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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:
Heathcliffscathy · 25/03/2005 19:48

victims often find ways of feeling to blame. you are not.

i really hope with all my heart that this enquiry gives you the answers and access to ivf that you deserve and need.

x

bubble99 · 25/03/2005 20:34

Thanks all for your support and thanks mears for the link. I've just had a quick look through and a couple of identified issues contributing to stillbirth jump out. Poor communication upward during emergencies, inability to recognise significance of CTG traces and a reluctance to "interrupt" the anaesthetist, particularly when having difficulty with anaesthesia (in my case spinal. Well I interrupted him anyway)
I also wasn't given a VE until 2.30am even though I'd told the staff that I'd had a "show". The doctor said earlier that it was "unecessary and obtrusive." When they did check I was 4cm, how long had I been at 4cm? Would it have had an adverse effect on the babies if I'd been 4cm for days?
Should probably CAT you with all this mears but I think it's essential reading for others so that they can go into hospital forewarned and hopefully forearmed.

OP posts:
mummytosteven · 25/03/2005 20:38

bubble - so sorry about what you're going through, and I really hope that the enquiry outcome is fair to you.

I don't know if this info will be of any interest/relevance to you but at my hospital in Liverpool it is routine for every PG to have one obstetrician appointment after the 20 week scan. (of course not necessarily with consultant rather than registrar).

bubble99 · 25/03/2005 20:38

"Unnecessary and intrusive"

OP posts:
bubble99 · 25/03/2005 20:41

Posts crossed mummytosteven. I didn't mean you.

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dinny · 25/03/2005 21:06

Bubble, my heart goes out to you and your dp and your babies. Someone somewhere failed you all. My thoughts are with you. xxxxxx

earthmum · 25/03/2005 22:07

Hi Bubble99,

Just joined Mumsnet and couldn't help feeling that I had to tell you of my experience in 1991. I was 6 months pregnant with twin boys and had had a great pregnancy up until around month 4 when I noticed that I was losing quite a bit of fluid. The docs kept telling me that I was peeing myself and not to worry. I knew different and asked to be checked out. They gave me a few scans and told me that there was enough fluid around my babies and not to worry. I went away feeling that something wasn't right ( I had had miscarriages before) but there was not a lot I could do so I just got on with it. Then one day I felt a bad bout of what I thought was a water infection and again went to my GP who actually prescribed antibiotics. I jumped on the bus to go to the chemist to collect my prescription in a terrible state with tummy pains. I nearly collapsed when I came home having to stand up all the way on the bus too. Later that day, I felt what only could be described as needing to go to the loo but couldn't. Later that day I went to the loo and actually passed half of one of my twins. I was home alone and called for my P and an ambulance. Was rushed in and the registrar that had told me nothing was wrong in previous water loss tests was there waiting with her mouth hung open. She decided it would be a good idea for her to do an internal exam which lodged my tiwn back into my Uterus. I had to stay in an upright bed for 2 days waiting to lose my baby naturally, all due to their neglect. I then had to have an epidural to remove my first twin in the the hope that my second would survive. He did for a further 3 weeks until I finally went into labour and he was born still. What was going to happen would have however, I feel that the treatment that was or, as the case was, was not given to me was appauling. To top of all this, I was treated so badly that I can't even bring myself to talk about it. If I tell you that losing my first twin in the mortuary was the last straw then you can imagine how bad my treatment was. I don't know why I am posting this but I suppose I just want you to know that I do really understand how it feels to lose something so special and that should you need to talk to someone who has been in a similar situation then I am here. Also, I think some kind of forum/group should be set up to let the public know what treatment they should expect and get from the NHS. And, who do we blame when things like this happen??

Blossomhill · 25/03/2005 22:12

Easrthmum - hugs to you. That was such a sad story, I really feel for you and your great loss xxx

Evesmama · 25/03/2005 22:16

i am so sad for you bubble.

i dont know what to say, they let you down in a way that can never be jutified or reversed and i hope they lie awake eachnight thinking about it cos i know you willxxxxxxx

Evesmama · 25/03/2005 22:18

earthmum
im speechless

earthmum · 25/03/2005 22:21

Thanks Blossomhill,

I now have a 2yr old daughter and a 1 yr old son which can't replace my twins but, they provide me with a great happiness which I never thought I would find again. x

earthmum · 25/03/2005 22:23

Evesmama,

I just think this kind of treatment needs to be stopped but, how do we do it?????

Evesmama · 25/03/2005 22:27

well i would back you up and am sure many more on here would, but where would you start??contacting hospital?reporting doc concerned??
how can they live with themselvesbastards!

earthmum · 25/03/2005 22:31

Something well worth thinking about, I shall try (time to myself these days is difficult)to contact a MW I know and see if she can point me in the right direction as she even feels the system is failing badly. Watch this space!

nikcola · 25/03/2005 22:31

{{{{{{{{{{{}}}}}}}}}}}}}

Evesmama · 25/03/2005 22:33

or maybe your health visiter???or general medical council??cat me if i can help you look or anything

p.s.. not a clue how hard its been for you, but really pulled my heart strings(both posts) and it could have happend to any of us

earthmum · 25/03/2005 22:36

Evesmama,

Thank you. x

Spacecadet · 25/03/2005 22:44

hugs to everyone who hs ever had a stillbirth, I lost a baby at 26 weeks, although not due to medical negligence.

bubble99 · 25/03/2005 22:58

earthmum

I'm so sad to hear what happened to you.
You knew "something was wrong" and asked to be checked out. I totally understand the fact that you went away and "got on with it." What else are we supposed to do? These people are supposed to be the experts. I'm staggered that even after the scans showed that fluid was low no action was taken. These are high risk pregnancies FFS
Did the hospital hold an enquiry? And if so did you get any answers?
I'm very happy to hear that you've found some happiness with you DD and DS. Nothing can ever replace your loss but I know that having my two older DS's and baby Elijah to cuddle (and Mr Bubble, of course ) has made it just a bit more bearable. Love to you earthmum and thankyou for posting. XXXX

OP posts:
bubble99 · 25/03/2005 23:00

Hey Spacey Good to hear from you. XX

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Evesmama · 25/03/2005 23:01

night girls..will be thinking of youxx

Jaysmum · 25/03/2005 23:07

Hugs to you both......I KNOW how you are feeling and send you all the hugs I can possibly send.
I lost my twin boys at 29 weeks due to undetected CIN which caused my cervix to collapse....had an emergency hysterectomy the next day, followed by months of radiotherapy. Left alone at 21 to cope....no babies to love, no chance of ever having them either. 15 years later I still remember that day as if it was yesterday...

Stay strong xxxxxxxx

Blossomhill · 25/03/2005 23:10

Jaysmum - I am in tears, I didn't know. So sorry honey {{{{{{{{{{{{xxx}}}}}}}}}}}}}}}

Jaysmum · 25/03/2005 23:30

ahhhh but it gets better.....now I have my boys to love. Things are meant to happen you know Bloss....ds1 and J needed a mom and dad to love them....so they got us.

Blossomhill · 26/03/2005 11:09

That is so lovely Jaysmum. You adore your children and they obviously adore you xxxxx