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"Some great care but some leaving a lot to be..."

About: Royal Cornwall Hospital (Treliske) / Maternity

I have birth to my little girl at Treliske I received some fantastic care by some members of staff but consent, communication and facilities were lacking in places. I am greatful that my little girl is healthy but a lack of an afterthoughts service means that here seems the only place to pass on what happened.

Day assessment staff fantastic- reassuring when having episodes of reduced movement very professional on 3 occasions

When over a week overdue I asked a community midwife to be induced I was told that I wouldn’t be induced until 12 days overdue even though nice guidelines allow for inductions for postdates after 7 days. I expressed concern about the risk of still birth and additional complications with being left to go overdue due to the size of my baby. The midwife just said a few days won’t matter and was generally uncaring. I believe several of my issues in birth were due to being so overdue with a large baby.

Assessment in birth centre was great with a friendly midwife that was on the phone and supported me in early labour.

Both midwifes in birthing centre were very polite and supportive.

I was transferred due to a low temperature. The midwife hadn’t inserted the thermometer correctly in to my ear so got a low reading. Perhaps transfers off the birthing centre should involve 2 midwifes that see the patient. The midwife who was seeing me said she phoned someone for advice and they said I should be transferred. I was coping well in labour using the birthing pool and may have been able to avoid the need for transfer if a midwife walked over and saw me rather than assessing over the phone.

When first transferred on to labour ward they wanted to monitor me using a ctg I asked about wireless monitoring but this was not made available- this reduced my mobility and increased my pain.

Student midwife in labour- the student midwife present was very nice during labour but her mentor kept on having conversations with her unrelated to my labour. They discussed her course, what else she had to do before the end of the year and so on. This was distracting during labour and I don’t believe should have been happening in front of a patient.

Forceps- i had repeatedly expressed my preference for a c-section rather than rotational forceps to the midwifery staff. When the doctors became involved this had not been passed on. I felt pressured in to having forceps as I was not able to give a coherent argument and so felt pressured as the consultant kept on saying they were best for the baby.

Consent- doctor that gained consent and pushed me to have a forceps delivery then allowed a more junior doctor to carry out the procedure. This felt more risky than needed. It should be that the person who gets consent carries out the procedure.

Facilities in the labour ward are unsuitable. I had to squeeze past medical equipment and up against a wall to use the bathroom. The room resembled a building site.

Postnatal care was generally good but busy

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Responses

Response from Michaela Johnson, QI Manager, Quality Improvement, Royal Cornwall Hopitals NHS Trust 5 years ago
Michaela Johnson
QI Manager, Quality Improvement,
Royal Cornwall Hopitals NHS Trust
Submitted on 23/07/2018 at 15:44
Published on Care Opinion at 16:21


picture of Michaela Johnson

Dear Anonymous

Congratulations on the birth of your daughter! I apologise for the delay in responding to you on here and I hope that you are now both settled back at home.

Thank you for taking the time to share your experience of our Maternity services, I am pleased that some aspects of your care were good, the day assessment staff, the midwife who assessed you over the telephone from the birthing unit and that the midwives on the birthing unit were polite and supportive. However, I am sorry to hear of the concerns you have raised regarding the rest of your care.

I am going to feed your comments back to the relevant managers so that they can look into these and use them to make improvements where needed; I will also highlight to them the point you have made regarding the lack of afterthought service as this is extremely important to ensure that all of our patient feel heard and that they have had every opportunity to discuss their care.

If you would like the opportunity to talk to somebody about your experience, and perhaps receive a more specific response in relation to your care, please contact our Patient and Family Experience (Complaints) team by leaving a message on 01872 252793 or email rcht.patientexperience@nhs.net. A Case Worker will get back to you within 3-5 working days to discuss your concerns with you.

I am sorry again for the negative parts of your experience and I hope that we will be able to look into these further for you.

With kind regards

Michaela Brewer, Patient & Family Experience Coordinator

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Response from Michaela Johnson, QI Manager, Quality Improvement, Royal Cornwall Hopitals NHS Trust 5 years ago
Michaela Johnson
QI Manager, Quality Improvement,
Royal Cornwall Hopitals NHS Trust
Submitted on 26/07/2018 at 12:16
Published on Care Opinion at 15:43


picture of Michaela Johnson

Dear Anonymous

As promised above, I have shared your feedback with our Maternity Matrons and they would really welcome the opportunity to discuss your experience further with you.

If you would be happy to discuss your experience with them please contact me when convenient on 01872 252760, I am available on this number Monday-Friday between 09:00 and 16:00; I will then forward your details on to them.

Alternatively, you can email Trudie Roberts, Maternity Matron direct at trudie.roberts1@nhs.net and a convenient date and time can be arranged.

With best wishes

Michaela Brewer, Patient & Family Experience Coordinator

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