"High risk pregnancy - Lack of care risking mother and babys life"

I'm going to put my clinical history first as its relevant to this complaint.

I have a high risk pregnancy

5 previous c sections

2004

2006

2008

2010 - Silent uterine rupture / not in labour. Didn't know until on the operating table at just 36 weeks with a small baby that i ruptured.

Also diagnosed with nmda encephalitis and ended up catatonic 6 weeks post birth.

2022 pregnancy . Pain at 21 weeks , discovered uterus was just 1mm thick and was under the care of maternal fetal medicine with weekly /daily scans . Baby born at 33 weeks .

2025. Currently pregnant, ivf, advanced maternal age , first trimester screening high risk for Downs syndrome and was told by previous obgyns i would not be able to go past 36 weeks due to previous rupture and damaged uterus.

Had my first appointment at fsh hospital recently . I had my midwife appointment and then my Doctor appointment.

The midwife was amazing, I really loved her. She was kind and listened and just a genuine lovely person.

I told her I was nervous due to my high risk factors and she said I can ask the doctor any questions and we would come up with a plan going forward .

I had actually written down all my questions to ask the doctor.

The doctor i saw was a doctor of a different nationality, i didn't catch their name because they didn't even introduce themselves. My husband and toddler were with me .

I recall that the doctors first words to me were, This will be a quick appointment, and immediately caught me off guard as I'm so incredibly high risk.

They started telling me about I'm classified as a geriatric patient and started telling me all the risk factors of being older like still birth ect . I told them this is a ivf pregnancy I'm aware of the risks . Never did they mention my rupture . 

I asked the doctor straight up when they plan on delivering .

They replied 38 weeks .

I then said I cannot carry to term due to my previous uterus rupture and risk factors.

They replied that this is just my anxiety.

I replied " It's not my anxiety, its factual information that I had a silent rupture, its factual information that my next pregnancy i was told at 21 weeks how badly damaged my uterus was and mfm doctors pulled me into a room and told me if my baby was born now it wouldn't survive and they would be monitoring weekly from then on. I don't the doctor it's factual not anxiety.

I then asked them what monitoring they would do .

They replied you will have a scan at 28, 32 and 36 weeks !

I understand that these are normal scan dates for non high risk pregnancy!

I then had to tell the doctor that I had weekly scans due to my uterus and I had to argue with them and repeat myself that at 21 weeks with my previous pregnancy my uterus was just 1mm.

It was like they hadn't even read my notes at all .

I even asked the doctor to write on my referral for my 20 week scan to get them to check my uterus thickness which I felt they were hesitant to do and said we don't normally do that but they would write my history of rupture instead.

To top it all I have pregnancy insomnia and asked the doctor whether Melatonin was safe to take or restavit was safe to take . The doctor actually told me to go back to my gp and ask them.

I replied your the obgyn , your the baby doctor.  To which they replied dont take anything then. 

That was my final moment of losing all faith and this doctor's ability to care for me I immediately burst into tears and asked to talk to the clinic coordinator.

She was absolutely wonderful and she agreed that I should be under maternal fetal medicine as well given my last 2 babies were born pre term and my uterus was just 1mm thick last pregnancy.

She told me she would talk to them and follow up with me.

I'm writing this review for a number of reasons.

To make sure fiona stanley hospital looks after me and monitors my high risk pregnancy properly. I need to be under maternal fetal medicine given my silent rupture and damaged uterus.

I have no family or support here and I live an hour and a half away from your hospital with a toddler. If I rupture there will no time to save my life or my baby's.

The second is so that its documented and written that ive told you the risks. And I myself have requested to be monitored to try and save my baby's life and my own given my history.  

How your doctor can even put me into a "normal monitoring category is, in my opinion, negligence.  I might not even make it to the 28 week scan . 

The third reason is. I believe I'm not the only one who had issues with this doctor this day. Someone else in my ivf support group put a post up and similar issues about just being a number. I understand that myself and another 2 people all had the same doctor and we all had issues with them.

I've encouraged these women to also write reviews and contact the clinical coordinator.

I would like a full review of my case and a phone call to discuss this .

I will considered taking this to hadsco if appropriate care throughout my pregnancy isn't given .

I'm to high risk to go to my local hospital and have to come to fiona stanley because I need tertiary care.