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Childbirth

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

Should I complain about my NHS birth experience and postnatal care?

35 replies

unsuremum11 · 27/04/2020 14:35

Apologies for the length of this post but I feel that I need to give details so that you can understand what happened and why I am considering making a complaint about my recent birth experience in an NHS hospital.

I was admitted to hospital due to my waters breaking prematurely and continuous heavy bleeding. My baby was delivered that night (4 weeks premature). I had a c-section and there was more staff banter during the procedure than I would have liked, which left me feeling obligated to laugh along at the surgeon’s jokes etc when all I really wanted to do was be calm and quiet and await the arrival of my baby! Thankfully the staff were all nice though and the c-section was straightforward. We heard our baby cry as she was being born but then the crying stopped. Minutes passed and I knew it was not a good sign that my baby had not been handed to me. Eventually I asked the anaesthetist what was happening and he told me that my baby was having trouble breathing but that the doctors were helping. After an agonising wait of several minutes we got to see DC and moved to recovery. Later I found out that DC had to be resuscitated and that was what caused the delay.

We were moved to the ward and I struggled to breastfeed as my baby could not latch. Some of the midwives were quite impatient with me/us about this and one expressed colostrum from my nipples quite aggressively and did not stop when I said she was hurting me. I was shown lots of different breastfeeding positions and techniques by several different midwifes and lost count of the number of staff who watched me breastfeeding over the first two days and gave advice. I felt that they were all expecting a lot from a premature baby who couldn’t latch and on day two I asked for and was provided with formula to give DC as I wanted to make sure my baby was fed one way or another. My gut feeling was that the breastfeeding wasn’t going to work. I felt I had tried my best and was starting to get stressed out by all the “help” I was being given with it.

We were due to be discharged on day 3 and DC had thorough checks including documenting birth marks, blood sugar and was weighed (all okay) and we were told all was good. Then a new midwife arrived on shift when we were waiting to be discharged and told me that she had concerns about discharging us as I hadn't "established breastfeeding" yet. I explained that we were giving DC formula in addition to expressed colostrum and that I had had a lot of advice and help with breastfeeding technique and positions from the midwives already without success. I explained that I planned to continue doing lots of skin to skin and trying to establish breastfeeding at home, where I hoped baby and I would also be more relaxed. I said that I was happy to continue with formula and see how it went with the breastfeeding at home. The midwife said that she was not happy with this plan and that she strongly recommended I stay in hospital until breastfeeding was “established”. At this point I asked what my rights were with regard to discharging myself and baby as I really wasn't happy with the care I was receiving or the attitude of the midwife and felt like I was being treated as if I'd done something wrong by not being able to breastfeed and supplementing with formula. I did eventually agree to stay another night but by this point I hadn’t slept in 48 hours and was starting to get very tearful and have panic attacks due to the issues I’d had with the staff. I had been expecting a visit on the ward from someone from the perinatal mental health team due to my existing anxiety (this had been agreed as part of my birth plan) but nobody came, despite me asking to be seen by someone. Later that night I asked to be seen by a different midwife than the one who had issues with discharging us and we were discharged with no issues the next morning.

Then, the morning after we were discharged from hospital, a midwife came to our home for a standard check but ended up raising a safeguarding concern because she thought our baby's Mongolian blue birthmarks could be bruises, as the previous midwives/doctors hadn’t documented the birthmarks in her notes. My partner and I were very frustrated by this as we had actually asked doctors and midwives about these birthmarks immediately after DC was born and had also discussed them with one of the midwives who did all the checks prior to discharge. This midwife who did our baby’s checks documented two of our baby's other birthmarks but it turns out she didn't document all of them. As the visiting midwife thought they could be bruises we were ordered to attend A&E immediately. I hadn’t even unpacked my hospital bags at this point. She called ahead to the hospital explaining she was raising a safeguarding concern due to unexplained bruises. It felt like we were being accused of abuse. In shock we drove back to the hospital as instructed and made our way to A&E. I never expected to be sitting in an A&E waiting room with my newborn baby under such circumstances but that's what happened. Finally after several hours back at hospital doctors accepted they were not bruises but birthmarks. We have since attended hospital again to have the birthmarks photographed and officially documented.

