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Pregnancy

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

Obstetrician recommendation - pregnancy after stillbirth

3 replies

Heartbrokenmama · 18/04/2021 11:52

Hey mamas,

Apologies in advance for the very long post - I am going through an unbearable loss so I partly need to vent and share my story, and partly looking for some advice.

Two weeks ago my husband and I tragically lost our precious baby girl very suddenly at 40 weeks, after a seemingly uncomplicated “low risk” pregnancy. For nine months I had been told that everything was tracking perfectly and that I had a “textbook” low risk pregnancy. All our scans and tests had come back normal and the baby was very active throughout, until the very last minute. We were finally at the 40 week milestone and I’d been scheduled in for an induction a few days later in case she didn’t come naturally, as the consultant didn’t want me to go much past my due date. But I went into labour naturally early in the morning the day after my due date and honestly had no idea anything was even wrong until we got to the hospital. We had had a normal check up 3 days prior during which we saw her little heart beating on the screen in front of us, and I had felt the baby move before going to bed. I woke up at 3am with contractions, the hospital told me to hang tight until they became stronger and closer together. A couple of hours later my waters broke and we were in the hospital within 15 minutes, excited to finally meet our little girl...only to be told there was no heartbeat. We are shell shocked. Nothing could have prepared me to hear such devastating news. I can’t understand how we went from having a perfectly healthy baby to a dead baby in the blink of an eye without so much as a warning. I didn’t have any bleeding, no signs of infection, none of the known risk factors... unfathomable.

We had opted to for private care at the Lindo Wing with a private obstetrician because my husband’s cousin had had a stillbirth a few years prior due to NHS negligence and this was always a huge fear of mine, so it was really important to me to feel cared for by an attentive medical team. I can’t believe despite all the precautions that this has now happened to us. Completely shattered.

We absolutely loved our consultant, in part because he was so relaxed and constantly reassured us that everything was progressing as expected, which meant that I was also able to be quite relaxed because I trusted that everything was under control, despite normally being quite a high strung personality. However I am now deeply regretting not being more neurotic about things, not going into hospital for an NST every time I felt the slightest Braxton Hicks contractions.. and I’m also wondering if the consultant was TOO relaxed. Did he miss something? Was he less careful than he should have been because I was supposedly low risk? We are still waiting for a host of post mortem results so I’m trying not to jump to any conclusions or lay any blame before we find out what caused this (and we’ve been repeatedly warned that we may never know because shockingly up to half of stillbirths are never explained...) but I can’t help but feel let down by our consultant whom we trusted blindly to protect us from this very outcome. I sincerely hope the post mortem shows no evidence of negligence as I think it would be extra devastating to learn that this could have been prevented - but regardless of the outcome I do feel that my trust in him is shaken because to go from low risk pregnancy to dead baby just doesn’t add up.

This experience has highlighted to my husband and me how ready we are to have children and start a family. We wanted THIS baby so badly and we were so very ready to bring her home. She was perfect - chubby cheeks, button nose, ten fingers and ten toes - no sign of any issues other than the fact that she wasn’t breathing. A perfectly formed little angel, she looked like she was just sleeping and I kept hoping against hope that they had got things wrong and that she would wake up and cry any minute. They think whatever happened to our baby girl must have happened within 12-24 hours of when I delivered her - and most likely in the last few hours before the contractions woke me up, because she came out looking so perfect, with few signs of deterioration. It was all so surreal, like an out of body experience. We held our precious baby for hours and cried - and my arms now literally ache to hold her again. It’s like having a phantom limb. It breaks my heart to know that sadly nothing will bring her back. We can never replace our precious angel but I am desperate for a baby, for somewhere to channel all this love I was ready to give that now has nowhere to go. We are still a way off from trying for another baby as we need to wait for post mortem results in case there are any implications for future pregnancies, plus for my body to recover from pregnancy and childbirth so that I’m as strong as I can be before another long nine months of growing a little human. But I also know that whenever we are ready to try again, my next pregnancy will be nothing like the first one. For nine months I think I will be living in constant fear and anxiety and if there was an option to move into the hospital and be monitored 24/7 I honestly would do it.

So I was wondering if any other mamas out there who have had experiences of pregnancy after loss could recommend an obstetrician who specialises in rainbow pregnancies? I know it is standard after a stillbirth for subsequent pregnancies to be classed as “high risk” and that additional monitoring is offered even under the NHS. But I think it will be equally important how my own mental state will be managed and supported in addition to the physical monitoring of my pregnancy. I’m very torn about how we handle this and what will make me most comfortable in a future pregnancy. If the post mortem shows no indication of negligence I wonder whether it’s best to use the same obstetrician, with whom we have already built a relationship and there might be advantages to working with someone who has lived through the trauma with us and knows the full history and will hopefully therefore be over cautious next time. But do I trust him enough? For my peace of mind is it best to switch to someone else? Is it even worth paying a small fortune for private care when our experience clearly shows that the worst can happen even with the best care? in all cases I feel I will need someone exceedingly patient to put me at ease and who will understand and support my need for extra monitoring and most likely very frequent visits to the hospitals for NSTs just to reassure me that everything is ok. Any recommendations?

OP posts:
somewhereovertherainbow88 · 18/04/2021 12:08

I am so so sorry for the loss of your little girl, she sounds beautiful. I also lost my first baby, a daughter, at 41 weeks during labour - slightly different as it was due to medical negligence but I know the utter shock and pain you are feeling now - it's like nothing else!

I am based in NI so I went with a different obs here for my two sons who were born 13 months & then 3 years after I lost their sister but please check out Tommy's - the run a specific rainbow clinic in Manchester that specialises in care for babies born after a sibling has died through still birth or neonatal death - they have the top doctors and researchers in the field and all of their staff are specifically trained in bereavement care and supporting ladies through pregnancy after loss. I have a few friends who attended their clinics and they all spoke of how amazing the experience was. If Manchester is too far for you you could contact them for advice and possibly recommendations of a dr closer to home.

www.tommys.org/research/research-centres/rainbow-clinic

Take some time with your husband to grieve the loss of your beautiful daughter and to allow your body to recover, I convinced 4.5 months after my loss (and csection ) and although my sons don't replace my little girl and there is and always will be a special place for her in my family, having her brothers helped to bring a little joy back into our lives and fill our empty arms again. I wish you all the best in your journey - please check out SANDS I'm not sure what way their groups are with Covid but they also have a forum, website & telephone chat service.. I was so reluctant to contact them at first but meeting other mums (and dads) who were in the same position, had been through it and truly understood what I was going through was such a lifeline for me

ProbablyGryffindor · 18/04/2021 12:14

I am so sorry for your loss. Your daughter sounds beautiful and perfect, I’m so sorry that this has happened. You sound incredibly strong, and I hope you and your husband have support around you both.

I don’t have enough experience or knowledge to advise you in any way on your obstetrician questions. But I do think it’s good that you are researching things, and reviewing it all.

I had a textbook pregnancy until my daughter was born at 32 weeks with no warning (luckily she survived). I spent hours and hours trying to work out what I had done to cause it - what did I eat that day, did I miss a warning, did the midwife miss something. These thoughts were constantly in my head and consumed me. 6 years later, I’ve realised that it was nothing I did. But I did review everything, work through my emotions, and I think it’s great that you are too.

Sending best wishes to you, and I hope others will be along shortly to give you better advice (like the previous poster).

Sunsetswim · 18/04/2021 15:40

I am so sorry for your loss. I cant imagine the pain you and your husband are going through. Your daughter sounds beautiful as you said an angel. You will always be her mum.

Wishing you all the love in future pregnancies x

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