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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Upset by the nurses in the special care baby unit - long story

69 replies

Jenbot · 16/08/2008 20:57

I know they are doing a great job looking after my baby, but two of them really upset me today when I overheard them talking about me.

(This is probably a bit garbled as I am upset as I'm typing.)

OK, the background... I am breastfeeding my premature baby when I am in the hospital. I originally didn't want her to have bottles at all but the consensus from the nurses was that for premature babies having a bottle helps them to learn that they need to suck to get food and that the advice for term babies re. bottle/breast confusion isn't relevant, and that I would get her home a lot quicker if I agreed to the bottle.

So, I said OK, give her bottles at night when I'm not there at midnight and four. I plan to drop the bottles once she's home and I'm with her all the time. She is on a 4 hourly feed schedule in hospital, but when she's home I plan to feed on demand.

When she had bottles all night she was really tired during the daytime and didn't breastfeed as well, so I talked to the nurses again and we decided that she should ideally have alternate feeds of bottle and tube through the night until she grows a bit bigger and gets more energy. Or they could give her a bottle if she cries and won't settle and wants to suck something, but feed by a tube otherwise. I said basically I was happy for them to do what they thought best for her while I wasn't there.

The nurses change every day and night, so you get a different one looking after your baby each shift. Today I went in and a nurse asked me if I was going to bottle feed her. I said no, I just breastfeed her then we top up by tube when I'm there. We usually judge how well she has done then guesstimate how much top op up by from the amount she's due to have on her schedule.

I asked her about me going in to stay overnight as the nurse yesterday night said it might be a possibility this week and I should discuss it today. (They only have one room and you can only go in when it looks like your baby is getting ready to go home.) The nurse today said that it wouldn't be a possibility and that they never let babies home until they were at least two weeks older than mine. So, I was disappointed of course, but I said fine, I don't want to rush her if you think she's not ready, I'm not pushing for it, and that I only asked as the nurse yesterday told me to ask. She said the nurse yesterday was junior and had made a mistake.

Anyway, I went to express afterwards and two of the nurses on shift must have thought I couldn't hear them.

They said: "Why is that mum asking about staying over, WE tell her when she can stay over, SHE can't ask us to stay over, it is our decision." / "And look, she says one thing one day and another thing another day, she's so confused. She said yes bottles, no bottles, yes bottles. Why can't she make up her mind?" / "We'll have to get her to write something down and sign it" / "She doesn't know what she's doing" (then they laughed) / "Yes she is doing all the care in the daytime, but how do we know what she'd be like when she got home? She'd get stressed and her mum lives really far away so she'd have no-one to help her"

At this point I called out to them that I could hear everything they were saying and one came in to see me. I shouted at her, I was angry - I said I wasn't changing my mind every day about bottle feeding, I'm trying to follow their advice and she should read the notes properly about why things had changed day to day. Also, that I'm not a bloody idiot: I know that babies are hard work at night, AND I wasn't asking to stay over, a nurse yesterday had TOLD me to talk to them about it today! Argh.
Then one who had said earlier that she always remembered the babies names called my baby girl "he" then got her name wrong when I reminded her she was a girl. There are only 3 babies in there at the moment for heaven's sake.

Then I burst into tears and cried for ages.

All nurses on the shift came and apologised to me one by one (although in a way like - "you misunderstood what we were saying, we did know you could hear us really, we just meant you were confused because we had confused you, we weren't laughing, the babies were making a noise" .

I really am SO upset because I feel like they have spoilt it for me now.

Going in every day, it is so hard to have to leave your baby every night already but I was being positive and I had got on with all the nurses really well before, now I'm stressed about having a row with some of them and what they are saying about me when I'm not there! Will they tell their colleagues who I got on well with before and they'll all suddenly think I'm a "difficult mum"? Will they all treat me differently now? Why would one question today how I'd cope at night?! Do they think there's something wrong with how I am?

I don't think they won't look after her, but I have to talk to all of them and work with them and I feel like it has spoilt the good relationship I felt I had with the unit over the past 3 weeks so I'm just miserable.

Then on top of everything, tonight is the first night I couldn't stay in 'til late because my husband has had to work at the last minute this evening and I don't drive and I couldn't find anyone else to take me. What a shit day.

Meh, this was going to a be "did I overreact? am I being unreasonable?" question but has turned into just being miserable, but never mind.

I will probably feel better in the morning!

