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Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Should I report this mw appointment?

44 replies

Morrisaeiou · 02/10/2019 17:46

NC and posting here rather than AIBU - don't mind if people tell me I'm being unreasonable, would rather not be flamed though.

Summary: covering midwife was horrible. Should I complain?

Background:
I'm about half way through my first pregnancy. I've had problems with antenatal depression and anxiety and been signed off work for a few weeks. Basically I couldn't stop crying and I work in a customer-facing role, so got sent home. I've also been having problems with exhaustion, brain fog sand breathlessness. The exhaustion got worse as I went from first trimester to second. I know brain fog is a "normal" aspect of pregnancy but I've made mistake after mistake at work, and can't really cope in my personal life either. Going to the supermarket is now really stressful because I have to check over and over that I have everything I need. It's not OCD, it's that if I only check once then I will definitely forget most of what I need. The breathlessness has been awful. If I walk up a single flight of stairs I have to sit down for a minute or two to get my breath back. 6 months ago I ran a half-marathon in less than 2 hours. Now I can't keep up with most people walking.

The appointment:
I booked a mw appointment. I wanted to talk about mood (had had a really difficult few days) and ask for bloods to be done because I was sure that what I was feeling wasn't right for a healthy 22 weeks. Usual midwife is lovely and had been very clear I should feel free to call on her any time (well, within working hours, but you know)

It was a different midwife to normal. She got my notes out, and when she saw anxiety written in them said "Anxiety!" and tutted and rolled her eyes at me. I'm not making it up. At this point I decided not to try to talk to her about the mood stuff.

I explained that I had hoped to get bloods done because I thought I might have some sort of vitamin deficiency. She looked at me and said "You're not anaemic." She didn't ask me at any point what symptoms I might have been experiencing. She did do the bloods though and told me that if there was anything out of the ordinary she would call me, but there wouldn't be, and that I definitely didn't need to ring her. (I hadn't asked if I did)

She then launched into a very long spiel about vaccinations and why I should have them. She seemed very surprised when I managed to get a word in edgeways and point out that I am pro-vaccine and have always taken them up when offered.

She then told me, a propos of nothing, that "if you think the first half of pregnancy was bad, you're going to get a shock in the second half. The skin on your belly is going to be stretched so tight that I could just do this (she lightly ran a finger over the back of hand) and it'll sting you."

I know that sounds like some cartoon-baddy kind of behaviour but that is honestly what she did/said. I went home after she'd finished with me and cried. I don't know what she was trying to achieve. Obviously I have depression/anxiety in my notes and it felt like she thought that that meant I was a stupid fantasist.

Since then:

I've seen my usual midwife. She said that the cut-off for low iron was 10.5, mine had been 10.7 so the other midwife had marked it as normal and filed it. However, usual midwife saw that I'd been at nearly 15 in my first lot of bloods, that she herself would "feel like death" at 10.7, and has prescribed iron supplements.

Question:
Should I make some kind of complaint/report about the other midwife? Would that be unreasonable?

OP posts:
Are your children’s vaccines up to date?
steppemum · 03/10/2019 14:25

OP, leaving the nasty midwife to one side

take your iron tablets with orange juice, the vitamin C helps you to absorb the iron. Also dried apricots are a great way of increasing iron and 'ahem' help keep you regular while pregnant.

and the bit about stretched skin is rubbish! (3 kids here, never had that)

Morrisaeiou · 03/10/2019 15:53

Chiki Thank you for the advice. I've found it hard to stay properly hydrated but will definitely make more of an effort. I'm sorry to hear about your miscarriage Flowers

In terms of outcome, I would like
a) to know that I will never see her ever again. This is why I don't want an apology. (I have already promised/commanded myself that if I go to an appointment and she is covering it I will just leave. Nice midwife did mention that she isn't taking any holiday again before Christmas so I feel a bit reassured by that. I didn't talk to Nice Midwife about it, just to be clear, working on the assumption that they may be friends, although I doubt it)
B) I would like to think that somebody talks to the other midwife, and ideally that she gets some kind of retraining (OK, ideally I'd like her to change profession, but I'm being realistic). Obviously I'm probably more sensitive than usual at the moment, but some of the things she said felt deliberately vindictive, not just the impersonal abruptness of a busy person. I'm not sure though, that it is possible to train someone out of a disdain for people with common mental health problems.

I have found over the past few months, that although 95% of the staff I've met have been trying to do their jobs as best they possibly can, the system is borderline impenetrable. I was "fast tracked" within the peri-natal system and still waited 3 months. I believe the only reason I have been able to access the support that I have, is because I work in MH in the NHS (albeit a different Trust to the one I'm receiving care in), so I have a pretty good idea of what the resources are and what to say in appointments to get seen by someone who knows more about MH than I do. Lots of my appointments have almost ended up feeling like job interviews, except I'm listing all the things I can't do and all the reasons why X organisation wouldn't be a good fit for me. I cannot imagine how many women are slipping through the net because they don't have the insider knowledge or someone to advocate for them, or because they get put off trying to access appropriate care by one practitioner who isn't doing their job correctly.

