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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AIBU to think I am being forced out of midwifery?

307 replies

ThisMustBeMyDream · 27/01/2019 00:39

I've been a midwife for 12 years. I have a wealth of experience and skills.
But I am also a single parent (not through choice).
I have no family support. Ex husband doesn't involve himself with the children.
I'm in so much debt from paying for a Nanny so I can keep on working.
I can't do it anymore.
Work won't help.
I feel absolutely lost and distraught that for 12 years, I have fought hard to make this work (I was a teenage mum when I started my training). And now I can feel it slipping out of my fingers.
All I wanted was to work as a community midwife so I can use regular childcare. But no, this can not be accomodated due to the government deciding 80% of women should have continuity of carer (Better Births recommendation, which was then used in the NHS Long Term Plan). The traditional community model is going to go to a caseloading model which involves community days, along side hospital shift work. My employer has stated even if I could do the caseloading model, I can not stay part time either (I am currently part time as I have 3 children to manage, and one has additional needs).
These changes are allegedly happening in all Trusts as a result.
I'm going to lose my career. What the hell am I going to do?

OP posts:
MariaNovella · 30/01/2019 15:14

In an ideal world most of us would probably choose the same midwife to provide care.

Really? I most definitely wouldn’t.

marymarkle · 30/01/2019 15:57

I would and I thought the surveys showed most would. Just like most people with chronic illnesses prefer to see the same Dr every time. It is so much easier to talk about worries if it is someone you know, rather than a different person each time.

MariaNovella · 30/01/2019 16:37

Pregnancy isn’t a chronic illness though.

Teams can be very reassuring - more heads and more experiences etc.

marymarkle · 30/01/2019 16:44

Of course it is not the same. But those who need the most care often have either complications or chronic illnesses alongside the pregnancy.
We are not going to agree though. I would expect my midwife to work as part of a team, but to ideally see the same person every time. That is why some women hire doulas because they see a different midwife every time and want someone there who they know a bit and trust.

MariaNovella · 30/01/2019 16:58

I think that the key part is “know a bit and trust”. I suspect that if you give birth having felt confident in all the MWs you saw (as I did), a team has distinct advantages. If you disliked and/or distrusted one or more MWs, you might think you would have preferred a single MW. Except what happens when you get allocated a single MW you don’t trust?

endofthelinefinally · 30/01/2019 17:04

I think we need really experienced labour ward managers on all shifts. People who are really good at organising a crash section for example, because they run the labour ward all the time. I remember a crash section being done in a forceps room back in the 80s. It went like clockwork because the permanent labour ward staff knew the quickest way to sort it. I doubt that a midwife who worked mainly in the community would have been confident in that situation.
Especially on little or no rest.

TooStressyForMyOwnGood · 30/01/2019 19:51

Totally agree endoftheline. The trouble is, when women are asked what they want, or say what they want, it is often around the idea of a natural birth with everything going smoothly or with some easy to manage complications (not that I am trying to belittle any of these complications). They are not usually asked, ‘when the shit hits the fan, the really scary life or death stuff, do you want a midwife who knows the emergency protocols in hospital and how the labour suite runs?’.

endofthelinefinally · 30/01/2019 19:58

I will never forget that day.
The woman was brought in by ambulance having collapsed at home. Her dressing gown pockets were full of packets of a branded headache medication.
LW manager immediately realised it was eclampsia. The single theatre was in use so she got everything set up in a large labour room. Baby was out in 20 minutes.
Two lives saved.

Housemum · 31/01/2019 09:02

Forgive my ignorance but how does continuity of care work if more than one of your "cases" goes into labour or has problems requiring your attention at the same time? In any case I'd be happy to be seen by any midwife who I felt confident knew my case and could answer questions/provide care. I can't understand why they are forcing women out of a career that struggles to recruit and retain staff. Are they hoping for a stream of nuns to come and be midwives from the television? No risk of inconveniences like family life there!

MariaNovella · 31/01/2019 09:34

Housemum - the only solutions are (a) to change MW (b) to practice more inductions to a timetable

marymarkle · 31/01/2019 10:08

Surely having your MW there is an aim. Everyone would accept it will not always be possible. Although note midwifes never manage just one birth at a time.

MariaNovella · 31/01/2019 10:11

As other posters have said, the MW I wanted attending my birth was the MW who was highly skilled, because extremely practiced, at assisting mothers in labour to give birth to a healthy baby with minimum intervention and damage. I just didn’t care whether I knew her or would ever see her again!

ThisMustBeMyDream · 09/02/2019 21:23

UPDATE:
I have spent the last couple of weeks trying to work out what to do.
As it happens, fate may have presented a guiding hand.
A job advert appeared for my most local Trust. I gave them a call to see if there was any possibility of working community shifts as 22.5 hours. After a lovely chat, the answer was yes, they would be more than willing to put me on community as that's where they were desperate for staff. I applied. I got an interview. Interview is on Monday... to say I am nervous is an understatement.

