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"Awful Postpartum Care"

About: Fiona Stanley Hospital / Antenatal Clinic, Birth Suite, Maternal Fetal Assessment Unit, Obstetrics and Gynaecology Unit, Wards 3B, 3C, 3D, 3DO, Visiting Midwife Service

(as the patient),

I had my first child at Fiona Stanley - originally in the Family birthing centre then transferred to the Maternity ward. I felt it was terrifyingly negligent in postpartum care.

I was left in labour for almost 72 hours, with contractions 2 minutes apart - it was awful. They refused to admit me as I wasn't dilated despite me begging after 2 days labouring at home, eventually baby had meconium and I developed an infection so I was admitted.

After another 17 hours in the hospital, and 40 minutes of pushing, I was told I would need forceps. I consented to this, but when I was wheeled into surgery I requested a caesarean - it was feeling too dangerous for me and baby.

Baby came out - aspirated meconium and was very unwell, then I had a severe PPH and was told I could need a hysterectomy. Afterwards they explained this was likely because I was in labour for too long. They managed to stop the bleeding, and I was told I needed a blood transfusion but they had none of my blood type.

It took 2 days to have a blood transfusion, and when it came they hung a bag of B+. My spouse intercepted this as I am 0- and it would have been incompatible. The nurse simply shrugged and came back with the right blood type.

I was told I was being difficult on the ward when I asked for my baby to go to nursery because I couldnt change their nappy as I still had a catheter in. I was told this was my life now as a new mum. I was told my blood pressure of 240/180 was normal and I was fine. They would just find a bigger cuff to redo the test so it had a more normal reading. I wasn't provided pain medication for 12+ hours, was accused of drug seeking by a nurse, who then realised I hadn't had any pain relief for the whole day, and wasn't provided any stool softners despite the drs. repeating to the nurses this needed to happen.

A few days after I was discharged I phoned MAFAU after I had severe chest pain and was vomiting profusely. I told them the pain was worse than labour and I thought I was having a heart attack. I was told that this was normal and I needed more sleep - they asked if this was my first baby and told me to try drink more water. My GP was absolutely horrified that they hadn't allowed me to come in and get checked out.

I've never felt so unsafe, desperate and unheard. Constantly my spouse and I were dismissed in our concerns. I felt like I could have died and would have been written off as a complication of an understaffed ward who sees hundreds of mums a day.

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Responses

Response from Neil Doverty, Executive Director Fiona Stanley and Fremantle Hospitals Group, South Metropolitan Health Service 4 months ago
Neil Doverty
Executive Director Fiona Stanley and Fremantle Hospitals Group,
South Metropolitan Health Service
Submitted on 2/09/2024 at 11:11 AM
Published on Care Opinion at 11:12 AM


picture of Neil Doverty

Dear cubeyd83,

Thank you for taking the time to share your experience with us. I would like to begin by expressing my sincerest apologies for the distress you have felt following your time at Fiona Stanley Hospital. The birth of a child should be a moment filled with care and support, and I am truly sorry that your experience did not reflect this.

After receiving your feedback, we conducted a thorough review of the details you provided. Your account of a blood pressure reading of 240/180 is particularly alarming, as such an exceptionally high reading would have immediately triggered an emergency response from our medical team due to it being life threatening. Our protocols are designed to detect and respond to such critical situations, and any reading at this level would have been recorded in our system. However, we found no record of such an occurrence in our system. It’s also worth noting that inaccurate readings can sometimes occur if the wrong cuff size is used, which is why our team would have used a larger cuff to ensure an accurate measurement.

Similarly, regarding your mention of a delay in receiving a blood transfusion due to a lack of O negative blood, I would like to clarify that O negative blood is one of the most commonly available blood types in our hospital. We prioritise the availability of this blood type to meet the urgent needs of patients. While I am not dismissing your experience, I must note that our records do not indicate any delays in administering a blood transfusion for patients in need, especially for such a common blood type. Any delay of this nature would certainly be documented, as it would represent a significant deviation from our standard practices.

Whilst we do not have records of these two specific issues you described, we appreciate that your story touches on many other aspects of care that contributed to your overall distressing experience. Your account of not receiving pain relief for over 12 hours, feeling like you were being accused of drug-seeking, and not being provided with stool softeners despite repeated requests from doctors is deeply concerning. These aspects of care, as well as your report of feeling dismissed when you raised concerns about severe chest pain after discharge, do not align with our organisational policies and standards of care. We take these concerns very seriously, and we are committed to investigating these aspects further to ensure that our practices reflect the compassionate and attentive care that every patient deserves.

I want to acknowledge the significant emotional and physical impact this experience has had on you. It is clear from your account that you are experiencing profound distress, and we are deeply concerned that you felt unsafe, unheard, and unsupported during such a crucial time in your life. We fully recognise that your emotional wellbeing is just as important as your physical health, and we are committed to ensuring that you receive the support you need to navigate this challenging time. Whether through counselling services, a discussion with our clinical staff, or any other form of assistance you may need, we want to help you feel heard, understood, and supported as you process what has happened.

We would greatly appreciate the opportunity to speak with you further to better understand your experience and to explore how we can support you moving forward. Peta Fisher, our Nurse and Midwifery Director, is available to meet with you at a time that suits you. You can reach her through our main switchboard on 6152 2222, and we will ensure that your concerns are addressed with the seriousness they deserve.

Once again, I am truly sorry for the distress you have experienced. Your feedback is invaluable to us, and we remain committed to ensuring that every patient feels safe, supported, and cared for throughout their time with us.

Kind regards

Neil Doverty

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