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"Whilst I understand why my baby's birth location had to change I do not feel the rest of my birth plan needed to."

About: Aberdeen Maternity Hospital Inverurie Hospital / Midwifery

(as the patient),

I had planned no interventions and a home birth but unfortunately I had complications pre term with premature rupture of membranes.

My diagnosis was made at Inverurie Maternity Unit (midwives Sheila and Bailey). The care there was simply wonderful and put both myself and my partner at ease at an anxious time. 

I was transferred to AMU and remained there for 48hrs. The midwife care was above and beyond! The obstetricians were also lovely but explained the risks and worst case scenario. They were happy for me to remain for as long as I required but also respected my wishes to go home. I understood why its advised but stated that I did not wish to have continuous monitoring as it was very important to me to be allowed to move around during labour. I asked the obstetrician if I went into spontaneous labour could I go to the MLU as long as I accepted that if there were any issues I could be transferred to labour ward. I was told this would be possible.

I went into labour just under a week later, when I phoned Inverurie I was told I had to contact AMU. Despite advice previously given by obstetricians I laboured at home as long as I could as I wanted the freedom and tranquillity. I was at foetal expulsion reflex stage by time got into triage. They made repeated requests for me to lie down and be continually monitored and get an examination.  I explained as best I could between contractions my wishes and that there was no requirement for examination as I knew I was fully dilated.

When they realized I was not exaggerating there was high speed reaction to get me into a wheelchair and to labour ward. I really couldn't sit down but they kindly waited until a contraction finished and then wheeled me Formula 1 style to ward! I wanted to give birth standing or squatting but it was insisted that I get onto bed but that I could be in all fours if I wished.

So my baby was born, me on all fours, occiput posterior,  32mins after arriving at AMU. My baby did not require admission to neonatal ward although we remained in postnatal ward for several days. The midwife attending me was lovely. Whilst I appreciate that certain positions for labour are easier for professionals for monitoring I was never asked if I wished a internal examination, to move around or continuous monitoring, more that it was just what was done. I'm guessing my birth plan was not consulted. Whilst I understand why my baby's birth location had to change I do not feel the rest of my birth plan needed to.
The midwife and paediatrician care postnatally was exemplary.
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Responses

Response from Rachael Shewan, Senior Charge Midwife, Aberdeen Maternity Hospital, NHS Grampian 2 years ago
Rachael Shewan
Senior Charge Midwife, Aberdeen Maternity Hospital,
NHS Grampian
Submitted on 07/05/2021 at 13:15
Published on Care Opinion at 14:05


Dear Homebirth3,

Firsty, congratulations on the birth of your baby. I am glad to hear that your baby was well at birth, following what must have been an anxious time. I appreciate you taking the time to provide feedback to us at this time.

Thank you for the lovely feedback about the midwives, and other staff, you met in Inverurie Maternity Unit and Aberdeen Maternity Hospital when you were admitted at the time your waters broke, and once you had your baby. I will make sure your comments are shared with these teams.

I’m sorry to hear that you did not feel that you were being listened to and your birth wishes referred to when you came in to Triage shortly before the birth of your baby. I would encourage all staff, in Triage and elsewhere, to always take time to read a woman’s notes and birth plan to ensure care is woman centered. If this is not possible, e.g. similar to your case; if a woman comes in in advanced labour and lots is happening quickly, I would expect staff to engage with the woman and her birthing partner to discuss wishes. I’m sorry that this did not happen in your experience and I would like to reassure you that your feedback will be shared with staff so that we can learn from your experience.

If you wish to discuss this further, please do not hesitate to contact gram.nhsgrampianfeedback@nhs.scot and ask for the request to come to myself.

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