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"Childbirth"

About: Bunbury Hospital / Maternity

(as the patient),

I gave birth recently to my first baby. We arrived in the middle of the night to the maternity ward to find out I was already 8cm dilated! We got into the pool but, unfortunately, 4hrs later we’d had no progression so the doctor was called to consider whether I needed pain relief. By the time the doctor arrived however, things had moved along so I was allowed back in the pool. Two hours later, still no arrival of baby, so I got back out of the pool and tried different positions on the bed. Again, the doctor was called back and discussed that I would probably need an episiotomy. A little while and an episiotomy later, as everyone was getting ready for suction, I gave one final push and my daughter was born, surprising everyone in the room, around half 10 in the morning!

During the process I felt like the doctor made several unnecessary comments including, I recall, oh, you were in transition, that’s why you were afraid! and, are you worried about the pain down there, are you afraid to push. Meanwhile, I was going purple in the face, holding my breath while pushing/bearing down. While I don’t think they were meant negatively, I found it quite unnecessary and condescending. I couldn’t/didn’t say anything at the time, as you’re so caught up in what’s happening and I was very tired, but the more I think about it, the more I feel like I should say something. I also wasn’t aware when/if the episiotomy had even been done by the end and had to ask the midwife. I appreciate the doctor not wanting to stress me out telling me she was about to do it, but I think communication could have been better. I also think more time could have been spent going through my options i.e. the episiotomy.

Also, I originally wanted a natural third stage, but due to my extended labour I was given the medication to induce delivery of the placenta. In of itself, that was fine and I appreciate why it was done. However, the midwife (I believe a senior midwife, not my MGP midwife) who had arrived near the end gave me the injection into my leg with no warning. I was surprised by the pain and asked what it was, to which I recall they replied, oh, I thought you wouldn’t notice! Working in healthcare myself, I feel it’s really important to explain to your patient what’s happening and to gain consent so this mindset is quite surprising and disappointing.

However, overall, while I had an extended second stage which was very tiring and fairly stressful, I felt very well supported by my MGP midwife Claire and the student midwife Nikki. Karen (or Karan?), one of the ward midwives, was also very kind to me when I was exhausted and emotional after being transferred to a room after the birth. Another midwife who is also a lactation consultant (can’t remember her name sorry!) was also very helpful. The ward/midwives were obviously very busy, sometimes it took a while for them to answer the call bell or bring meds/ice packs to me, but I appreciate it’s a busy time of year for babies and the pressure healthcare is always under. I appreciate the care I received from everyone on the maternity ward.

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Responses

Response from Amy Gumbrell, Regional Clinical Midwifery Consultant , WACHS, WA Country Health Service 6 months ago
Amy Gumbrell
Regional Clinical Midwifery Consultant , WACHS,
WA Country Health Service
Submitted on 6/11/2023 at 2:44 PM
Published on Care Opinion at 3:21 PM


Dear phasegy95,

I would like to thank you for taking the time to provide your feedback on Care Opinion and your openness in sharing this experience. My name is Amy Gumbrell and I manage the Midwifery Group Practice teams in the South West. It sounds like you had quite the journey through your labour and birth! I can absolutely appreciate that this was, at times, a stressful experience, and I would like to apologise that at various points in your labour, our communication was inadequate, that you were not adequately counselled and that consent was not gained in regards to your episiotomy or third stage injection and the distress this may have caused.

We take issues regarding consent very seriously and I would love the opportunity to discuss this matter further with you and to thoroughly investigate and address the issues that you have raised here. I would kindly ask you to reach out to me again on amy.gumbrell@health.wa.gov.au or on 0436 005 881 to discuss the matter.

I appreciate the positive feedback you have provided for the staff and I will certainly pass on your gratitude to those staff. A very big congratulations on the birth of your baby.

Thank you again for sharing your experience with us and I hope to hear from you soon.

Warm regards,

Amy Gumbrell

Regional Clinical Midwifery Consultant – Midwifery Group Practice

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Response from Amy Gumbrell, Regional Clinical Midwifery Consultant , WACHS, WA Country Health Service 5 months ago
Amy Gumbrell
Regional Clinical Midwifery Consultant , WACHS,
WA Country Health Service
Submitted on 17/11/2023 at 4:36 PM
Published on Care Opinion at 4:37 PM


Dear phasegy95,

I would like to thank you again for providing your feedback via Care Opinion and also for talking to me this week. I would like to update you that as we discussed, I have shared your feedback and concerns with the Head of Obstetric Department and the Clinical Midwifery Manager, as well as provided both targeted and general feedback to staff regarding consent and communication regarding procedures.

Those involved in your care were saddened to be made aware of the way in which their care and lack of communication regarding undertaking certain procedures did not make you feel informed and supported during your birth. They were very reflective on the events and have taken this as a good opportunity to improve their practice.

As we discussed, my door is always open if you wish to discuss this further.

Please feel free to contact me on 0436005881 if you wish to speak to me again, or you are also very welcome to contact the hospital consumer feedback team on SWfeedback@health.wa.gov.au to provide any further feedback.

Thankyou again for the positive feedback you provided regarding your MGP care also.

Wishing you and your family well on the journey ahead!

Warm regards,

Amy Gumbrell

Regional Clinical Midwifery Consultant - Midwifery Group Practice

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