I've been in my current post for 10 years. I hadn't even applied for another job in that time, nor considered it.

The thought of going for this interview fills me with terror! But here I am, Saturday night, desperately cramming relevant nuggets of information into my tired, stressed out brain!

Emergency scenario practice anyone?! GrinWine

OP posts:
PeakTransedAgain · 10/02/2019 08:09

Just RTFT & I'm so frustrated for you & your colleagues. It shouldn't be this difficult. I saw a different MW each time & still felt safe & cared for.

Best of luck for your interview on Monday!

CoatTails · 10/02/2019 08:20

Good luck!

icannotremember · 10/02/2019 09:51

Best of luck for the interview op!

Susannach · 10/02/2019 10:07

@ThisMustBeMyDream Good luck! I have just read this entire thread and am totally appalled by what the NHS is trying to impose on its (already hugely underpaid and overworked) frontline staff.

As a 39-weeks-pregnant woman, COC during delivery is not something I give a monkey’s about. I just want a competent, well-rested midwife (or midwives) who knows the unit well and has the relevant experience to delivery my baby safely. I have had two babies before and have had four different labour midwives in total, none of whom I’d seen before or since. All were fantastic, and to be honest I had much more trust in them during delivery than I would have had in the community midwife I saw throughout my pregnancy (who was lovely, but speed/urgency/quick decision-making was not a strength).

People have different strengths and aptitudes, as well as different home life requirements, and this model strikes me as totally unworkable, unrealistic and frankly unsafe. I’m appalled to think that this is how maternity care could be being administered in just a few short years.

I really hope everything goes well at your interview, and please keep us posted. And thank you so, so much to you and all your colleagues for the wonderful work you do for women like me, even against seemingly impossible odds like these Star

BanginChoons · 10/02/2019 10:33

Good luck with your interview!

WellThisIsShit · 10/02/2019 11:12

Good luck!!!

(I never saw the same midwife twice and had terrible care throughout my pregnancy. They missed gestational diabetes which effected my baby a lot. They also missed that he was breech and back to back, in spite of me asking at every appointment and getting ignored because I didn’t know what I was talking about because it was my first pregnancy. Getting told off when I questioned why my blood pressure hadn’t been taken though it had been falsely recorded as fine etc.

Because he was ginormous, and in the wrong place, and I have a (serious) chronic illness, the absence of care could have killed me and DS. It was thankfully all picked up when I saw my one and only actual competent midwife at the birth centre on my due date who took one look at me and said ‘well something isn’t right here love, let’s take a look at you...’ Thank God for her. Though what followed wasn’t pretty, was bloody awful actually.

Because that’s why we have antenatal care, to stop these kind of situations from developing. It was like I’d just pitched up at 40weeks having had no care whatsoever, in spite of all my efforts to get any help earlier. The neglect did damage at the time, at the birth, recovery & newborn stage and in fact its still ongoing years later.

However, it would be very wrong to blame this on the lack of continuity of care. I’d have just been stuck with one of those uncaring, unprofessional midwives instead of seeing the whole ‘team’ of them. I’ve no doubt the unkindness and unprofessionalism would have continued.

I say ‘team’, it wasnt a team, the midwives clearly loathed each other, openly bitching and sniping, and most were agency as staff retention was apparently so incredibly low (no shit Sherlock, I wonder why!).

There was clearly an issue with the culture and working conditions of the midwifes associated with that hospital / location. And I rather think any good, competent midwife would have either been long gone, or off sick.

The key to good midwifery is, good midwives. And good midwifes flourish when they are treated well.

Make conditions impossible and good midwifes are driven out of the system.

Leaving behind what I experienced. No woman or baby should ever go through what I did, or worse. I suspect we were lucky, because we both lived through it.

Blastandtroph · 12/02/2019 17:39

How did your interview go @ThisMustBeMyDream?

ThisMustBeMyDream · 14/02/2019 14:38

Only went and got the bloody job!!!!
I could jump to the sky with joy!
Community midwife (3 days!!) here I come.

OP posts:
WellThisIsShit · 14/02/2019 14:46

WOOHOOOOOO!!!!

Well done!!!

You’re super amazing! Pat yourself on the back as I can’t wuite reach through tinternet!

Star
MrsCasares · 14/02/2019 14:55

That’s fantastic news. Well done.

Blastandtroph · 14/02/2019 15:49

Well done to you 👏🏻 You current Trust's loss is your new one's gain.

Pursefirst · 14/02/2019 16:30

Yay! Well done OP (v un-MN hugs for you)

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