Meet the Other Phone. Protection built in.

Meet the Other Phone.
Protection built in.

Buy now

Please or to access all these features

AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Still upset about my postpartum care(or lack thereof)

118 replies

iashcroft · 06/06/2020 19:56

I gave birth to my son 4 months ago, I was induced and in labour for 14 hours which ended in an emergency c-section. I admittedly had all these plans of how I wanted my birth to go, despite telling everyone I had no plan and I would just go with the flow.
My c-section was more of a preemptive strike than anything else, babys heart rate was dropping a bit and the doctor was concerned, I also had stayed stuck at 4cm for hours and hours, though my contractions were 1-2 mins apart.
I was fully conscious during my c-section, a bit sleepy, understandably. When my son was born they gave him straight to my partner. They knew I was intending to breastfeed, they knew we wanted my partner to cut the cord. He didn’t cut the cord. They didn’t let me have skin to skin. They didn’t help me latch him on straight away (Bear in mind my sister had a c-section exactly a week after me, in exactly the same hospital and theatre, and they let her do all of this).
I didn’t get to hold my baby until I was in recovery, and I was trying to latch him but I couldn’t. The nurse wasn’t in the room for most of the two hours I was in recovery, so I couldn’t ask for help. She came to weigh him, measure him and generally check him over, and to change my puppy pad, but then disappeared straight away.
When I was wheeled into the ward, the midwives were confused. No one had called from recovery to let them know I was coming down. I had to wait on my bed in the corridor while they prepared a bed. At this point, it was about 3am.
My partner went home for some reason, (I have already expressed my anger at this of course, and we are fine, he loves his son very very much) So I was there, 19 years old, fresh out of random surgery, with a newborn baby that I didn’t really know how to feed. I also couldn’t move, naturally.
Rory was crying and crying, and so was I. I was clearly in distress. I kept calling the midwife for help, telling her he is hungry and I want to breastfeed him. She would hold him, shush him to sleep, put him down next to me, and leave.
The third time I called her, the first thing she said to me was, “You don’t need to press the button every time he cries”. I wish I was making that up.
She did the same thing, held him and rocked him to sleep while talking to him about how “she would need a big glass of wine when this shift is over”.
The morning came, my partner returned by 6am after obviously feeling guilty. My round of meds came, and a couple of midwives came to check on me around 9am. My puppy pad hadn’t been checked or changed all night. They were visibly upset about this.
My entire stay was a mess. I was only there for a day and a half, they never checked if I was having meals, while I was there I probably had a meal and a half (I have a history of mental health problems and not eating is a coping mechanism which obviously popped up after the traumatic birth) ended up having to exclusively formula feed which made me very depressed (only at the time. I know now there is absolutely nothing wrong with that, whether it’s a choice or not, he is fed and happy and that’s all that matters) because I wanted to exclusively breastfeed. My milk didn’t even come in until four days later. For two months after I was in and out of hospital with two infections, and an open wound. I’m four and a half months postpartum and only just healed.
It’s taken me a lot of time to recover mentally. I’m still not. I’m better, I think. But due to the current covid19 situation the last thing I want to be doing is going to the gp for mental heath help, but I’m doing alright.
Is it unreasonable to be upset with how I was treated at the hospital? I’m not just upset I am angry. This was supposed to be a magical time but it ended with severe postpartum depression, physical problems with my wound, and being unable to bond with my son til literally only about a month ago. I didn’t even feel like he was mine.
I wanted to take legal action. If it’s possible I maybe still would. I guess I just want to vent and express myself somewhere. Maybe get some advice about helping my mental health at home. While i feel like I’m doing better, at the same time I feel like I’m doing worse because Ive had more time to think about my birth.
I should note, my midwife was not present at the birth and didn’t see me until about a week after having the baby.
Do I have a right to be angry at the nurses who failed to care for me? Should I be seeking treatment despite the risk of covid19 at gps and hospitals?
I don’t know what I hope to achieve with this post. I will probably get a lot of judgement but maybe someone can relate to me, though I hope they don’t since it was incredibly traumatic and painful.
Cheers for reading if you got this far.