I know the midwives on the ward were probably well meaning re: breastfeeding and the one who raised a safeguarding concern was just doing her job. It wasn't her fault that the previous midwives and doctors had not documented them as they should have. I saw the same midwife a few days later and she gave me a hug and apologised for all the stress caused. She suggested that I make a complaint as she felt it was wrong that other birthmarks had been documented in our DC’s notes but that the Mongolian blue ones that could potentially be mistaken for bruises were not documented. I was concerned that there would be a record of the safeguarding concern forever on our notes and having "attended a&e due to unexplained bruising" is not something we wanted on our records. The midwife said that she would contact the safeguarding team and later on called me to confirm that the safeguarding record had been deleted.

The whole experience really negatively impacted me and I have had postnatal anxiety and low mood. I expect I may have experienced these anyway but my experiences in hospital certainly didn’t help. Do you think it would be worth complaining to the hospital or should I just try and move on?

OP posts:
ArnoldBee · 27/04/2020 18:57

As you had a c section have you had a debrief? It is the policy for nhs trust to ensure you have this as it has been shown to have an impact on mental health and the whole experience. The banter thing is a non issue and if someone else was with you they should have shared your wishes or you could have said something. It sounds like the midwife was trying to help you with breast feeding but the execution was off. You should have been seen regarding your mental health and the birth marks should have been documented - these are the 3 things I would complain about.

TriangleBingoBongo · 27/04/2020 19:00

My baby didn’t cry and needed oxygen? Is it a shock thing. I wish I’d asked now. But wasn’t with it at the time.

When I asked later they just said “he had some oxygen” so maybe that was the only explanation.

I feel for you OP. I had a traumatic birth. It all plays on your mind and it’s all overwhelming being a new mum too.

TriangleBingoBongo · 27/04/2020 19:04

As @ArnoldBee said you can ask for birth reflections. I was offered this too.

BIankets · 27/04/2020 19:09

I’m certain records (particularly safeguarding entries) can’t be deleted. An explanation or correction can be added, but nothing can be erased.

Source: safeguarding midwife.

SinkGirl · 27/04/2020 22:16

As you had a c section have you had a debrief? It is the policy for nhs trust to ensure you have this as it has been shown to have an impact on mental health and the whole experience.

It’s not policy in our area. Everyone is entitled to a debrief but no one is offered it routinely.

slimecentury · 27/04/2020 22:22

Hope you feel better soon. Sorry you've had a rocky start. Xx

India999 · 28/04/2020 09:02

Sounds like not a nice birth experience but to be honest, the only thing I think warrants a complaint is the birth mark mistake. The other stuff is standard hospital/birth events unfortunately.

MVDorset · 28/04/2020 09:41

Just because things are “standard hospital events” doesn’t mean they should be. Women can be traumatised by births which by anyone else’s standards sound textbook. Your feelings are valid OP. And the way that maternity care is improved is by feedback coming in, being discussed, staff being made aware and policies being changed. It’s why the Maternity Transformation Plan exists. It’s why Maternity Voices Partnerships exist.

I know in our area that we have made massive functional changes to maternity services solely on the basis of service user feedback. Women said they felt unsupported after they were discharged so our whole postnatal care pathway was changed. We’ve made changes to every aspect of the service but it’s still not perfect and feedback is still so important.

I refuse to accept that things just are what they are and we need to accept it. We don’t. But it can’t change if we don’t hear about it. So please do get your feedback in because I promise you it is heard and it does matter.

OverTheRainbow88 · 19/06/2020 19:25

I had a similar issue with my babies eyes! He was both pretty fast and this resulted in him having blood shot eyes. I mentioned his eyes to the MW in hospital, she told me then reason and didn’t think about it again. The next day at home another MW came to visit, she mentioned his eyes and I explained all good! A week later a health visitor came to visit... she mentioned his eyes... I explained! However: neither MW has written it down! So she gave my leaflets about shaken babies and safeguarding and told me to take my son straight to a&e to see a pedeatrician who she called infringe of me. I said no thanks I know why his eyes are red and didn’t go! A week later no blood shot line in his eyes. I was so upset at the time that neither MW had written it down. I got a feedback form a month later and notes it down then!

Timeandtune · 19/06/2020 19:30

If you don’t feel you want to make a formal complaint ( yet?) you can go to the Care Opinion website and leave feedback.

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