its beyond terryfying that anyone can be left like you at such a vulnerable time.

Unfortunalty, unless we start to build more hospitals to cope with the booming birth rate, its only going to get much worse.

MyLastDuchess · 07/09/2012 07:43

Twixt I am so sad for you Sad

What an awful experience.

My hospital birth (in the Netherlands) was awful but the aftercare was amazing. We had to stay for a week and the nurses were so kind and supportive. One wheeled my whole bed in to the NICU on the first night so I could see my baby (I was not allowed to get up having lost so much blood, and was hooked up to a tranfusion at the time).

I was badly traumatised by my birth experience (mind you it was nowhere near as awful as yours) but the wonderful care and support in the following week went a long way to make me feel better.

Northernlurkerisbackatwork · 07/09/2012 08:08

Sashh - all the reports I've read have had the same information, nothing selective at all - though the MAil had pretty sensational headlines - and that BBC report was only updated late yesterday, after the Coroner concluded. I don't think the narrative verdict absolves the midwife from blame at all. On the contrary it identified 'missed opportunities' - the responsibility for identifying those rests entirely with the midwife. The only other person who was there - the patient's husband - discharged his responsibilities by asking for help.

OP posts:
VivaLeBeaver · 07/09/2012 08:16

The bbc article says there's still an nmc investigation into the midwife. It's quite likely she will be struck off. I'd be expecting it if I was in her shoes.

thebeesnees79 · 07/09/2012 08:26

my hospital birth was horrendous. I had post traumatic stress and postnatal depression for 14 months. my baby got stuck so at home or in hospital it would have been traumatic, however at home I/we could have died! so avoiding a hospital from previous bad experience is not always a good thing.
I went on to have my second in a mlu (attached too a hospital) & it was a lot nicer, however my baby needed resuscitation so again loads of doctors came rushing over. onto my third now & would never risk a home birth. I am going to a mlu again in hope that I don't need any doctors again but if I do then they are right there.
No offence to midwives I think your wonderful and my first birth was spoilt by a doctor who was rude, uncaring and didn't communicate what he was doing to me.

nc070912 · 07/09/2012 10:06

It's a very sad story. In hindsight, I am sure her poor husband wishes so much that he had just called an ambulance rather than sending a text to the midwife.

I hired an IM for my first baby and chose to have a homebirth. I strongly believe that all women deserve to have access to good quality information about the pros, cons and risks of all birth choices so that they can make a fully informed decision that is right for them. I was extremely well informed, having had an interest in midwifery and childbirth my whole life, and also a real supporter of Independent Midwives. There are some amazingly lovely and skilled people working in the NHS in maternity services, but there are also some incompetent and/or really unpleasant people. Terrible malpractice occurs in the NHS, or more commonly things that fall short of catastrophic malpractice and iatrogenic complications which women don't even realise where caused by their 'care' in the first place. When you hire an IM, you tend to believe that you are safe from these things because you build a trusting relationship and bond with that person one-to-one over time.

I was hideously let down by my IM and put in a high-risk situation that I would never have agreed to if I had been in possession of the facts she kept from me. The betrayal I felt was enormous. I only found this out some time later and I made a complaint to the NMC - not just because of the way she had treated me but because she had continued to practice unsafely. Not really sure what I'm saying here. If I were to have another baby, I would hire an Independent Midwife again but I would have a very different attitude and set of eyes.

thebeesnees79 · 07/09/2012 10:11

what not have a home birth with nhs midwives? They normally (always??) do him births in pairs so two sets of eyes are better than one?

ailbhel · 07/09/2012 10:16

I'd love to know when that hospital was excellent, because when I had my first two children in 2004 and 2006 it was not. The first one left me with lifetime dual incontinence and PTSD, the second wasn't so bad because I was forewarned and went in with a very strong attitude but I saw and heard some really appalling things while I was in there, and while attending the patient feedback group afterwards. I have nothing but praise for Miss Allott, who was wonderful, but an awful lot of other individuals AND systems within the hospital were very harmful.

