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Childbirth

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

Lindo or Portland? Anyone have and opinion?

143 replies

p555nat · 31/10/2006 11:12

I recently went for a tour at the Lindo Wing of St Marys and was a little dissapointed for £3500!! I am now thinking of changing to The Portland, has anyone else looked into both? Any other opinions? Also is the Portland more expensive?

OP posts:
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lulumama · 31/10/2006 17:37

hmmm..might have totally contradicted myself in that last post!!

bundle · 31/10/2006 17:37

lulumama, the care was pretty much midwife led in my hospital too, unless, like me, you had problems (failure to progress, acidosis in dd1, massive drop in my bp which failed to recover - c/s both times for me, but 2 healthy daughters). I honestly think that most obsts know who's best at helping mothers when there are no complications.

lulumama · 31/10/2006 17:42

bundle,....i saw my obs many times during pregnancy as high risk...and i was very unusual in not ending up with an obstetric led delivery in the end..........too many friends ended up with c.s under the obstetric care at that hospital..

p555nat · 31/10/2006 17:43

bundle, I didn't mean it rudely about CD being back! Am reading with interest.....

FYI I'm still un-decided and admittedly a little over sensitive about the harsher stories (no doubt wonders of hormones!!). Lindo is still very much in the running....

OP posts:
missymoosal · 31/10/2006 19:00

Was an anaesthetic sister at St Marys in Paddington for 10 yrs. Would def choose Lindo if anything goes wrong you have a full NHS fully experienced team on site. Any probs at Pland get shipped diredtly to Mary's has an excellent SCBU etc.
If you wanted something more 'natural and less hospital like' why not go for a homebirth instead
would be guarnteed 1 on 1 mw.
All births are different and just because you have been problem free before doesn't always follow and if there were to be any complications you want swift, knowledgeble care from a 24hr standby team.
I have personally attended 'crash' sections at the Lindo Wing on many occasions and the facilities are excellent. Another important point is does the Portland have 2 fully functioning operating theatres because believe me I have seen 2 required at the same time on many occasions.
As far as ANY private hospital goes I would have grave concerns about using them for any form of care.
They can deal with the routine but are often woefully indaequately staffed by senior dr's in the night, if all goes well fine but if a problem occurs there is often very little time and you need a mobile team that comes to you not to get shipped out somewhere else.
Private hospitals are about nice rooms, food etc but what's all that when you are in a standalone hospital with an unpredictable emergency cover.

pupuce · 31/10/2006 19:33

In my job, I speak to women who have opted for private hospitals... it's often because they expect the care to be better...and who would NOT when it si costing that much.

I have YET to hear or meet a primip (that's a woman having her 1st baby) to have a natural (by that I mean intervention free... no drugs and no medical help!) in a private hospital.
Many are examined vaginally in late pregnancy.... One could ask why that is??!?!?!?! Inductions are offered very quickly too.

If I wanted to spend the money I'd go with Caroline Flint's birth centre... now if you want to check their stats.... you will that it will seriously increase your chances of a natural birth.

NappiesGalore · 31/10/2006 21:01

wow - this thread got heated!

ok, so when i said they had a bad safety record, i am going on the anecdotal 'evidence' of my mother, who is a midwife of over 20 yrs experience, a very well respected one with a background in community care and ythe promotion of natural birth.

she was concerned at my decision to go private at all as she said emergency care in the event of difficulties is much better on the NHS. But, she said, if i did go private, please DONT go to Portland as she felt they had a poor record of maternal deaths, which, call me strange, but im quite concerned about.

no evidence and cant be bothered to look it up, but you asked for opinions, so thats an opinion.

she recommended John and Lizzies (which is a low risk unit, so will only take routine cases and in fact if the baby was in need of intensive care would have to be transferred, so if thats your concern, not a good option, in fairness) as it is run by a man called Yehudi Gordon who is a very well respected obs and firm advocate of 'active birth'. ideals i share.

worth looking into, i think.

whatever you decide, look into the options thoroughly, id say.

and then just relax about all the stories and enjoy your pregnancy and birth! you'll probably be fine, whatever you choose.

good luck!

spudballoo · 31/10/2006 21:57

I'm having a planned section at the Portland, for medical reasons. Haven't had the baby yet so I guess I'm not really qualified to comment but looks like everyone has has pitched in so I might as well....

I was also concerned about the lack of maternal ICU at the Portland. I asked how many women were transferred out last year - 3 out of 2,500 births. All 3 were for non labour/delivery related problems. Their HDU can deal with 'usual' complications eg. postpartum haemorrage.

They have 4 fully functional, set up and ready to go 24/7 operating theatres. 2 for planned sections, 2 for emergencies, with planned sections getting bumped of course for emergencies.

