"Care after miscarriage"

About: Royal Cornwall Hospital (Treliske) / Maternity

(as a service user),

At our 12 week scan (actually happened at 13 weeks) we were advised we were likely to have had a missed miscarriage but due to the size of the sac we were advised to return a week later for another scan, just in case our dates were wrong and it was a very early implantation result. We were then shown out and left to deal with this devastating news. It would have been nice to be shown somewhere private to sit and talk things through instead of having to walk past all the pregnant women waiting for their appointments. Even if we had just 10minutes to digest the news. 

We returned at 14 weeks to be advised that we had in fact had a missed miscarriage and we were given a leaflet about our options. We opted for the local anaesthetic option instead of staying in over night and we were booked in for the procedure the following week. However in that time I went through 3 days of contractions on and off and upon coming in was told it very likely I may have miscarried naturally. Unfortunately that wasn't the case and I had to have the procedure. I was booked in and the midwife was lovely, she got me on the bed and set up ready to go, however after 20 minutes the doctor hadn't arrived she paged them and after another 20 minutes she paged them again and they came in at about 50 minutes after I was booked in. Obviously this was quite distressing as I was nervous already and sat in the chair ready for the procedure for almost 45mins (not the comfiest of positions to be in!) 

The doctor arrived and apologised for the wait saying they had to train junior staff which was very important. Why was my appointment allocated for the same time as them training staff if that was the case?

Anyway the doctor was very clinical and as I sat with tears streaming down my face they were very matter of fact about removing the sac - the midwife however came and held my hand and without her, it would of been a much worse experience. They told me that it would be very quick as the sac was just at the entrance of my cervix however after 40 minutes, a lot of gas and air and them having to go back in twice it was finally removed. 

We were shown out and grateful for the procedure to be completed but having just watched your maternity ward video, it states you have a daisy suite for people experiencing loss >14weeks (we were nearly 15weeks). We were not advised of this and it would have been very beneficial to us - to have just 10 minutes in private somewhere would have really helped us digest the situation.

Responses

Response from Trudie Roberts, Maternity Matron, Maternity, Royal Cornwall Hospitals NHS Trust

Dear Anonymous 2018,

Thank you for contacting me at this very distressing time. I am sorry that our service did not meet your expectations at the time of your miscarriage.

I can quite understand the need for some private time and space for yourself and your partner after receiving such devastating news. We do have a small counselling room that could have been offered to your to use, following your scan. I will ensure the sonographers are made aware of your feelings and how the offer of this room would have helped ease your pain and uncertainty.

It is unfortunate that there is no other way out of our scanning rooms other than through reception, We hope to have a new build within the next 5 years when this issue can be addressed.

I am pleased to see that you found the nurse compassionate and caring during your procedure. I am thankful that you have been able to highlight this at this very sad time.

If you would like to contact me about any element of your experience so that we can look into it more detail then please do email me. (my email address is below).

We do have a Daisy suite which we use for pregnancy loss, it is one room that is in frequent use and is not set up for procedures or counselling.

Please accept my apologies for a late reply as there has been problems in being alerted of your posts.

I am so sorry that we could not have made a distressing and sad time in your life easier, that is not the service that we aim to give.

Kind regards

Trudie Roberts

Community maternity matron

Trudie.roberts1@nhs.net

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