OP posts:
Sparklesocks · 06/06/2020 19:58

No practical advice but I’m very sorry you had such a difficult time Flowers

fredisthebestandthelast · 06/06/2020 20:02

I am so sorry about your lack of care.

If you need help, ask for a telephone appointment with a GP who specialises in maternal health.
I would also speak to PALS from the hospital you gave birth at, so you can raise the issues about your post partum care, why you didn’t have skin to skin, why you weren’t changed, everything.
Their number should be on your local website too.

TheMurk · 06/06/2020 20:04

Similar experiences for me both times.

Once on the ward you are left to your own devices.

The first time I was bewildered by it all, lying there stewing in my own fluids unable to move as I was hooked to a catheter and couldn’t walk but no idea where my bag was to get things like nappies for the baby. My buzzer didn’t work. When I asked for help with breastfeeding I got huffy, haven’t really got time responses, etc etc. No one said bye to me I was given meds by an HCA.

Second time was just as bad if not worse although I knew what to expect so was just pleased they chucked me out in less than 24 hours.

It’s horrendous but it’s also a tiny moment in time compared to the lifetime you have with your kids, and not that important in the grand scheme. What is important is that you and the baby are home and healthy.

Try not to dwell on it x

Thisismytimetoshine · 06/06/2020 20:07

What about your experience forced you to formula feed?

Annabk · 06/06/2020 20:08

I hope you’re ok but YABU to threaten “legal action” party because it wasn’t a “magical time”. Do you have mum friends you can speak to about their experiences? Most women didn’t get their ideal scenario.

WombatStewForTea · 06/06/2020 20:12

What about your experience forced you to formula feed?

Presumably the fact that none of the midwives helped her with feeding.

I had my baby around the same time as you and was very lucky to have the opposite. The student midwife who helped deliver her helped me latch her on within 20mins and on the ward two different midwives spent time with me helping with different positions.

I'm sorry you had a rubbish time OP

bluebluezoo · 06/06/2020 20:13

Honestly it doesn’t sound that unusual. I had a very similar experience, except every time i called for help their solution was to get formula if I “couldn’t” breastfeed.

Thing is, maternity wards are seriously understaffed. I think mine was a 32 bed ward and fully staffed was 4 midwives. Then if there was a section on m/w would have to leave the ward...

I would put in a complaint. More to make them realise that the level of staffing is not adequate and patients are not receiving proper care. What i would want is a review to make sure m/w are trained in breastfeeding, and staffing is high enough that they can respond to calls.

It’s normal not to see “your” midwife. Very often m/w in the community don’t do hospital shifts. Even if they did they can’t be on call for every patient.

whensmynexthol1day · 06/06/2020 20:13

I totally understand your anger. I felt angry for a very long time after my first was born and I got to the point where I told the midwife in my Vbac meeting for my second (where they try and persuade you to have a natural birth when you have had a csection) that there was no way I was putting myself in the care of a midwife for a whole labour given my post natal experience and total lack of care from any midwife I had with my first. I was really surprised that the midwife was very sympathetic and agreed to a second section on this basis. She encouraged me to make a complaint although I never did in the end as I ended up very ill just after that point and had a baby in neonatal.

I do suggest you contact PALS as someone else suggested. I do regret not complaining at the time. I think they can organise a debrief so you can talk about it- it might be helpful in preparation for any future pregnancies. I found that as soon as I became pregnant with my second I retold myself over and over the experience in my first pregnancy and it was overwhelming. I think if id have dealt with it earlier it would have been much easier.

I think part of the issue is that we have such low expectations of post natal care- it's hard to tell what is just a normal shitty experience vs an extra shitty one. That was one of the things that held me back from complaining- which is terrible really!