They DO have HDU/NICU, and I have 2 friends who are neontal nurses who've been happy with the facilities there and had babies there.

So, I'm comfortable with all that. Perhaps different for me because I'm having a section.

I would add that I had a dreadful birth first time round on the NHS. I now have a colostomy bag as a result.

I don't believe I will get a better standard of care at teh Portland, but I believe I will get more attentive care and care on my terms which suits me.

Hope you make the decision that's right for you.

Spud x

bundle · 01/11/2006 10:03

Portland says their NICU can deal with babies once they've reached 32 weeks gestation

pumpkinpies · 01/11/2006 18:38

Having used the Portland I would say there are certain things I liked and disliked. Those I disliked had nothing to do with the level of care. In fact DS was ill when he was born and the paed looking after him was one who does Mary's & the Portland so I wouldn't say he would have received any less care. As for me I had a midwife whenever I needed one which from friends I hear that is not the case in the NHS. Yes The Portland has had things go wrong but I think if you were to look at like for like statistics the proportion is far lower than in the NHS. Several friends have had dreadful things happen to them and continue to due to short staffing levels and dirty hospitals. As for more interventions in the Private sector as someone has also mentioned many woman go to The Portland, Lindo & John & Lizzies specifically to have c-sections on private medical insurance. I know many woman who have had natural births at John & Lizzies and The Portland. I would say as long as you are happy with the consultant and have faith in him that is the most important he will be the one delivering your baby.

CountessDracula · 01/11/2006 18:52

unless he/she happens to be doing their nhs work when you go into labour, what happens then?

firsttimemama · 01/11/2006 20:03

Trying not to hijack and not having been party to previous Private v's NHS discussions - Not that this is one. It is very gratifying to hear the overwhelming support for NHS care in the event of an emergency- following on from an ealier thread about the state of Britain, I for one am very proud of this country and very grateful for the NHS and it's healthcare professionals. By the way p555 I would go with the Lindo - much better safe than sorry. And I wouldn't have a home birth for the same reason.

anotherdebbie · 01/11/2006 21:13

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novadandypowder · 02/11/2006 09:36

Sorry, haven't had time to read all the posts, but would just like to say I had my baby with the Midwife Led Delivery team at the Portland and was 100% happy with everything, including the cost. They are very pro natural birth, no option for c/s unless it's dire emergency.

Am having baby number two there in March, for which there is a discount.

IMO it's an experience that I want to be as pleasant as possible, and is definitly worth the money.

MizZan · 02/11/2006 10:12

hi - I had DS1 at the Portland and DS2 at an NHS hospital (outside of London). There was absolutely no comparison, in terms of care, cleanliness, anything. The care at the Portland was great, we came in at 4 AM on Saturday night and I was immediately examined, asked for an epidural and got one, as things progressed they then called the consultant who appeared and delivered the baby - all smooth, no problems, no C-section, fabulous experience. I know a number of other people who've had babies there and all of them have had very good experiences. I haven't heard a single horror story, other than the widely reported maternal death story in the press a couple of years back.

This in stark contrast with my local NHS maternity hospital, the Rosie in Cambridge. I went into labour unexpectedly at 32 weeks with DS2 and went into the Rosie. Despite what was obviously a high-risk situation, no one even bothered to examine me for an hour. I finally came out and screamed at them for a while, then was told that the midwife was "not allowed to examine anyone who was only 32 weeks" and that I had to wait for the consultant. Who did not show up. At all. At this point I was so distressed that I nearly got up and walked out so I could get on a train to London and go to the Portland.

Finally the midwife gave in and examined me, and then a so-called registrar, who I guess was a doctor, but clearly had no idea what was going on. I asked for an epidural, and they literally laughed at me, and said "Don't be silly, you're not having this baby today." I asked for drugs to stop the labour and by the time the guy showed up with them, it was way too late to do anything. They did an internal exam on me including a vaginal scan, about 10 minutes before the baby actually came out, all the while insisting that he was not going to be born that day - I can't begin to express how painful and horrifying this was. Throughout, there was no consideration for me as a patient, and seemingly no understanding of what the actual situation was - just a sort of bizarrely obsessive "we must follow these procedures" attitude which undoubtedly contributed to the riskiness of the situation. Thank god it was a straightforward birth, despite being so premature - I still shudder to think what would have happened to DS2 if he'd been breech or had the cord wrapped around his neck or any of the many common things that can go wrong.

After the baby was delivered, the registrar disappeared, and I never saw her again. No one was willing to even tell me what her name was so I could file a formal complaint. The consultant never appeared, during the birth, or later.

