Was your NHS ELCS with a consultant or registrar?

[PixieCake]

Hi all,

For those of you who had an ELCS on the NHS, can you tell me if it was done by a consultant or a registrar?

I was hoping for the consultant but have just read on another post that NHS patients can only get a registrar at Kingston (where I am going).

Booking appointment in the morning so if anyone can answer tonight that would be v helpful.

Thanks!

I had two consultants there.Solihull NHS.
I'm sure they wouldn't let a DR loose on you unless they were prop qualified.

#1 was (I learned afterwards) the first one she had ever done on her own (overseen by consultant) fab scar - often commented on for neatness.

#2 was prob a registrar (never met her before but not on the consultants list for my hospital) brilliant scar again - no oomplaints.

I was very relieved to have a consultant. Not sure whether that is routine or because I was very high risk (previous massive c-section hemorrhage).

Registrars will be doing them more often than consultants, generally.

Do you want 500 in the logbook over 20 years, or 20 in the last fortnight?

Registrar. He came round the next morning and said "ooh, look, it's time for your scan, I'll go down with you". When I pointed out that the baby he had delivered was sucking hungrily on my breast and therefore I no longer needed a scan, he said "no, your kidney scan" in a very matter of fact way. Turns out he thought he had cut the tube between my kidney and my bladder - hadn't thought to mention that, just thought he would try and get away with it. I was addled with drugs and exhaustion but not that addled! Stupid man. I threw a massive tantrum and got a very apologetic consultant who also came to the scan and confirmed that everything was in fact ok.

I had a Registrar, and they couldn't tell me in advance who was doing it. It was fine, don't worry, they do loads of them.

I don't know actually, possibly a registrar as I'm familiar with most of the consultants and they weren't in the theatre IIRC.

My consultant during my pregnancies did my hysterectomy though, so he obviously still did some operations.

I have no idea actually .

I just dug out my notes from my planned cs and it named a Dr 'so and so' as the person who performed it. However my consultant is mentioned on the notes as Mr 'so and so' so I am guessing I had a registrar.

Aren't consultants always called Mr or Mrs instead of Dr? That's what I've noticed anyway, but could be wrong.

You are wrong re medical naming. This is a really common source of confusion.

Surgeons (ie folk who hold a fellowship or membership of the Royal College of Surgeons) are by convention called Mr/ Miss/ Mrs/ Ms. Therefore quite often the surgical registrar will be using the Mr/ Miss/ Mrs/Ms. This convention dates back to the origins of surgery through the 'barber' surgeons who didn't have medical degrees but could operate. Physicians had medical degrees so used the title Doctor.

Obs & Gynae people are members of the Royal College of Obstetricians and Gynaecologists. They do some operating. For some reason I've never been able to fathom in England & Wales they go by Mr/Miss/Mrs/ Ms and in Scotland they go by Dr.

Folk like me who are members of the non surgical specialities always go by Doctor regardless of our grade/ exam status.

Some people hold qualifications in surgery and another speciality if they are working outwith surgery they will usually (but not always) go by Doctor.

Surgery is a wide encompassing term and includes general surgery, ENT, maxillo facial, orthopedics, neurosurgery and a whole pile of other specialities that I've forgotten to name.

PS: Be aware that 'registrar' is a wide encompassing term for someone right at the beginning of their training to someone who may well be a Consultant the following week.

There are some things that I do (as a mere registrar), admittedly mostly when I'm oncall where my experience is much more recent than some of the Consultants who supervise me. I'm not saying they couldn't do it, as I'm sure that they could, just that I do it more often.

Thanks all.

What grade of registrar (or ST as I believe they are now called) is the minimum you could expect for a c section?

Could an ST4 do it?

Defintely. ST 4s run labour wards in dgh's overnight with the boss on call at home. Ergo they do loads of sections normally.

It will be ST1s and 2s who are really learning above that they are more perfecting IYSWIM.