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Head of Maternity Services 'phoned about enquiry into Bo 's stillbirth

80 replies

bubble99 · 24/03/2005 21:45

She 'phoned yesterday. I still hate the term "stillbirth" as it evokes images of a baby who died in utero well before delivery. Bo was termed a "peri-natal death" because he died in the minutes before he was delivered by CS.
I still find it incredibly difficult to talk in RL, that is why I spend so much time here with all of you. I'm not afraid to cry but I can't get the words out or make sense.
There will be a "review" by a panel of doctors and MW's at the end of this month. Apparently they go through my notes in detail looking at the care we received from the ante-natal period through to delivery. The ante-natal will provide interesting reading. I didn't see a consultant till I was 36 weeks pg. Remember this was a twin pg and therefore high risk. My attempts to contact the comm. MW's were largely unsuccesful. Wrong mob. 'phone no. given and over the Christmas period (when unable to speak to a human being, only answerphones, to get the correct number) I spoke to an old lady up North - owner of said wrong number- on a few occasions. Nice old lady BTW, had a good Christmas, but not a MW unfortunately.
My antenatal care was mainly provided by my GP (not a problem with a singleton and my GP was great but by her own admisssion not experienced enough to be sole provider for a twin pg)
My "care" when we got to hospital to be induced was shocking and fatal for Bo. I have revisited the scene in my head so many times. I am haunted by the feeling that I did not protest and shout loud enough to save him. I know that Elijah would also have died if I had not, when taken to theatre after my babies had been in distress for seven hours , told the anaesthetist to abandon his attempts to site spinal anaesthesia and "get these babies out alive NOW."
My rational voice tells me that I was in their care, they were the professionals and had a care of duty to me and my sons. I know that I could have been a woman who could not speak English and therefore could not have said anything.
I am a Registered Nurse, not a MW. I did 2 months of training as part of my course in a maternity unit in 1986 and yet even I knew that the CTG traces required immediate action.

I honestly felt Iwas losing my mind. I was lying there thinking "Something is going wrong here" and none of the staff present seemed to have any sense of urgency or comprehension of the nightmare scenario unfolding before my very eyes.
When I said to the doctor (senior reg) for the fourth time that I needed to go to theatre for a CS she stood there smiling and saying we would wait for my DH to come back. They'd sent him home - babies in distress - but they sent him home. We believed that they knew what they were doing, We felt things weren't right but assumed they knew something that we didn't.

Sorry. I'm not sure what this post set out to do. Thanks for listening.

OP posts:
maomao · 25/03/2005 07:26

bubble, please, please try not to blame yourself. I hope that the enquiry brings some answers for you.

Amanda3266 · 25/03/2005 09:06

Bubble, sending many hugs to you all. Please, please make a copy of all these postts and let the hospital see them. Your recollections of the night in question are too valuable to be lost in cyberspace. I am sure they won't whitewash things - by the sounds of things they are all shocked by the realisation that they got it so wrong. No comfort to you at this time I know but if it will ensure no other woman goes through such a thing then it's good that they feel this way.
From my days as a midwife I know it's usual to have a monthly meeting where any deaths are discussed. Often these are unexplained deaths, however, in your case this is not so and I would hope and expect that they'll have a full and frank discussion about what went so wrong and where the mistakes were made so nobody goes through this again. They owe that to you all and especially to Bo who they failed totally.

Again - sending much love and positive thoughts to you all. You are so corageous to be able to share this with us - I just hope we are doing our bit in supporting you.

Mandy

Hulababy · 25/03/2005 09:09

Oh Bubble Thinking of you.

motherinferior · 25/03/2005 09:16

Bubble,
I can only add to everyone's words of support.

That disempowered feeling - yes, been there too, with that sense that somehow one should be able to get through - yet how?

foxinsocks · 25/03/2005 09:39

yes I think Amanda has a good point. If you feel up to it, it may be worthwhile writing down your version of how the evening took place (as it sounds like your notes are very 'brief' for want of a better word). It may well help them (at their enquiry) get a full picture of what was going on - especially as the consultant wasn't physically present till so much later on.

Thinking of you too.

Spacecadet · 25/03/2005 09:51

bubble, I am a nurse too and work at one of the top teaching hospitals in the country although at the mo having had a diagnosis of menieres im not sure if I can return.However the maternity unit attached to that hospital bothched 2 of my dcs deliveries, nearly resulting in the death of one.My dd was presenting by her face 14 years ago, yet despite a 40 week scan picking this up I wa still alowed to go into labour and push for 3 hours resulting in deep transverse arrest and my dd nearly dying by having her neck broken.10 years later my ds was delivered atvaginally at 38 weeks as he had stopped moving, yet despite the fact that the trace was abnormal when i was pushing, the duty doctor refused to deliver him by ventouse even though I was struggling too, he was born weighing 9.5 pounds with the cord tight round his neck 3 times. he stopped breathing and had to be resusitated , then was whisked off to special care, his shoulders had become stuck resulting in terrible damage to me.Each time I put my trust in the medical staff and they failed me.When preg with dd last year, I chose to go to a diff hosp, a smaller, cottage hospital where my concerns were taken onboeard, I had ctg monitoring every week and the consultant agreed to induce early and a second midwife was called in the last minute to help in case of shoulder dystocia.They even agreed to my request to be mrsa swabbed as the ward I worked on had ahigh incidence of mrsa, its a surgical ward. But, in the past I had trusted the medical staff, im not a midwife or an obstetrician so beleivred in their judgements, please dont ever blasme yourself bubble, you trusted the medical staff and they failed you and your babies.I know that nothing will bring your little boy back but I hope that the hospital do not attempt to cover this up and that they are made to answer for their crime. I had a stillbirth 15 years ago, not due to any medical negligence though and that was bad enough so I cant begin to comprhehend how you must be feeling. My thoughts are with you.{{{hugs}}}

Spacecadet · 25/03/2005 09:54

I would also like to reiterate what amanda said and that is, while evrything is still painfully fresh in your mind, document everything, your ante-natal care..( i cant beleive you didnt see aconsultant till 36 weeks) and the night in question, so that you have your version of events on paper.

lunavix · 25/03/2005 09:57

Bubbles, I haven't posted much for you as I just didn't know what to say. Just want to let you know I'm thinking of you and your family.

emmatmg · 25/03/2005 09:58

Bubble, I'm really not sure what to say other than I truely hope that this enquiry gives you the answers and peace you and your family deserve.

