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"Dismissive midwife"

About: King Edward Memorial Hospital / Emergency Department

(as the patient),

I was referred to King Edward Memorial Hospital (KEMH) Emergency Department (ED) by my GP late one afternoon recently after confirmation of an anembryonic pregnancy on ultrasound that day. The sonographer, radiologist and my GP all shared concerns about the risk of heavy bleeding due to gestation and thickness of the uterine lining. My GP felt that dilation and curettage (D&C) in the coming days was the best course of management to avoid the risk of such a bleed. 

After sitting for hours in the waiting room, I was told that guidelines meant that the hospital would not be able to assist at that time. This news, combined with the fact that a much-wanted pregnancy was non-viable, was upsetting, however, I do appreciate that protocol exists and this is no fault of the hospital or the very kind Consultant that I saw. 

What I found most distressing was the behaviour from the triage midwife who I felt gave cold and robot-like advice and the snarky declaration that I was not going to bleed to death as I left.

Their actions ensured that, in an effort to avoid being humiliated and belittled again, I wouldn’t be wasting my time or theirs by seeking any further assistance on the matter there. I am doing my best to reserve judgement on why this midwife conducted themselves in what I felt was such a dismissive, callous and dangerous way that day.

I just thought they might like to know that technically, they were right- it was just hypovolemic shock and emergency surgery instead of bleeding to death from the catastrophic haemorrhage as a result of the miscarriage that ended up occurring. Thank you to another hospital's ED, OBGYN and surgical crews who were able to assist after others, in my opinion, saw no need. 

I know compassion fatigue is real but this was one hell of a miss. May you learn from this and understand that I believe your words almost cost someone their life. Please don’t repeat this mistake with another woman. 

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Responses

Response from Jodi Graham, Executive Director, Sir Charles Gairdner Osborne Park Health Care Group 4 years ago
Jodi Graham
Executive Director,
Sir Charles Gairdner Osborne Park Health Care Group
Submitted on 20/01/2020 at 11:15 AM
Published on Care Opinion at 11:15 AM


picture of Jodi Graham

Dear Almostgotme,

I am incredibly sorry to read of your loss and I would like to extend my deepest sympathies to you and your family. I appreciate the time you have taken to raise your concerns regarding your experience with the Women and Newborn Health Service (WNHS). WNHS strives to provide quality, patient-centered care and I am sorry that this was not the case on this occasion.

I am sorry for the distress that was caused to you with regards to your significant wait time in the King Edward Memorial Hospital (KEMH) Emergency Centre (EC) and your experience with the Triage Midwife. The Nurse, Midwife Co Director, Obstetrics & Gynaecology has met with the EC staff to remind staff of the expectations of the service when caring for our patients. Any presentation to hospital can be a distressing time and I would like to apologise for the comments made to you whilst you were in our care. WNHS strives to provide a safe environment where patients and their families are encouraged and feel comfortable to advocate for their health and I am disappointed to read that your experience has made you feel as though you would not seek further assistance at our health service.

Our service is keen to rectify this situation and would like to opportunity to meet with you to discuss your concerns further. Should you wish to arrange the meeting to discuss your concerns please contact the WNHS Consumer Liaison Service on 6458 1444, who will make the arrangements.

Kind regards

Jodi Graham

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Update posted by Almostgotme (the patient)

Hi Jodi,

Thank you for taking the time time to respond. I will be in contact and will be filing an official complaint with the hospital regarding the treatment.

As a follow up, I’d like to advise that it wasn’t just that the experience put me off attending the hospital again for assistance. I tried my hardest to advocate for my health, and was totally disregarded- the consequence as you know was a catastrophic haemorrhage. On top of that it’s been over a month of bleeding, multiple invasive diagnostic ultrasounds and blood tests requiring time off work constantly to attend, anaemia, and iron infusions. This now require the assistance and management from specialists to manage the ongoing complications.

The idea that that I tried to prevent all of this from occurring, but was denied assistance, and subjected to such belittling treatment from the midwife involved is just bewildering.

Please don’t let this happen to another woman.

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