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Childbirth

Midwifery unit or consultant-led unit?

31 replies

KitKat1985 · 11/04/2016 13:58

Hello. Will try and keep this brief whilst including all relevant information. I'm in the first trimester of pregnancy with DC2 and have my booking appointment in a few days. I know they are likely to ask me where I would like to give birth. There are two options in my area:

  1. Consultant led unit which is about 45 mins to an hours drive from my house (traffic dependent).
  2. Midwifery unit which is about 20-25 minutes drive from my house.

    With DD I chose to go to the consultant led unit as I was hoping for an epidural and also I wanted the reassurance of knowing there were doctors around if needed. However my labour progressed quicker than expected, and I found the car drive to the consultant led unit awful (and that was with basically no traffic on the road as it was 2am). When I got there the midwife in the assessment unit kept insisting on telling me I was probably just having early stage labour pains, and didn't rush to get me transferred to delivery. By the time I got to the delivery suite DD was born 10 minutes later and I didn't even get time for any gas and air, let alone an epidural. DD got a bit stressed by the quick delivery too and there was some meconium in her waters when she was born, but thankfully although they said she needed to be kept in for 12 hours for observations she was well enough to go home that day. I never saw a doctor the whole time I was there. Also the postnatal ward was noisy (shared dorm with 4 other women, and so there was always at least one baby crying at any time, so sleep was impossible). It was also very busy and I didn't get an awful lot of support from the midwives there as they just had so many women to look after (I felt quite sorry for the staff on the post-natal unit to be honest as they were clearly very stretched).

    So second time around I'm thinking about going to the midwifery unit. It's much closer (which is important as also we need for my Mum to come over - a 30 minute drive away- to look after DD before we go anywhere), and there's a reasonable chance labour 2 will be quicker than labour 1 (so probably unlikely I'll get an epidural this time either). They are also a small unit (rarely have more than 2 women in at a time), and other people who have given birth there have told me how lovely and relaxed it is there, plus all the rooms are private and en-suite so no shared facilities. I am nevous though in case something goes wrong and there's no doctors around, although I am told in the event of any complications they will blue-light you the consultant unit, but that's a 20-30 minute drive away. I guess with DD being stressed during labout last time I'm worried in case anything goes wrong. I also know a mum who started her labour in the midwifery unit but needed transferring to the consultant unit, but unfortunately due to the time involved in the transfer the baby was starved of oxygen and ended up with brain damage.

    If you were me what would you do?
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RattieOfCatan · 14/04/2016 17:10

I'm wondering about this too. I'm pregnant with my first and had my booking in 2 weeks ago. I'm actually relocating at 32 weeks so my midwife couldn't really help that much with advising me! My mlu would be 2 minutes from my house whereas the main consultant unit is 45minutes with no traffic, easily an extra half an hour in traffic though. I'm really against going to the hospital as I've heard horrid things about it (6 bed dorms, discourage you "disturbing" others in the ward, ie try to keep you in bed, try to keep you on the ward as long as they can, one friend had a 'roommate' crowning before they actually believed the poor woman who was insisting that the baby was coming right now) but the risk of being that far if something goes wrong worries me. I'm already marked as high risk thanks to a recent referral to a cfs clinic and a mild chest problem so I'll probably be forced to go with the clu anyway Hmm

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minifingerz · 14/04/2016 17:19

"I'm already marked as high risk thanks to a recent referral to a cfs clinic and a mild chest problem so I'll probably be forced to go with the clu anyway"

Talk to the supervisor of midwives - I very much doubt those things would make you ineligible for a MLU.

Is your home nearer the hospital? What about a homebirth?

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RattieOfCatan · 14/04/2016 17:31

That's what my midwife said but it still worries me. I'm booked to see a doctor to "discuss" it down here but her concern is that when I move they won't be able to refer me to a doctor soon enough and she's certain that they will want me to see a doctor there too. The mlu is apparently "strictly low risk" so goodness knows what will happen. I'm really against going to that clu though. They have an adjoining mlu which I will settle for but that mlu has a very high rate of transfers to the clu,and it's still quite far away. In an ambulance it's nearer 30minutes I'm told but that's still far.

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RattieOfCatan · 14/04/2016 17:34

Sorry missed the homebirth bit. Will be living with my parents so it's not an option unless it happens accidentally! Home and mlu are on opposite ends of the same road so pretty much the same distance from the hospital!

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Artistic · 14/04/2016 19:36

I had a very quick labour first time (couple hours start to finish), and second time round this was noted & highlighted in every meeting note & consultant meeting. In the end due to other personal reasons I chose to have a private consultant- led delivery, but am sure if I had gone the NHS way the speedy delivery would have allowed me to be admitted sooner than normal guidelines. That said, the second time round, my dilation went from non-started to 8cm in an hour - so yes it is likely to go very quick for you too. I was an hour away from hospital so I started from home at the first twinge and got there in good time before actual dilation could begin.
Go consultant led, and plan better on when/how to get there!

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KitKat1985 · 15/04/2016 10:42

Thank you for all of your comments and replies. Saw the midwife this morning. She seemed to be suggesting MLU as being the better option in my circumstances, but said that on the day if I decide to go to the CLU on the day if things aren't progressing that fast then I could do that too. I still feel a bit confused. Will talk to DH this evening.

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