Asmywhimsytakesme · 07/09/2012 10:19

This reply has been deleted

Message withdrawn at poster's request.

TwixtRockAndAHardPlace · 07/09/2012 12:33

"what not have a home birth with nhs midwives? They normally (always??) do him births in pairs so two sets of eyes are better than one?"

beesnees as has been mentioned, not everyone who hires a private midwife wants a home birth but massive failure by the NHS in a previous birth has left them feeling they need more support even if they have to pay privately for it.

Also, people in the West Berkshire area are struggling to get home births with NHS MWs due to severe staffing problems. NHS HBs here are difficult to get - I know several women who wanted one but were 'brainwashed' by NHS MWs to going into hospital. I went outside of West Berks and booked in with Basingstoke who were much, much better - interestingly the disgraced IM was the person who advised me which was the best NHS consultant to register with given my history, and enrolled me under this consultant's care. (Also interestingly, the doctor named in the Telegraph article who treated the mother who died was also the doctor who carried out my CS and caused such physical damage to me. Not everyone is perfect all of the time.)

What I think hits me most about this case though is that this poor woman had been failed by the NHS to the extent she couldn't put her faith in them a second time. If you can't trust your local NHS and you can't guarantee you are getting a decent IM, who do you turn to next? I opted for a combination of IM-provided continuity of care with NHS consultant-led care. The IM I ended up with was fabulous, and my second birth had me high as a kite for weeks afterwards. It shouldn't be a matter of luck that a woman gets decent care though.

frumpet · 07/09/2012 12:37

Given the womans PMH i very much doubt any NHS midwives would of been happy to advocate or attend a homebirth . I was supported in my decision to have a homebirth because previous labours were uncomplicated . I had two excellent midwives with me during the labour and one came in the ambulance with me when things went pear shaped and even came into theatre with me.

elizaregina · 07/09/2012 12:52

TwixtRockAndAHardPlace

Twixt, are you refering to dr allott?

Houseofplain · 07/09/2012 12:54

I gave birth in that hospitable late 2010. 2 months after his lady. No the NHS mws would not have recommend a hb. Unsurprisingly with a past c-section and PPH.

It was a good experience.

LackingNameChangeInspiration · 07/09/2012 14:20

twix my birth story is pretty parallel to yours in terms of sequence of events, down to the same BP etc, however we were spoken to kindly which made us feel grateful that the staff were there to save us rather than traumatised by the staff (traumatised by how things went, yes, but very happy with our care)

which is why I suspect that the reason they hired an IM was for the relationship, compassion, communication, TIME etc. Rather than for a HM specifically - sounds like that bit was more driven by the MW

Which is why it is so shocking to me that she left so quickly, and didn't rush back when the husband rang to say he wasn't confident that things were okay - THAT'S what a lot of women pay thousands for with IMs IMO!

Re him calling an ambulance, people do bonkers things when in shock, its understandable for a birth partner to not react rationally when things to tits up, its NOT understandable for their HCP. I'll bet you anything that if asked in a calm safe environment what he should do if he ever was in that situation, he'ld say "call an ambulance of course" - but with the combination of being a bit shell shocked like most new fathers are, AND a trusted IM telling him it was all fine, and just the whole situation/environment.. I think we can let him off the hook!
DS had a bad accident and DH didn't call an ambulance (a passer by did), he would have called an ambulance if he had WITNESSED such an accident, but in the midst of it he just kept thinging "I've got to take him home and ring DW" - shock does funny things to a person!
I also know a nurse who herself had a serious accident at home, and didn't call herself an accident. Had she been at work she would have called help for someone else in her state straight away, but when it was herself she went into shock and did some strange things (like started cleaning)

LackingNameChangeInspiration · 07/09/2012 14:21

"Rather than for a HM specifically"
HB