OP posts:
moondog · 17/08/2008 16:16

Very pleased you have more strength Jen.
Fucking hell, Riven. I would have wanted to smash their faces in!

sarah293 · 17/08/2008 16:33

This reply has been deleted

Message withdrawn

Hangingbellyofbabylon · 17/08/2008 17:10

Congratulations Jenbot - enjoy your rooming in and being with your lovely dd all day and night - you'll be home before you know it. I still remember the first night dd woke up crying and I only just fed her - normally after a feed she slept for a long time - I was worried and asked a nurse why she was crying only to be told - because she can, because she is now acting like any other new baby! it was actually quite nice as I realised my dd had made the
journey from preemie to newborn and was then ready to come home. - that same little girl is now sitting under the table mashing left-over birthday cake into the kitchen floor..

blueshoes · 17/08/2008 17:23

That's great news. All the best, Jenbot. Hope you can bring dd home soon

pamelat · 17/08/2008 19:04

Not unreasonable at all.
Really feel for you Jenbot.
Am sure that the nurses would not mean to upset you though (at least would hope not) and they obviously have the best interests of the little babies in their hearts.
It must be very different with baby care being "just" a job though, am amazing job, but nevertheless just a job. I echo that it was unprofessional of them to talk about you. Dont take it personally, its probably how they just deal with the general frustrations of their job? Am guessing a lot here but just wanted to send my best wishes to you and hope that it all works itself out soon.

pamelat · 17/08/2008 19:09

Shybaby, just read your comments about how you experienced such nasty remarks as "he doesn't like you" and its made me cry. I cant believe that someone would treat anyone (never mind a new mum) in such a way .
Even at 7 months old, I am sensitive to "jokey" remarks about my DD not wanting to be with me, "oh lets hide from mummy" etc etc (normally made by a much older generation). I think that in the newborn stage it would have torn me apart x

StripeyKnickersSpottySocks · 17/08/2008 19:17

Thats great news about the rooming in.

TheRealMrsJohnSimm · 17/08/2008 20:47

Jenbot - that's really great news! I'm glad you had such a positive response from the ward sister . Hope all goes smoothly with the nurses from now on.

CJMommy · 17/08/2008 21:15

Jenbot, really pleased to hear that you spoke to the Ward Sister and that you feel much happier.

There are so many wonderful nurses out there (of course, I am one [smug ] but seriously, there are also some utter shit bags who should have never been allowed to qualify in the first place! If ever anyone is unhappy with the care they receive, they must be brave enough to speak up. Hopefully, Jenbot, you speaking out may prevent another mummy going through the same - well done and good luck! let us know when you bring little one home!

KashaSarrasin · 17/08/2008 21:16

Jenbot - I'm so sorry I didn't see this yesterday. You are completely right to be upset, the nurses have behaved very unprofessionally

IME establishing bfing ni the SCBU was the hardest part of the stay, and we had (generally) supportive staff. Does your SCBU have a protocol for the feeding of bf babies? At our SCBU the protocol stated no bottles unless requested by the parents, and cup feeds for when the mother couldn't be there. Nonetheless bf on demand is really difficult when battling with a 4hr feed culture where the nurses want to know exactly how many mls your baby has taken [sigh]. We managed it in the end with the help of a few really supportive nurses, without them it would have been a real struggle against the "system".

I hope your rooming in is going well and you get DD home quickly, it makes a huge difference once you are togehrt 24/7 (typng this with 7wk old DS feeding from me, 12 days out of SCBU )

I can't believe some of the comments others have had to endure from unthinking SCBU nurses

anonandlikeit · 17/08/2008 22:02

No YANBU & the reason they all said sorry is that they are worried that you will complain formally.
DS2 was in SCBU for 2 months after being born at 28 wks, it is an emotional time so your tears were to be expected.
I actually feel you dealt with the nurses very calmly, they were obviously very .
It may be worth you & the duty nurse writing down & overnight care plan to be included in the hand over for the oncoming shift.
If you do it in conjunction with the senior nurse on duty you will still be following their professional advice but you will be ensuring continuity of care.

Hope you & your dd are home very soon

2luvlyboys · 17/08/2008 22:27

I am so sorry for whats going on for you! Its not true that babys need bottles to get their sucking reflex going. Mine had a dummy which unlike a bottle he had all the time so could have all the practise in the world!!! He even rejected that once I got him home and was ebf. The scbu in Leicester were brilliant and actively discouraged me from giving a bottle as I wanted to breastfeed. Any bf he rejected, or if for what ever reason I was unable to be there he was topped up with a cup feed. When I asked why a cup feed not a bottle they said they never give bottles to bf babys because it confuses them. I stayed in the hospital and they contacted me during the night when he needed feeding. He wasn't early btw but born v poorly with duodenum artresia and didn't feed until he was 11 days old. He was nil by mouth before that and was very poorly. Until he was diagnosed at 2 1/2 days he had lost alot of weight and was so poorly he lost his suck. Operated on at 6 days old. Now 9 months and still bf never thought he would be able to do it but he did and the support of scbu nursing staff was brilliant! I would strongly recommend btw that even if you don't bf at night at the moment that you express atleast once during the night. That way your body will get used too/learn to expect a night feed as bf works as supply and demand. iyswim! I did this just before my baby started to feed and I'm so glad I did.
Hope things work out for you you sounds like your doing a great job with trying to bf whilst struggling against a system that ought to be caring for you as well as your baby! and on your behalf!!