Take care

Rosebel · 06/06/2020 20:14

That sounds awful. I have always been lucky with aftercare but that's really bad.
I would flag it up with the hospital, although I'm not sure exactly who you would contact. Your birth experience might not be the reason you struggled to bond through. I didn't bond with my eldest until she was about 7 months old and had depression for over a year (but that's because I pretended everything was fine).
If you need help please speak to your doctor or HV if you have one. Even or probably especially at these times there will be help as lots of people are depressed or scared.

missyB1 · 06/06/2020 20:15

I’m sorry it sounds awful but pretty much standard for post natal care sadly. And I totally get the being young and vulnerable aspect. 30 years ago at age 20 I gave birth to a very prem baby boy who was extremely sick in the NICU, I was treated appallingly.

For some reason the NHS gives poor maternity care.

sauvignonblancplz · 06/06/2020 20:19

YANBU at all- complain to all who will listen. That sounds terrible and unfortunately far too common. I’ve never had a good care after any of my children.
I don’t accept short staffing as they never seem too busy, always in groups chatting.

It will get better OP- Flowers

whensmynexthol1day · 06/06/2020 20:22

And ignore the minimising of the likes of annabk. It's that kind of attitude that means that maternity care will stay until he state that it is in

One of the things that really shocked me was the sheer sense of vulnerability I felt post csection. I'm normally incredibly assertive and resilient - I'm a very senior professional in a large firm , nothing normally phases me. But I totally lost my voice when I had my baby. I needed some proactive care but only realised a few months after that I would have needed incredible strength to demand the care I needed (and I'm not talking about anything special- just the basics!)

TheMurk · 06/06/2020 20:28

@whensmynexthol1day I actually had high expectations of post partum care. I expected help and advice and at least to not be lying in a pool of blood for hours because no one came to see me and I couldn’t buzz for help.

My baby didn’t get properly fed for a full 24 hours because it took that long for a midwife to suggest a breast pump (which I didn’t know was an option).

I naively thought I’d get a visit from a special breastfeeding advisor or similar.

I thought someone would show me how to change a nappy or at least help me do it the first time when I was unable to move my legs.

All that sort of thing.

However if you’re in hospital for anything (as I discovered when my mum was in hospital for 6 months last year) you don’t get looked after the way you might imagine. You generally need to ask for help, and often more than once, and often too you never get that help you asked for and just give up asking. I don’t think this is an issue unique to maternity care.

I also don’t buy the overstretched staff thing. I think it’s attitudinal and poor training and management. Which is one reason I didn’t clap for the NHS.

Have had far better and nicer care on the occasions I’ve had private medical treatment.

Samtsirch · 06/06/2020 20:33

I can’t believe I’m reading this now, similar things happened to me over 20 years ago and I genuinely thought things had moved on.
So sorry OP that you have been through this, but please don’t worry about contacting your GP, you are entitled to mental health support.

icansmellburningleaves · 06/06/2020 20:34

I think you were being unrealistic about what happens after a caesarean. You don’t get to physically hold your baby until you are in recovery. Obviously it’s not practical to let you have skin to skin whilst you’re still being stitched up. My husband held my baby whilst I was stitched up and I got to hold her in recovery. If your baby had genuinely have been hungry he wouldn’t have been shushed to sleep by the midwife. Im not surprised that you were advised to bottle feed if your milk didn’t come in for four days. At the end of the day you have to do what’s best for your baby. It’s not a sin to bottle feed.

namechangetheworld · 06/06/2020 20:37

I've had two children in the last four years and it sounds fairly standard I'm afraid. With my first I was so miserable with the noisy ward and shit midwives that I took the baby and stood in the corridor crying for 15 minutes and the only person who asked if I was okay was a cleaner.
Try not to dwell on it and enjoy your lovely baby. You've got so much to look forward to :)

Babyboomtastic · 06/06/2020 20:46

I think tag as a copy whole, I can see why it wasn't a great experience, but most of the individual things you mention are pretty standard I'm afraid. Sometimes partners are allowed to stay the night after a section, sometimes they have to leave if it's night and your are moved from recovery. A certain amount of waiting is also fairly normal when someone is moved in the middle of the night.

