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Childbirth

Share experiences and get support around labour, birth and recovery.

HB support in Darlington - the truth? Panicking now...

7 replies

VikingLady · 09/01/2012 16:58

DC1 is due mid-March, and hb is the only real option for us. If you've visited our local hospital's maternity unit you'd understand why! Extremely interventionist, very high infection rates, ghastly depressing place to be... The list goes on. Neither DH nor I drive so other units are not an option. Since I am low risk on everything they check, I should be fine for hb.

The point of my question is how much support am I likely to get nearer the time? So far the mws are all being very positive about it, but I have read on MN and elsewhere about health authorities waiting til the last minute then telling you that you can't have it after all, due to staffing issues. I don't know anyone local who has had a kid recently, so I don't know how likely this is to happen. If it is likely then I can prepare for it, but it is stress I don't need!

Thank you.

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BandOMothers · 09/01/2012 23:05

Can you not get a friend to be on standby for the time you go into labour? Apart from that...i would ask the MF to be honest with you....tell you the truth about it.

VikingLady · 10/01/2012 11:24

I don't have any local friends as I only moved here fairly recently. I asked a mw today, and she ummed and ahhed, which may not be a good sign...

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Mooglet · 26/01/2012 21:10

I live in the area, have had 3 HBs, and outstanding care. But I'd like to know where you got your facts about the hospital from. The latest Healthcare Commission report ranked it as "best performing", it has a lower than national average C-section rate, and lower than average induction rate.

Speaking as a doctor there, I think you need to consider what you are going to do if you have to give birth in a hospital, especially such a "ghastly and depressing" one. After all, a lot of HBs, especially first ones, end up transferring (I think the latest figures say c.40%).

I'm all for homebirth and hope you find the support you want, but it's not what everybody wants and I think that posts like yours can make people unnecessarily anxious about their local hospital.

VikingLady · 27/01/2012 09:24

Mooglet I did not post to put people off hospital births - I posted to ask for help and advice. Thanks for understanding. I rather thought that was the point of this forum? Your post appears quite hostile.

I got the stats from the NHS Choices website, backed up by a visit to the unit. The stats were repeated by the midwife who showed us round on the guided tour. She and other local midwives who work in the hospital have told us that a HB would have a considerably lower risk of infection, as would the MLU that we cannot get to (we don't drive).

The reason I called it ghastly and depressing was that this is the image we have after the tour.

  1. It was dark and dirty (food on the floors but apparently the cleaners were not due for a few hours yet),
  2. we were told that 24 hours after waters breaking we WOULD be induced,
  3. that after a certain amount of time we WOULD move using forceps/ventouse and stirrups,
  4. that we would not be allowed our own food from home (I have blood sugar issues and need proper food regularly, a sugary drink makes it worse),
  5. that 4 hours after birth we would be moved to postnatal and dh would have to go home. I understand the reason for this, but being moved to a shared room in the middle of the night and coping on my own 4 hours after birth, then waiting til 11am for visiting time is depressing. We were also told that they no longer let you pay for a private room, even if there is one available
  6. shared bathrooms, so you would need to put clothes back on to go for a wee in labour, and possibly wait to be able to go.

Generally, we were given the distinct impression that we would be on a conveyor belt with timings dictated by routine, that we would have no choices in our care/birth, and that birthing mothers with opinions were frankly an inconvenience. I would go to the local MLU but as I say, we do not drive.

Since then I have been on a different tour of the same unit with the NHS antenatal class, and it was completely different. This was down to the midwife who showed us around. She showed us the midwife-led rooms (turns out we had only been shown a high dependency room) which actually had somewhere to sit down, told us they had birthing balls, showed us that the beds could be manipulated so you can give birth in different positions, showed the lighting options (you cannot overestimate the difference that makes!), it was all clean, we were reminded constantly to use the handgel every time we moved area within the unit (never happened once on the other tour), shown more toilets and showers and told some of the rooms ARE en-suite, told us we would get tea and toast after the birth regardless of the time and that we COULD bring in food/drink, and generally reassured us that we would not be pressured into agreeing to interventions we did not want.

I feel a lot better about the unit now, but still do not want to give birth there in case I get that first midwife! I no longer have faith in them, and I do not know which attitude is more common in there. I do know that both of the midwives I have seen the most of agree I would be better off at home, based on being low risk in every category, my concerns about infection rates and the general stress of a hospital environment.

I am aware that I may need to be transferred to hospital, and that roughly 25% of planned hbs do transfer. My priority is a healthy baby and healthy me, in that order, followed by being happy and unstressed. I am not daft, and I would not endanger the baby if anything started to go wrong. Each midwife has said to me that I would get the same care/expertise in a hb as I would get in the MLU, and as I live considerably closer to the hospital than the MLU is (5 minute drive rather than 30 minute), it really is safer.

As I say, I did not post to put people off, nor am I stupid. I have looked into it - after all, it is my baby's life at stake in any kind of birth. All I wanted to know was whether support for a hb in this specific area was likely to be spuriously pulled at the last minute, as I have heard happening elsewhere. A reasonable question.

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Mooglet · 27/01/2012 20:47

I didn't mean to be hostile, and you seem to have misread my post a bit - I haven't suggested anywhere that you are daft, that you might endanger the baby, or that having a HB is a bad idea. As I said, I have had 3 HBs. All I was trying to point out is that birth plans can change, that 40% of first time HBs have to transfer (I think 25% is optimistic), and that you are painting a very negative picture of the hospital where you would end up (and where I work, remember!) if you have to transfer. I am glad that your second visit was more positive.

The PCT did withdraw homebirths for a period over the summer - perhaps 2 months - because they were short staffed. The MLU in Bishop also closed. However they recruited a lot of people following that, so it might be less likely to happen again. But ask your community midwife - they will know the latest news.

EdlessAllenPoe · 27/01/2012 20:56

you can't be denied a home birth. you call: they attend. if they say they have no-one, you can still insist...

in my area it is pretty positive about HB but some women still do get told there isn't anyone to come out...not happened to me yet but have 'i await the call from the attending MW' planned as cracked-record response.

otherwise, you could hire a doula/IM to support you in your birth choices, as Mooglet points out there is a higher transfer rate for first timers and you are likely to get what you want (ie, not to be on a conveyor belt) if you have an experienced person to argue for it.

VikingLady · 30/01/2012 17:48

Mooglet I may be overreacting to your post - sorry. I'd had a loooong day with a huge amount of unwanted criticism over my choice, which may have led me to read more into your post than was intended. Sorry about that.

I'm aware I may need to transfer, but can't really help my view of the unit - that is how I see it. I'm asking the MW again tomorrow.

EdlessAllenPoe I have the letter from the AIMS website ready to print and send if it happens! I can't afford a doula/IMW, but as you can see frm the above, I can be quite persistent... As long as I think I am right! DH knows to tell me if he gets uncomfortable with it all and thinks anyone wanting to transfer me is right. I can rely on his judgement, fortunately.

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