OP posts:
Morrisaeiou · 03/10/2019 15:55

I have a GP appointment this afternoon so will be starting the ball rolling re: complaint then. I don't like confrontation and can't remember the last time I complained about anything to an organisation, so... I guess this is an opportunity for personal growth.

OP posts:
Everafter1 · 03/10/2019 16:10

That's ridiculous!
Your MH is extremely important, especially during pregnancy!
Rolling eyes and tutting at anxiety is unprofessional, dismissive & plain rude.

You're asked at the booking app if there's anything likely to cause you stress/anxiety during your pregnancy for a reason!

My iron is at 10.6 & they've put me on tablets. I honestly can't last long on my feet. Both your MH & physical health have been overlooked.

You need to feel like your mw is approachable in case you need her, because it's more than just yourself you're looking after now.

StockTakeFucks · 03/10/2019 16:11

it must be very difficult to differentiate between the snowflakes and those with a genuine need for help

This is precisely why she should treat everyone with kindness,compassion and be helpful and advise on proper support. Because she doesn't know and can't know and it's not up to her to decide.

Pinkflipflop85 · 03/10/2019 16:54

Absolutely complain about this appointment. You can also request that you never see this woman for an appointment again.

meccacos2 · 03/10/2019 18:12

You didn’t like her personality - it seems like an unfair reason to make a complaint.

She was dismissive of your concerns - but is her job to recognise genuine medical issues or to placate your anxiety?

Everafter1 · 03/10/2019 18:20

but is her job to recognise genuine medical issues or to placate your anxiety?

The job is to provide care and emotional support, along with other responsibilities.
A MH issue isn't any less important than a physical one.

fonxey · 03/10/2019 19:23

I would complain too. I don't give a shit if you're having a bad day or a hard time, is not an excuse to be a jerk. One can excuse some small things, but to go out of her way to be a complete cow? Nope.

fonxey · 03/10/2019 19:29

but is her job to recognise genuine medical issues or to placate your anxiety?

Err... Yes? Both? Duh. Some people really lack any ounce of compassion of empathy, seriously.

And working in a caring role you need both.

You do realise mental health is also a medical concern and that your metal health can affect your physical health?

Some people.

AllFourOfThem · 03/10/2019 19:35

Yes complain. I had some horrific midwives supposedly looking after me in my last pregnancy and I was incredibly anxious. Two of them stand out (and I saw dozens of midwives as I had daily monitoring for weeks) as being particularly awful. All over my notes it was written that I had previously experienced a neonatal death but they were so lacking in empathy and just made me cry and one of them left me feeling suicidal. If they don’t have the compassion to do the job, they should find something else to do.

Just to add that the vast majority of the midwives I saw were wonderful and lovely.

Porridgeoatswithbanana · 03/10/2019 19:40

Please report it. I had a bad experience too and I reported it and I was told thank you for reporting it because we try hard to reach mums with MH issues and we need that report to provide extra training or support to those that need it. It can only be a good thing and it will help other mums.

SinkGirl · 03/10/2019 19:53

You didn’t like her personality - it seems like an unfair reason to make a complaint.
This is nothing to do with personality. Seeing a pregnant woman with anxiety, dismissing it and then making comments to try and make her more anxious about the rest of her pregnancy are not appropriate behaviour for a midwife or any HCP.

She was dismissive of your concerns - but is her job to recognise genuine medical issues or to placate your anxiety?
A giant part of a midwife’s job is to reassure pregnant women, while also differentiating between anxiety and physical health issues

And FYI: anxiety is a “genuine medical issue”

SinkGirl · 03/10/2019 19:54

I work as a Maternity Voices representative for my county and if a woman told me this I’d tell the Head of Midwives immediately, and she would not be happy in the slightest. It would definitely be taken seriously.

lostlondoner · 03/10/2019 19:57

Complain away she sounds awful. Hugs to you OP and wishing you a safe and healthy rest of pregnancy x

Elieza · 03/10/2019 20:10

You are right to complain. Way I see it, if what she did was ok the complaint will be dismissed and no harm done to her.
If it turns out that she was well out of order then she will be reprimanded. For all you know another 20 women have said the exact same thing.
By complaining you let someone else weigh the facts and evidence and make a decision and you dont have to think about her again.

MrsHardbroom · 03/10/2019 20:11

Yes, definitely complain. Perinatal metal health problems should be taken very seriously and a midwife should know this and act accordingly. She needs some additional training at the very least. Outrageous behaviour on her part.

Pinkflipflop85 · 03/10/2019 20:37

@meccacos2

If you have an anxiety disorder it IS a medical issue.

fluffyjumper · 03/10/2019 20:49

Some health care professionals are able to offer a more flexible approach with drop ins. Some need to to finish on time do find it hard to squeeze in extra appointments and chats. I would talk to your usual midwife as she will probably pass on the feedback yo a supervisor. This may be enough to identify if the other midwife needs extra support or has other reasons for having a bad. If its recurring then they can deal with that too.

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