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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:
EnlightenedOwl · 07/06/2020 09:44

So how do you address the much reported post natal negligent care then

Russell19 · 07/06/2020 09:53

I see someone has already suggested but first I'd get your hospital notes and arrange a birth debrief with the hospital.
Get GP help with your mental health, covid or not. You are doing so well, keep going!
I had similar issues with breastfeeding support and was told by the midwife who delivered my baby 'We don't offer a hands on approach to breastfeeding' I didnt even know what she meant but she clearly didn't want to help. The most helpful person was a student midwife and a HCA who was really mothering and I really needed that.

EnlightenedOwl · 07/06/2020 09:55

There's a reason midwifery attracts so many negligence cases....

SnuggyBuggy · 07/06/2020 10:05

A lot of it seems to be poor practice like inflexibility with regards to food and the "pregnancy isn't a disease" attitude. I do think as a society we place a lot of emphasis on snapping right back and getting your life back to normal as soon as possible after giving birth when we should have more respect for the demands birth can place on a woman's physical and mental health.

Sceptre86 · 07/06/2020 10:10

At my first section they put my dd beside me but I couldn't move my arms to touch her. They put her on my chest in recovery. Same thing happened with ds, I was too drugged to move my arms to keep him propped up. The first time I got tea and biscuits in recovery after not having any food since 12 the night before. My dd was born at 6.34pm and I was starving. With my ds the surgery took so long that I didn't get to go to a recovery room for an hour or two stay instead I was wheeled to another room for 30 mins and sent down to the ward. I had to ask for food and was told they had already done the lunch round. My mum went to get me a sandwich. My milk didn't come in till day 4 with dd and then not much at all came through, I didn't know this was common in c section mothers. Had I known I wouldn't have preserved with breast feeding and would have given dd a bottle. As it happened she ended up in scbu due to dehydration because my milk hadn't come in and I was attempting to breast feed. Despite pumping and persevering with it or 6 months I never got more than 30ml from each breast for her. I had a shottu experience both times, maternity care really is a postcode lottery in the uk and more needs to be done to understand the affect it has on a women's mental and physical health. This is the only thing that puts me off having another baby.

Yanbu and are allowed to be angry and upset. I would talk to Pals, email and write to them so you can at least get given an apology. Arm yourself with info should you get pregnant again, know your rights and stick up for yourself because no one else does. Try to move on past your experience and focus on your baby for now x

Didiplanthis · 07/06/2020 10:15

I think it is reasonable to write to PALS. Even if you don't want to make a formal complaint it might help to have been able to tell them what happened and how it made you feel. I has appalling post natal care after the cs with my twins 8 years ago. I wish I had brought it up but I was too stressed out coping with newborn twins and a just turned 2 year old. I promise it's not because you are young, dont let that be another thing to knock your confidence. I am a GP as it my DH, I was 38 yrs old. I was vulnerable, struggling and a bit scared. I had no help breast feeding, they forgot my meals - you were supposed to go to the 'lounge' to get them..I couldn't move. No one came to help me wash , no one took my catheter our, I didn't get my drugs. I was told it was my fault my baby was crying because I wasnt tandem feeding... 1 day post section. I was left with no water while trying to breast feed twins and both babies were stuffed one on each side of me and while I was feeding and was trying to work out how the hell you juggle 2 babies, one was put on top of my buzzer so I couldnt reach it as I had my arms full of another baby.. apparently my DH should have been there to help. He was at home with our toddler. God...even now 8 years later I still feel the desperation I felt. I never had the strength to complain. But things will not improve if women dont as ask for answers.

GalwayGrowl · 07/06/2020 10:49

Midwives are supposed to teach you to change a nappy???

HoppingPavlova · 07/06/2020 11:12

So how do you address the much reported post natal negligent care then

Additional resources is how this would be addressed. Increased staffing levels. But whether it be 1 or a million PALS complaints, realistically this will not happen. A pot is finite and there is no extra money entering the pot to address this. If there are issues not associated with understaffing then sure, these can be adequately addressed but anything resource related, which would be the vast majority - nope.

bluebluezoo · 07/06/2020 11:13

Midwives are supposed to teach you to change a nappy???

I always thought time and money would be better spent on teaching nappy changes, feeding (bottle or breast) than this weird obsession with giving baths.

When the woman came round “i’ll show you how to bath your baby” I remember thinking actually show me how to change a nappy and feed first. Baths are low low down on my list of priorities.

SnuggyBuggy · 07/06/2020 11:18

My advice on bathing a baby is just don't until they can hold their head up, it's bloody terrifying Shock

TheMurk · 07/06/2020 11:21

@GalwayGrowl if that’s aimed at me, no I don’t expect them to teach me but I did expect a little help when I couldn’t actually move to get out of bed to get the nappies. And I think there are many people who do need guidance on things like this apart from perhaps not having their own mums around, it’s also a time when your mind is not focused for many reasons, not least of which the numerous drugs in your system post op, and even if it’s blindingly obvious you might need a bit of prompting to do these kinds of things,

If the midwives aren’t there to help you get back on your feet literally and figuratively after having a baby then what are they there for?

