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"Midwife Group Practice"

About: King Edward Memorial Hospital / Maternity

(as the patient),

My GP placed me in the care of a Midwife Group Practice team at King Edward Memorial Hospital for the duration of my pregnancy. I was seen by the same midwife at every appointment. This enabled me to develop trust with the midwife and have continuous conversations about my pregnancy journey and what I would like out of a birth experience. 

At 10 days past my due date, I consented to a vaginal exam performed by my midwife so that we could ascertain if my cervix was opening. I was told by my midwife that vaginal exams were uncomfortable but not painful, yet I found this experience to be extremely painful, and it went on for much longer than I thought it would. I felt like the midwife was bruising my cervix as it seemed she was pushing extremely hard and was, I feel, very rough and forceful with such a tender and delicate part of my body. This experience made me fearful and hesitant to have more vaginal exams during my labour. In hindsight, I feel that this experience was not necessary and caused me considerable physical and emotional distress. I also believe the midwife did not communicate their findings effectively, simply saying something like they can't feel anything. As such, I did not learn anything from the experience.

When I went into labour, my midwife was not working, and they did not accompany me during any stage of my labour or childbirth. Instead, I had about 4 different midwives who I had never met before as they started and finished shifts with me. The next time I saw my midwife that I was under the care of, was the day after the birth of my baby when they came with a student midwife to check up on me. I was so emotionally and physically exhausted that I don't even remember the conversation we had about my birth experience, but it was brief and general in nature.

My midwife then came to my home address once after I had been released from hospital to check on me and my baby. Again, I was so emotionally and physically exhausted that I didn't have the inclination to tell them about how I felt during the vaginal exam they had performed on me days earlier. I also rationalised that they were just doing their job and that I shouldn't blame them. Yet, I feel compelled to mention it here as it was something that caused me considerable pain both during and after the exam.

My relationship with my vagina has changed dramatically since the birth of my baby. I cannot imagine consenting to another vaginal exam, and the thought of having a pap smear causes me distress. I don't want anyone to go near my vagina for a while. I have been basically told by my GP and physio that I need to get over this fear, so I don't feel that medical professionals really understand or accept my hesitancy. 

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Responses

Response from Jodi Graham, Executive Director, Sir Charles Gairdner Osborne Park Health Care Group 3 years ago
Jodi Graham
Executive Director,
Sir Charles Gairdner Osborne Park Health Care Group
Submitted on 24/06/2021 at 9:44 AM
Published on Care Opinion at 9:46 AM


picture of Jodi Graham

Dear Banjo00,

I am sure that this must be a very busy time for you and your family, so I appreciate the time you have taken to provide me with the details of your pregnancy and birthing journey at the King Edward Memorial Hospital (KEMH).

I am sorry to learn that the events leading up to the delivery of your child have caused you physical and emotional distress.

Vaginal examinations (VE) are performed routinely at appointments during the end of pregnancy and throughout labour and birth. There are a number of reasons why care providers suggest VEs during labour including dilation progress, to assess how far the baby has moved down into the pelvis, to determine whether the baby is breech and to check the position of the umbilical cord once the waters have broken.

Women vary in their experiences of VEs. Some women find the examinations mildly uncomfortable but reassuring, while others find them invasive, embarrassing, painful and/or distressing. VEs are also inherently intimate; therefore, it is important that you always feel respected during the procedure.

Before you consent to a VE, the provider should explain why they are suggesting it, what is involved, what it might feel like and how long it might take. You should also be reassured that the exam can be discontinued at any time.

I am incredibly sorry to read of the details of the vagina exam performed on you by your midwife. You have the right to inquire about any procedure that is being suggested as part of your prenatal, labour and delivery care and you also have the right to decline to the procedure, and I am sorry if this was not explained to you.

I understand that this experience has negatively affected you. This type of feedback is taken very seriously. Should you wish to, you can contact our Consumer Liaison Service so that an in-depth, personalised investigation can be undertaken for you. You can contact this service on (08) 6458 1444.

Alternatively, I would encourage you to discuss this issue with your General Practitioner (GP). Your GP may be able to speak to you regarding future cervical screening examinations, including an alternative self-collection cervical screening pathway for eligible women.

I would like to congratulate you on the birth of your child and wish you and your family all the very best for the future.

Kind regards,

Jodi Graham

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Update posted by Banjo00 (the patient)

I'd like to add that I also had difficulty in accepting that the nurses, students, doctors and physiotherapists who came into my room all seemed to want to perform the same inspections on me.

Often it was the case that one person after the other was coming into my room and asking me to do the same thing or performing the same checks on me. Some inspections involved someone pressing down very hard on my stomach, others involved asking me to take my underwear off so they could look at my vagina.

It wasn't explained to me why these checks had to be performed repeatedly by several people instead of just one person. I don't blame anyone for how I felt because everyone was just doing their jobs. I do not wish to contact the hospital in relation to my experience but would like to let you know how, in my experience, some hospital processes can cause harm and distress to patients.

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