To top things off, DS2 then ended up spending 6 weeks in the NICU and SCBU, where he contracted MRSA, which had clearly been transferred to him by a doctor or nurse from another infected baby in the unit. The hospital did not do any routine MRSA testing so had not even been aware that this other baby had it in the first place, until he underwent a test because he was to be transferred to another hospital. So we got to live with that too, for many months - thank goodness he's clear of it now and by sheer good luck had no ill effects from it. The hospital staff gave us no support at all in coping with this, other than sticking my son in an incubator to "isolate" him from other children in the SCBU, and I had to resort to calling my London ob-gyn (who had delivered DS1 at the Portland) for advice. He said he had very little experience with this since MRSA was not a problem at the Portland, but kindly referred me to a bacteriologist who did research on it and was very helpful - totally unlike the NHS staff I dealt with, who were, with one exception, basically all just interested in covering their backs when things went wrong, which seemed to be a pretty regular occurrence.

I would not hesitate to recommend the Portland. If you want a safe birth, good care for both you and babies, and happy memories of it all, it's really worth it. Don't listen to scaremongering on here (all of which, I note, is from people who did not have their babies there). I think because it is expensive and lots of celebrities go there, the Portland attracts a certain amount of undeserved flak. As for the NHS, you can probably guess my opinion from the above. I would fly to another country rather than risk having another baby in an NHS hospital.

mozhe · 02/11/2006 10:48

I've had 5 children at the Portland, including twin CS 6months ago. Both babies and I needed ICU immediately after delivery,( thankfully very briefly in my case..), they handled everything extremely well. I would definitely go back for no.6 ! Fingers crossed !
Incidentally I am a hospital consultant myself,( not obs&gynae ), as is dh,( he's A&E consultant ), and we did our homework ....Enjoy the Portland ?

sleepfinder · 02/11/2006 10:55

MizZan - that's awful but it sound like you handled it well.

It was exactly that kind of cautionary tale which made me go to the Portland in the first place.

That and the fact that the NHS hospital I was registered at

a) lost my blood test
b) had an unreliable mid-wife who confirmed meetigns and then never showed up for them

I'm still paying it off...

wheelsonthebus · 02/11/2006 13:13

justaphase - i think you mean st john and elizabth's (where emma thomson et al had babies). when i was considering going private, my consultant told me not to go there!

snugglebumnappies · 02/11/2006 13:52

Hi, am really intrseted in this thresd, am from "up north" and therefore the options for private care are not as wide as for all of you in London. This is my third pregnancy and I have booked for a home water VBAC with and independent midwife, my choice was kind of made by the fact that I am an IM also! What I am really intrested in is why people choose private maternity care, I am not being sarcastic here, as obviously I have gone down the non NHS route, but as it isn't an option for me I have never looked into private hosp care, what has made you make that choice?

Spockster · 02/11/2006 14:00

As a doctor, you wouldn't catch me having my toenail taken off in a private hospital, let alone having a baby. Maybe it's knowing too much about what could go wrong, and knowing too many of the junior doctors who've worked as RMOs.....If I valued nice duvet covers over anything else (and if I wasn't a socialist anyway) I'd choose a private wing every time for myself and anyone I care about!

Spockster · 02/11/2006 16:48

OK looks like I just killed that thread then....

mozhe · 02/11/2006 17:23

come on spockster I'm a doc too.....but having a baby isn't like an illness,( although occasionally things can go a bit awry, they did to me...), and tlc is important too, consider the psychological aspects too. You feel like a million dollars at the Portland, although you might feel like they've relieved you of as much...It helped me get back on my feet quickly..and back to the good old NHS quicker.
The one time things got complicated, they handled it well.

mozhe · 02/11/2006 17:23

come on spockster I'm a doc too.....but having a baby isn't like an illness,( although occasionally things can go a bit awry, they did to me...), and tlc is important too, consider the psychological aspects too. You feel like a million dollars at the Portland, although you might feel like they've relieved you of as much...It helped me get back on my feet quickly..and back to the good old NHS quicker.
The one time things got complicated, they handled it well.

Spockster · 02/11/2006 21:41

Childbirth may not be an illness, but it can have plenty of complications...and quite honestly I think tlc is rather more important when you are ill...now I may just accept that if I was terminally ill then I might want to pay to have someone taking care of me really well in nice surroundings etc etc, and I wouldn't be too bothered if the RMO on call didn't know one end of an endotracheal tube from the other end of a endogastric one. Childbirth may be the most natural thing in the world, but being born is pretty traumatic and you know how quickly a woman can exsanguinate if she haemorrhages heavily...sorry, memories of labour ward haven't faded that much in the last 12 years!!

PrincessPeaHead · 02/11/2006 21:58

exsanguinate..... DEFINITELY the word of the day on mumsnet
is "bleed out" just for yanks then?

exsanguinate may be my newest favourite word, thank you. and on that note.... grey's anatomy is about to start!