Here is my email.... to head of midwifery, chief exec and PALs CC'd in. Hope I didn't come across as a twat
I thought I sounded fairly calm, and non hysterical?! I hope!
Dear XXXXXXXXX,
My name is TheDetective, and I am booked at XXXX for my maternity care. Unit number 000000, DOB XX/XX/XXXX. My EDD is 03/11/12
I am planning a home birth in the XXXXX area, under the community midwives. I informed XXXXXXX community midwife of my intention to have a home birth at my booking appointment at 5/40 gestation. I have reiterated this intention at every subsequent visit. I provided my written intention to home birth/ birth plan to XXXXXXX at 25/40. She passed this to a Supervisor of Midwives, XXXXXX, who subsequently visited me at home on 13/09/12. I have since had a visit for a home birth assessment from a community midwife - XXXXXXX on 04/10/12.
Throughout this time I have felt unsupported in my plan to home birth. I have been told that there may not be cover for a home birth when I go in to labour, or that the community midwives may be at another home birth and I would be required to attend hospital. I have informed both XXXXXXX, and
XXXXXX that if this is the case, I will not be attending hospital, and I require a Midwife to attend me at home. I have been informed that in this case an ambulance would be sent to me, and if I chose not to get in, that this is where your obligation to provide me maternity care ends.
I am appalled that your Midwives would consider that this is adequate maternity care. I am now at a point in my pregnancy where it seems I have to decide between putting myself in either the risky situation of being unattended in labour, or attending the labour ward, where I will be subject to midwives who will not be aware of my detailed birth plan, and doctors who will be able to enter my room at free will. As a woman who has had a previous traumatic delivery, resulting in emergency caesarean section, I require competent maternity care in a place that I will feel safe, respected, and in control of my own birth. For me, this can not happen with in the maternity unit, unless there are genuine obstetric complications. Staffing issues are not an obstetric complication, and should not be my concern. I should be able to ring when in labour, and access a home birth service.
I currently do not have faith in your services, and am deeply unhappy and distressed at what appears to be barriers to prevent me from birthing at home. At this late stage in my pregnancy it is not acceptable to have this level of stress and worry put upon myself by your Midwives. Staffing issues are a matter for you to deal with, not me. I require a response to the matter as urgent - I will be 37 weeks on 13/10/12.
Once again, I reiterate, I will not be attending hospital in labour, simply because of staffing issues. If a midwife is unable to attend me in labour, and something happens subsequently to either myself or my baby through lack of care provision, I will not hesitate to take appropriate action, and I hold you responsible for the failure to provide care.
I hope that this will not be the case, and I will be provided with my legal right to maternity care.