Milk trading 4 days to come in it's pretty typical after a section and nothing to do with the care your received though it did sound like they could have put more effort into supporting breastfeeding. I'm assuming that you told then you wanted to breastfeed? It sounds like they made some worry at least by comforting your baby, whereas sometimes they just give the baby back to you and you have to do it

It's unlikely anyone would be aware of your mh issues regarding food, so they wouldn't be likely to check up on you, and women have very wide ranging appetites after surgery anyway. And my named midwife I last saw before my baby was born.

It sounds like you didn't get enough support at a very vulnerable time. Perhaps it should have been flagged up on your file that you'd need lots of support, though perhaps that should have been obvious to them (first time mum, quite young, emergency section etc).

If you want to complain then please do - it might make things better for all women, but in don't think they're is anything from what you've said that would make this legal action territory - is all pretty standard I'm afraid.

I'm sorry that you've had such a hard time and a difficult start to motherhood. I think first time mums sometimes get sold this myth that must births are straightforward, that breastfeeding is easy etc, but the reality of often a lot messier. It off my NCT, only 2 you the births they wanted, some of us suited pnd, had poorly babies, all sorts. Most wanted to breastfeed, but only one managed it out a few days. You aren't alone in how you find this.

TheMurk · 06/06/2020 20:50

Yes noisy wards full of huge families and selfish, rude people.

With last baby a woman was wheeled in opposite me at 4am and got straight on to FaceTime for an hour and a half, while her baby cried non stop.

Why a midwife didn’t tell her to a) get off the phone until a more reasonable hour, and b) pick up her crying newborn, I have no idea.

When I did venture out to try and get water on the hottest day of the year the midwives were sitting in their room having a right old chinwag and a laugh.

When I asked where I could get water they were all visibly annoyed.

Babyboomtastic · 06/06/2020 20:52

@icansmellburningleaves

After 2 planned sections, I can say that you are categorically wrong about expectations in a section - I was holding my baby within a minute of birth, skin to skin, with both (albiet no feeding until in recovery due to the angle). And dad can cut the cord etc. But my friends who had emergency sections didn't get that.

Essentially, if it's a planned section, baby is born to music that you choose, calmly, dad cuts the cord, you can have (slightly) delayed clamping, immediate skin to skin etc, but if it's an emergency, then it's a lot more dependent on the situation, and the team in theatre, how much of a rush they are in, how exhausted mum is etc. There are a lot more variables.

Marleymoo42 · 06/06/2020 20:52

You can arrange to have a debrief of your birth. A friend had it and it really helped her. I would speak to PALS as well. You will come to terms with it but it is awful feeling so vulnerable when you expected it to be so different. In some areas the NCT offer support after birth.

My birth 5 years ago still upsets me at times. There was a complete lack of communication and i was scared and felt vulnerable.My mum who was with me happens to be a doctor. She was able to explain things from the other side afterwards. She told me how close we had been to losing my baby. There was no time to ask permission for an episiotomy or to explain why they rushed my baby to the other side of the room. I still believe things could have been handled differently but she did help me to get perspective.

The truth is, for every lovely insta pick of first cuddles with a new baby there are a load of mums whose transition to motherhood starts with them being stitched up, trying to come to terms with what's just happened while the baby is checked over the other side of the room. It is hard to come to terms with a bad birth experience but it will get easier.

stormtrooperjulian · 06/06/2020 20:54

@icansmellburningleaves having skin to skin after a c section is totally possible. My baby was placed on my chest under my gown while I was stitched up.

ScarfLadysBag · 06/06/2020 20:57

I'm sorry, OP. That does sound a bit wretched and I disagree that its 'standard'. It certainly wasn't when I had my emergency section last year (for the same reasons you did, failure to progress and baby's heartbeat dropping). At one point DD's heart actually stopped for a few seconds and I think they were about to knock me out and do a crash section, but it started up again.