Thinking of you

LGJ · 25/03/2005 11:36

Oh Bubble,

I have nothing to add to everyone elses articulate comments, just to say I am thinking of you and my heart breaks for you, everytime I read an account of what happened that night. You and Mr Bubbles are not to blame in anyway for the death of Bo but must seek out answers as to who was and do not rest until you get them.

With much love

LGJ

bakedpotato · 25/03/2005 12:17

Dear Bubble, I remember you posting about your appallingly slack antenatal 'care' (another thread to print out and submit?). It was glaringly obvious you were asking for, and not getting, the most basic support from hospt/MWs. You have been failed at every step. It sounds very much as if the hospital accepts this. Please, don't blame yourself.

pixiefish · 25/03/2005 12:21

thinking of you bubble- we do put our trust in these people don't we.

Nothing really to add but I do hope that lessons are learnt

Newbarnsleygirl · 25/03/2005 12:26

Bubble, Don't really know what to add apart from I hope that this meeting helps you all in some way.

I wish all the best to you and your family.
{{{Hugs}}}

WideWebWitch · 25/03/2005 12:30

There isn't anything I can say except to echo everyone who says it so wasn't your fault, it really, really wasn't. Thinking of you x

bunny3 · 25/03/2005 12:45

bubble, I cry every time I read about your sad sad news. I cannot begin to imagine your pain. You have been so terribly let down by the system, the blame lies with the delivery team not with you, you must believe that.

Keep posting xxx

Cam · 25/03/2005 14:22

Hope you get some proper answers soon. Regarding the sueing thing, you can always choose to sue at some point in the future if any information you get changes your mind. I'm not sure what the timescale is (for example with breach of contract you have 6 years in which to make a claim) but it would be easy enough to find out. Don't feel pressured to tell the medical authorities one way or the other at this stage.

hub2dee · 25/03/2005 16:05

Hi bubble99 - with reference to the trace and telephone conversations...

Might it be possible to take digital photographs from your case notes ? Just incase they 'get lost,' as you mention ?

I believe one is also entitled to record one's own phone calls. Perhaps that too would be useful. Maybe someone with more legal knowledge than me could post if I'm wrong or suggesting something illegal.

If you need suggestions for these products, please ask.

I feel privileged to be part of the crowd to whom you can vent / rant / post / sob. If this had happened to my wife and I had to talk about this face to face to someone, I can well imagine choking up in anger and despair and not being able to breathe let alone talk...

Post all you like.

I don't really do hugs on MN, ya know, being a bear grappler 'n all, but I'm sending one to you and Mr. bubble.

Punnet · 25/03/2005 16:54

It sounds like you were so badly let down by the maternity services, and I guess it must be difficult having one baby to celebrate and one to mourn at the same time. I can't believe that you were treated like that.

I hope the review gives you some answers, and am thinking of you.

sacha3taylor · 25/03/2005 17:15

I am almost feel like I am intruduing on your conversation as I am quite new to mumsnet, but I read your threads when Bo was taken away from you and I cried as I remember thinking this must be the worst pain anyone can suffer . I wanted to let you know that I have been thinking about you and I hope that you get the best possible outcome for your family.

bundle · 25/03/2005 18:30

bubble, what a dreadful time for you. when i delivered my 2nd dd (crash c/s) i remember bits of panic but was feeling too poorly (v low bp so they thought my uterus had ruptured) to panic a lot but i'm sure dh was petrified. everything was ok in my case and your experiences make sobering reading for me. i hope you get some answers quickly, xxx
glad to hear that elijah is well, he sounds gorgeous

unicorn · 25/03/2005 19:09

Can I just add my support to you and mr bubs?

Stay strong and united, and get some answers... and you (and Bo) will make a difference.

Keep posting - we're all here for you - whenever, whatever.

xxx

ThomCat · 25/03/2005 19:13

I've lurked and lurked, hand hovering over keys wondering what to say, have gone and come back and repeated this over and over. I'm just so dreadfully sorry, that's all I can say. Thinking of you, TC x

mears · 25/03/2005 19:33

bubble99 - I truly believe that there will not be a whitewash, and that lessons will be learnt. I rememeber being aghast that you had not been seen by an obstetrician by 36 weeks with twins, as you will remember.
Please, please do not blame yourself. The professionals were meant to be competent to look after you and your babies. The question must be asked what training has been put in place for staff regarding the interpretation of CTGs. The recommendations are that all staff should have regular training cesdi enquiries have recommended this for a number of years. The 7th report details the CTG interpretation recommendations. You should have been able to trust the staff. If there are training issues then these will have to be highlighted and dealt with.
I admire your strength during this very sad time. Thinking of you all, mears

Twiglett · 25/03/2005 19:34

Thomcat said it just right for me, since you posted this I have come back and back to it and been totally lost for words.

I wish you strength {{{{hugs}}}}

LittleRedRidingHood · 25/03/2005 19:41

Hugs to you Bubble and Mr Bubble - I agree with MunchedTooManyMarsLady - It wasnt your fault - dont blame yourself

xxx