Bibijayne · 07/06/2020 11:24

YANBU. I would get in touch with PALS to talk about your negative experiences. Because of understaffing, a lot of midwives I have spoken to actually encourage complaints as it is the only way to get their managers to look into staffing levels. Please do this.

Babyboomtastic · 07/06/2020 11:26

Tbh, apart from a few cases, women have many months to prepare for the baby coming. Surely that would include some research on how to feed them and change their nappy. They are hardly unexpected duties.

Zomblie · 07/06/2020 11:36

Many of the responses here are quite harsh. I can't have been alone in reading that the OP is 19 years old. At 19 I could barely sort my life out enough to remember train fare after a night out. I'm entirely sure I would have been unable to cope with unexpected major abdominal surgery and suddenly being responsible for an entire new life.

OP - you can request a copy of your notes, it might help you to have a read through - you can then ask to have a birth debrief.

It's something I kept meaning to do after having my eldest where I was left to fully labour whilst suppressing the urge to push for four hours with no pain relief because the midwife didn't believe I could possibly be fully dilated so quickly and wouldn't check because she "didn't want to get my hopes up" it was only when the shift changed that I was examined and finally allowed pain relief. Unsurprisingly I was then too exhausted to labour efficiently and needed Ventouse then forceps intervention.

The NHS is a wonderful thing, but somehow, with maternity type stuff it seems to be a bit slapdash somehow.

My second birth was wonderful in comparison. Food, a hot shower, regular check ups. Hot tea constantly being refreshed.

Emmacb82 · 07/06/2020 11:44

It seems to be very hit and miss as to what birth/after care experience you have. My first was a disaster and I thank my lucky stars I had my husband with as the care was so poor despite needing blood transfusions etc. I had trouble bonding with my baby the first time round and developed post natal depression. I should have gone back for a birth debrief and never did so I would advise that you do that. It won’t change things, but it would help you to understand why things happened the way they did and also allow you to give direct feedback.

My second experience was only 5 weeks ago and sadly was not much better. Thankfully I recovered much quicker this time as hardly saw a midwife the whole stay afterwards. Had to be in for 4 days as baby was poorly. I did raise a complaint and have been able to talk about my issues, it definitely helped. I feel frustrated as I read other reviews that people have written and they can’t praise the staff enough - a shame that everyone doesn’t have the same experience.

I think you definitely need to talk to someone about it. I don’t agree with the legal route, it won’t actually resolve any of your issues and the NHS has enough financial problems as it is.

bluebluezoo · 07/06/2020 12:06

Tbh, apart from a few cases, women have many months to prepare for the baby coming. Surely that would include some research on how to feed them and change their nappy. They are hardly unexpected duties

Not everyone has the ability or capability to research. The internet is a blessing and a curse, for every correct website there are several incorrect ones. Theory is also very different to practicality- i was 33, and have never held a baby before. I had no friends or family with babies...

Some mums, especially young ones, haven’t had the education to give them the tools to research. I was at a scan with a young teen, some of her friends hadn’t actually realised a baby comes out the same way it goes in. They hadn’t had the sex education, and had never thought about it.

I was friends will a girl at uni whose dad was a fucking dr. Not only had she had minimal sex education, she’s also been fed an utter pack of lies in an attempt to keep her from having sex at all.

This is how we end up with people still putting rusks or weetabix in bottles, because the only people they can ask are parents and grandparents..

In any case, why spend money on someone coming round to spend half an hour doing a step by step demonstration of bathing your baby, but not cover the basics of how to make up a bottle safely, or to check a latch and provide reassurance that the constant feeding is normal. Even to demonstrate reusable nappies alongside disposables. But no, bathing is obviously way more important than feeding...

I also think they should make those annoying bounty photographers train in bf assistance or something useful rather than letting them into a ward full of vulnerable mothers for profit.

megletthesecond · 07/06/2020 12:11

My PN care after an EMCS 13yrs ago was awful. I think I might be getting over it now, it made me weepy for many years. I'd never ha an operation or held a baby and was left to fall to pieces.

However I refused to take any nonsense after my planned CS which helped. Wasn't going to have any more babies so I didn't care if the staff though I was being a madam and asking too much.

Griselda1 · 08/06/2020 09:38

Pregnancy and childbirth are just so difficult and I still recall the horrors of my first labour so vividly. No-one told me that every inch of my body would ache afterwards, that I'd be constipated for days.There's so much more and I think the first few months are spent in shell shock.
Ask for your notes and a debrief and be kind to yourself. It's the toughest experience of most women's lives.

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