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"A mixed birth and postnatal recovery journey"

About: Forth Valley Royal Hospital / Maternity unit Forth Valley Royal Hospital / Theatre & Recovery

(as the patient),

First of all, I want to say that overall we are happy with our birth experience however some aspects of it are disappointing and I feel these need highlighted.

I was booked in for a c section, and everyone that we met in Ward 7 were fantastic. We were greeted by lots of smiling faces and everyone put us at ease. The midwife who was looking after us throughout the morning and during theatre was amazing, introduced themselves and explained everything really clearly and gave us the opportunity to ask questions. We then spoke to the surgeons carrying out the procedure - again, introduced themselves, explained everything in a clear manner and ensured we had the opportunity to ask any questions. And our anaesthetist was super lovely and again, like there colleagues before them,  ensured we knew who they were and their role and gave us the opportunity to ask questions. Before we knew it, we were walking through to theatre. The Anaesthetist and their assistant done their part, making me feel so at ease during the spinal. They knew how anxious I was and were there holding my hand, giving me breathing tips and reassuring me throughout. Our midwife was also there reassuring me throughout. The room was filled with people, and I wish I could name everyone individually but unfortunately I can’t remember everyone’s names, but they were all fantastic. The anaesthetist kept us calm throughout, chatting to us and I knew I was safe hands with them. The surgeons, well, thank you. Ultimately you bought our baby in to the world safely and I don’t think a thank you is enough to show how grateful we are of you. Our midwife made sure our baby was happy and healthy after birth and kept us informed of what was happening at all times which I think is so important when going through something so major. Honestly, everyone in the theatre team was exceptional - who knew a c section could be such a positive experience? I was then taken to recovery and we were looked after by a nurse who was also fantastic. They monitored us throughout and I felt very safe and well looked after.

We then moved to Ward 8 which started as a positive experience but unfortunately I have left there with a mostly negative one. On admission to the ward, I was welcomed and we were monitored very well. Staff took an interest in baby’s feeding etc. I did however feel some staff on Ward 8 did not introduced themselves and I wasn’t sure of the makeup of the staff, who was looking after me specifically, who was in charge etc. The first night I got good support in regards to feeding, and help with my baby when asked for it. I was in a lot of pain and I was given painkillers when I needed them. On day 2, I was still in a lot of pain. I received my regular pain killers around 8am and at 11am I asked for extra painkillers and was told I was unable to have anything at this time. I’m an NHS staff nurse within Forth Valley and well clued up on pain relief and I knew I was able to get something as it had been over 8 hours since a breakthrough pain relief was given. I was too exhausted to argue when I was told no I couldn’t get anything and would have to wait. So I waited. And I asked again. I waited until around the afternoon then I eventually received some painkillers around 3 hours after asking which I don’t think is acceptable. I was also asked if I wanted to go home and I advised staff that I’d like to stay in as I was too sore and was told this was ok. I was then asked to start monitor babies peeing as they hadn’t peed and that was why I wasn’t getting home, I said baby had had multiple wet nappies so I was then told to go! I said no as previously discussed I was too sore. Because of this, apparently I wasn’t included in the handover so no one then asked me how I was getting on with baby feeding etc, even though I’d mentioned multiple times it was painful. I was also complaining of a swollen foot, I complained all day that it was in pain and my pulse was up. It wasn’t until the nightshift took me seriously and asked a Dr to review and they arranged a Doppler - thank you. It was negative but I’m glad it was looked at due to the pain. Now, the thing that upset me the most which made me leaving today feeling very deflated. I was very concerned about my babies skin in particular a rash. A rash which yes I’m sure is totally normal, but surely it is normal for a mum to worry also? I asked multiple staff yesterday about the rash to be told it is normal, but if it spreads to babies eye to let them know. So before discharge I just wanted to confirm again that the rash was ok - which it was. About 10 minutes before leaving I noticed the rash in the corner of baby’s eye so I buzzed and asked for someone to look at it. Told it was fine so I’m happy. However, my husband was leaving the ward and heard a member of staff say something along the lines of she’s asking about that bloody rash again, the rash is fine, now leave in a silly voice. We are only assuming it was about me and my concerns about my baby's rash, but even if not this is totally unprofessional and rude. Staff need to be more aware of what and how they are saying things. We left today feeling upset at Ward 8 but are now glad to be home with our baby.

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Responses

Response from Gail Bell, Deputy Head of Midwifery, Women and Children, NHS Forth Valley 2 years ago
Gail Bell
Deputy Head of Midwifery, Women and Children,
NHS Forth Valley
Submitted on 02/12/2021 at 16:37
Published on Care Opinion at 16:37


Dear feelingdeflated

Can I firstly send congratulations on the birth of your little baby, such a wonderful time for you and your husband.

Thank you for taking the time, so soon after a caesarean section, to share the positive and sadly the not so positive aspects of your birth experience in our care.

The praise for the majority of the team involved in your journey from ward 7 to theatre to ward 8 is fantastic, thank you so much. It is wonderful to read how they all made what was a very daunting situation, a very positive one leading to that special moment bringing your wee bundle of joy safely in to your arms.

I am however saddened to read about the latter part of your care. No matter what, being a new Mum with a precious little baby, brings many anxieties and questions that everyone should feel safe and confident to ask and receive caring and appropriate advice. Ensuring maternal wellbeing is also a priority for the staff and this does not appear to have been up to the standard we would expect. Please accept my apologies for this and also for the unprofessional behaviours of the staff relating to their conversations.

The Ward Manager has also read your posting and will share wider with the team. We are both very keen that we learn from your feedback and the impact our care and actions has had on you so that we can improve going forward.

As all postings are anonymous we are limited to details. If you were happy to consider contacting me with some of your personal information, I could look in more detail at your care. It would also be good to have a discussion about all you have mentioned.
I can be contacted by email on gail.bell@nhs.scot or via telephone on 01324567484.

I hope that, despite the disappointing aspects of your care, you are enjoying being at home with your little baby. This is going to be such a memorable and exciting Christmas for you and your family!

With warmest wishes

Gail

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