MARGOsBeenPlayingWithMyNooNoo · 18/08/2008 11:20

I'm glad to know that you are rooming in now. One step further to going home with your baby! yay!

I hope the ward sister gives those nurses an insight to how you felt and I really hope it's the last time they even think those kind of comments.

Why, in SCUBU of all places, is bf not fully supported?

G2B · 18/08/2008 13:35

Hi, not much time, but didn't want to ignore this. My niece was born almost 13 weeks prem and she was in SCBU for 10 or 11 weeks. She's been in 3 different ones, and the nurses at one of them were absolutely disasterous.

Do NOT underestimate yourself. You've been through hell and everyone gets used to coping with babies in their own way.

They always change their advice and different nurses mean different advice.

You've voiced your concerns which is good but please don't think you're in the wrong, you're not, they are. That was very insensitive of them, and very un professional.

You are mum so you know best.

Often these nurses (not all, some are great) seem to forget that it's their job, it's your life. Mum always knows best as it's your baby, not theirs. Please don't be disheartened. If you've managed to stay positive until this point you're doing fantastic.

Good luck when you bring the LO home, you'll be fantastic.

indiechick · 18/08/2008 13:44

So glad to read you're feeling a bit better. My dd2 was in SCBU for two weeks and I know exactly how you feel about nurses. It is a really hard experience and I wish you all the best.

sweetie66 · 18/08/2008 13:52

Jenbot I really feel for you. My DD was in NICU and SCBU for 9 weeks and it is very hard to give the care of your baby over to someone else. It also feels like they seemt to know best and can make you question your decisions. Good for you for standing up for yourself. Those nurses were unprofessional and you should speak to the Matron or ward sister about the incident. If you want to breastfeed then like the other posts ask them to tube feed when you are not there. I had the reverse to you. My DD was too poorly to breastfeed and the staff kept forcing me to try. After endless sessions where I was in floods of tears because my baby could not suckle (she had breathing and heart problems which meant she did not have the energy to suck) I stood up and said no. Once they knew I was not going to change my mind they stopped forcing the issue. The junior nurse was probably wrong to tell you about the room. In my case this was not offered until my DD had been in an open cot, I was doing all her care and she was feeding and gaining weight. We went to stay in the room about two days before we were finally discharged. If your baby is still tube feed you a probably a little way off this yet. Be positive. You are more than capable of looking after your child. You will be a fantastic Mum and do not allow some insensitive nurses make you think differently. By the way my DD is now a gorgeous 4yr old. I hope you are home soon.

KashaSarrasin · 05/09/2008 15:57

Jenbot how's it going now? Hope all is well

pollyblue · 05/09/2008 17:59

Personally I think you were quite right to tell them straightaway you heard what they were saying, and put your tenpenneth across. When I had dd I was in for 2 weeks (not SCBU) and was given completely conficting advice on several occassions - I also overheard the staff in the staff room (my bed was against the staff room wall and the walls are thin!) discussing some women in quite unfriendly terms, including me - I could clearly hear one taking the mick out of the fact I was struggling to breast feed. I was mortified and too upset to say anything but i really wish I had as it still niggles me now. I hope the fact you stood up for yourself makes you feel a bit stronger and better at such a hard time

missjennipenni · 05/09/2008 21:42

Firstly, congrats on your baby girl and WELL DONE on breast feeding her! BF a prem baby is so hard. My ds was only 5 weeks early, but he was tube fed first, and then i managed to BF him. I was never told he needed a bottle to learn to suck or anything?

I know how it feels to leave your baby I hated teh fact i wasnt taking care of him, someone else was doing things that i should be doing and wanted to be doing!

How dare they chastise you for asking to room in with your baby! Of course its what every mum wants, i am sure you are not the first to ask. And anyway, you were told to ask!

Im so sorry they were patronising to you, you really did not deserve any of it!

of course you are not being unreasonable!

i hope you & your baby get home together soon

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