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"From labour to postnatal to NICU"

About: Altnagelvin Area Hospital / Ward 43 Gynaecology FAU/EPAU (Early Pregnancy Assessment Unit) Maternity care / Ward 46 (post-natal) Maternity care / Ward 48 (labour ward) Maternity care / Ward 49 (neonatal intensive care unit NNICU)

(as the patient),

I have debated over posting this for a few months but felt it important to do so, even if only for myself. I had my 2nd baby in Altnagelvin in April. The labour itself ended up being very quick after presenting at FAU for a second time (had gone home previous day as hadn’t progressed enough).

In the labour ward I had Cara who was super and so reassuring, she however had to go on her break and I had another midwife and a student midwife with me. I was in considerable pain and was asking for pain relief, however due to how quickly my daughter arrived the anaethesist arrived in the room as my daughter was being born. Due to needing stitches I was taken to theatre and everyone was brilliant there. 

Postnatally I felt well and was excited to get home to my son and even asked the midwife Ciara in the postnatal ward if we could go home later that day if all was well. She said she would try her best. I cannot thank Ciara enough for how diligent she was as I truly believe without her being so observant the situation could have been much worse.

Ciara carried out routine observations on my daughter and quickly noted her respiration rates were much too high. She explained this to me and immediately called the paediatricians who came to assess my daughter and ultimately admitted her to the NICU. She was so caring and helpful to me in a time that was awful.

The sister of the ward was so kind and reassuring. I was especially teary as I was worried about going home when I was expressing/breastfeeding but wanting to see my son too. She told me not to worry and that I would be there over the weekend and would see how things were come Monday when she was back on shift. I went to sleep reassured that I would be able to stay and visit my daughter in the NICU. 

The next morning was a completely different story - the deputy sister came in and told me I was being discharged as they needed the room. I completely understand needing the room but when I tried to explain that I was told I would be staying the weekend as my daughter was in the NICU, they were very dismissive and told me that no I would be going home.

I promptly gathered up all of my things and my pumped breast milk to take over the NICU, not having any idea how I would continue to breastfeed for my daughter if I wasn’t staying in the hospital as we live over 30 minutes away.

The deputy sister informed me that I was rubella non immune and would need an injection before I left. When they came to give it to me I queried why I would need it as I wasn’t non immune after my last pregnancy. They said they would double check my notes, to which I was immune and wouldn’t have needed it. On reflection I am quite annoyed that this wasn’t checked beforehand and would have meant an unnecessary injection I didn’t need if I didn’t query it myself. 

Upon arriving at the NICU (with all my bags!) they were surprised that I had been discharged as I was breastfeeding my daughter at this stage as she had her breathing tubes removed. They very kindly allowed me to stay in their family room for a number of nights to allow my daughter to room in and be fed by me while they monitored her and continued with her antibiotics. I cannot thank all of the NICU staff enough for all of the care and attention they gave to my daughter and my family during such a difficult time. 

Having told my story to family members since the delivery, it is clear it is a mixed bag and they encouraged me to share my story. 

Do you have a similar story to tell? Tell your story & make a difference ››

Responses

Response from Neonatal Intensive Care Sister, Neonatal Intensive Care Unit, WHSCT 4 weeks ago
Submitted on 14/07/2025 at 22:44
Published on Care Opinion on 15/07/2025 at 10:10


Firstly, Congratulations on the birth of your daughter.

Child birth can be an exciting time, but sometimes, things can go unplanned.

As I was was not present in postnatal ward, all I can say is I am sorry for the experience and mixed signals you received.

It is difficult to stay on Postnatal ward especially when other mothers are needing a bed. These circumstances are not ideal, but unfortunately with limited beds within the ward, tough decisions are needed to be made. I again can only apologize that you could not stay.

I am pleased that the staff in Neonatal unit could help facilitate you with staying in their Family room, so that you could continue to establish breast feeding your daughter, helping with the bonding process and help with your milk supply.

I hope that you are all getting on well at home and enjoying every minute with your daughter and family.

Thank you so much for taking the time to provide feedback on your experience, so that we as health care providers can learn and change to help others with their stay within the hospital.

Thank You

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Response from Lisha McLaughlin, Ward Manager/Sister Postnatal, Postnatal Ward 46, Altnagelvin Hospital last week
We have made a change
Lisha McLaughlin
Ward Manager/Sister Postnatal, Postnatal Ward 46,
Altnagelvin Hospital
Submitted on 04/08/2025 at 15:48
Published on Care Opinion at 16:35


Many congratulations on the birth of your baby and thank you for taking the time to provide feedback on your experience within our maternity unit.

All feedback is used to improve practice and the mums experience on the ward.

I am pleased to hear that you felt cared for and reassured by the staff. Thank you for providing recognition of Ciara's professionalism when caring for your baby, this will be feedback to Ciara.

I am sorry that you felt dismissed and that elements of your care negatively impacted on your journey. As a result of this feedback we will be liaising routinely with NNICU. We will discuss the individual needs of mums who may require a longer stay that may not be available on the postnatal ward due to full capacity.

Once again I am glad that you have provided this feedback and I do hope that you are enjoying motherhood and your baby is doing well.

Thank you.

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