I gave birth at the PRH Telford 6 weeks ago. I have experience of triage, antenatal, delivery suite and the postnatal ward and also the community midwives.
I think from experience it really does depend on the midwife/Doctor. I’d say almost every midwife I had told me something different when I was on the antenatal ward, triage or postnatal. There was only ever real consistency on the delivery suite where I thought the midwives genuinely enjoyed their jobs.
I had no issues getting pain relief and I didn’t feel pushed to get out of bed etc.
This is my birth story:
36+6 Antenatal Consultant Appt - Agreed induction of Labour at 37+3 due to baby estimating to be 9lb 6oz. However, appeared with asymptomatic symptoms of pre eclampsia, spent 7hrs in triage and discharged with a plan to attend DAU for BP checks.
37 weeks exactly- DAU attendance again asymptomatic high BP medicated with Labetalol and admitted for monitoring. Overnight offered to bring IOL forward at 2AM however declined as I wanted DH’s support (he was at home)
37+1 - Discharged from ward as BP was being managed with medication and induction was only 48hrs away.
37+2 - Attended DAU for bloods and BP check. High BP and also protein in urine. Self discharged from Triage as they wanted to admit me again to monitor BP and start Induction however they were later paused due to busyness of the delivery suite so I did the right thing.
37+3 - IOL @ 11AM. Pessary inserted at 1300hrs and was already 1cm dilated and also had a stretch and sweep. Cervix was favourable. Did lots of laps of the hospital and kept busy. Overnight I had intense pressure and period like cramping. Codeine and Paracetamol were taken and finally got some sleep at 5AM.
37+4 - Cramps had stopped by midday. Pessary removed and was 2cm dilated and had another stretch and sweep with gas and air. Lost mucus plug. Lots of walking and got told my waters could be broke so I would be making my way to delivery suite.
37+5 - Still waiting for bed on delivery suite. Lost more of my mucus plug. Another stretch and sweep and was now 3cm dilated. Moved into side room and was told I was 1st in line for a bed when it was available. Throughout my stay my BP remained high and was medicated.
37+6 - Finally moved to delivery suite in the early hours of the morning. Requested an epidural before waters being broke which was actioned straightaway. UTI was also discovered.
Progressed nicely and by 12AM at 38 weeks exactly I was fully dilated however my epidural had failed. I could feel everything and was in significant pain. I was ready to push and had some direction from the midwife however I was exhausted and could not handle the pain.
Delirious and extremely in pain it was agreed that I would need a forceps delivery. I agreed to a medical trial of being given a spinal block 3x more powerful than an epidural in theatre and a forceps delivery which needed to happen there and then. I had 3 pushes to get baby out.
Baby J came out after one push and placed immediately on my chest. I had an Episiotomy however given the nature of however traumatic my birth was I had no real idea what was going on. Baby was extremely healthy and born at 04:30AM weighing 8lb 10oz.
I have since been diagnosed with acute kidney injury due to the effects of the hypertension in my pregnancy and also lost 800ml of blood. I spent almost every other day having my BP monitored in the MLU to then be sent to triage for a quick fix. After day 14 I discharged myself from the community midwives as no-one was really giving me any answers to help control my blood pressure other than an extra tablet and being admitted to the ward.
Triage also dismissed my concerns about 3x intense pain episodes as trapped wind when in fact I have been diagnosed with gallstones.