Anyway, after she had been born safely and quickly checked, she was given to me on the operating table and I held her the whole time I was stitched up. DH was asked if he wanted to cut the cord but he didn't. In recovery, I was helped to get DD to latch. We had massive breastfeeding issues but I can't say that a lack of support was to blame; we had midwives spend hours with us overnight trying to help, and they brought a pump that could stay in my cubicle so I didn't have to ask for one every time.

It wasn't perfect, there were some issues, but I never felt we had been abandoned like it seems you did. You can have a debrief to discuss things, but I would consider writing a complaint (you can use the basis of your OP, as it's very well written). At the least it might be cathartic and perhaps it will change something. I think it can be a postcode lottery with postpartum care, sadly, and you just were in the wrong place at the wrong time.

RedWine123 · 06/06/2020 21:00

@Thisismytimetoshine she mentions that the baby wouldn’t latch on, it’s part of a midwifes job to help with that kind of thing. Same thing happened to me and turned out baby had tongue tie which wasn’t obvious at the time. Unhelpful comment.

OP, I could have written your post myself. It’s really upsetting and you have every right to complain. I had never thought it would go that way and like you took months before things were better. But fortunately, they did. Take care Flowers

ScarfLadysBag · 06/06/2020 21:02

The food thing is awful too. I had meals brought to my cubicle as well as cups of tea several times a day and refreshed water jugs. I had tea and toast made for me in recovery.
.
I'm in Scotland but I'm sure some of the postpartum wards here are equally badly run, sadly.
I'm just very grateful (although we shouldn't have to be grateful for proper and empathetic care) mine seemed adequately staffed and we were well looked after. I sent thank-you cards to the ward after we got home, which I suppose shows how different my experience was from yours. Standards shouldn't be so disparate

TheCraicDealer · 06/06/2020 21:04

You don’t get to physically hold your baby until you are in recovery. Obviously it’s not practical to let you have skin to skin whilst you’re still being stitched up

Eh? Had one in September and DD was given to me straight after DH cut the cord and she was wiped down. I didn't know but the surgeon was trying to stop me bleeding at the time.

OP I'm so sorry that this was your experience. I'm also sorry to add to the voices here saying that a similar thing happened to me. I don't believe women should be moved from recovery in the middle of the night, full stop. If you've had surgery that late it was probably an EMCS in which case you'll be shattered and need to sleep to recover before you take over sole care of a baby.

I did complain and waited nearly seven months for the outcome of the Trust's investigations. They're happy with me being moved to recovery in the middle of the night and being left to it with a catheter attached and not being able to move my legs because apparently that's "within guidelines". Well the guidelines are fucking wrong then.

They spoke to the midwife who talked to me like shit (and also made a catty remark in my notes about me 'refusing to make eye contact') when I was bawling my eyes out. Apparently she can't recall the interaction but is happy to speak to me. I'm not going to take them up on the offer. I also wasn't offered any BF advice during my entire stay, even though I was open to giving it a go. By the time DD was three days old and we were given advice and coaching at the MLU she refused the breast. I'm ok with that, but I can see why that would be galling for the OP.

The reality is HCPs bang on about how c-sections are "major abdominal surgery with associated risks" until you're sewn up- then you're expected to get on with it and treated with disdain when you expect or dare to ask for help. I will have another section but will be doing my damn best to make sure it's an early slot and DH can stay with me for as long as possible post operatively.

It's misogyny of the highest order- can you imagine a man being in for a hernia repair or whatever and being told to get up and start looking after another patient two or three hours later? Postnatal wards should be safe places for women, not like this.

I for one would love to see Mumsnet HQ start a campaign on better care for women postnatally. The reality is we're the patients and we've been screwed over, our expectations brought so low we're grateful that we didn't have to get up and get our own dinner. We have to stand up and say we won't accept it. The culture needs to change.

Swipe left for the next trending thread