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"Pain and trauma from saline injections"

About: Royal Infirmary of Edinburgh at Little France / Maternity care

(as the patient),

I gave birth to my first child in December of last year. I've been wanting to share my experience for some time, but I have struggled to find the words to really share my story and experience. 

Firstly, I want to commend the staff - the midwives, the doctors, 

anaesthesiologists, care staff. You are wonderful, overworked and still wonderful. 

My labour was long - it started at 1am on Thursday and my baby wasn't born until 1pm on Saturday. As it was my first time, I was frantically counting each contraction, timing when to go to the hospital. My pain was really surreal due to the baby's position on my back.

On my second visit to the triage unit, I was really disappointed to be sent home again - the midwife could see my pain and my struggle. It was at this point the midwife offered me saline injections. I had taken a course on pain management and at no point had this ever been shared with me. I asked for more information and the midwife happily left the room to find it. They returned a short while later, with four injections and multiple midwifes.

This was the kind that had to be administered two at a time into my lower back. I gulped at them, but knew it might take some pain away. They told me to brace for pain, but I guessed it couldn't be worse than my labour. I leaned to my partner for support, but the pain was unbearable, like a thousand bee stings at once. An injection of hot water placed under my skin. I screamed and I cried and felt like I was being murdered. I ripped my hands from my partner and started to lunge to pull them out myself. I begged them to not put the second set in. I felt traumatised and in my mind, I questioned why anyone would give this.

The process by which it happened made me feel like it was a tick box exercise, one that the midwife needed to complete to be deemed efficient. The other midwife who gave it came to me simply said sorry they had to come in there and do that to me. I felt horrible that this was part of their job. 

I couldn't have the other two, at this point, the midwifes told me it wasn't going to be effective. So the pain was in turn for nothing and I had to go home in more back pain and unable to put my hot water bottle on it. 

Later, I could sense frustration from an anaesthesiologist who I shared my story to. They were angered that this was being offered as a pain management. It has, with no pun intended, left a sting to my experience. I felt nothing when I later accepted the epidural. 
In the end, he was born by c-section as he was back-to-back and my labour had failed to progress on its own. The doctor who presented me with the final decision to go for c-section was wonderful. They made me feel like everything was still my decision, while still reminding me gently that this was the safest delivery. They told me that although this is classified as an emergency c-section, it's the best kind. The baby was born a healthy 9lbs10oz and everyone in the theatre laughed at where he had been hiding. 

Overall, labour has not scared me. It is true, you forget natural pain and you have a beautiful baby to make it easier. But I will never forget, and I will live with the trauma of artificial pain from those saline injections. I urge the NHS to reconsider them and to provide proper info to women opting for them. 

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Responses

Response from Fiona Lumber, Charge Midwife Lothian Birth Centre, Simpsons Centre for Reproductive Health, NHS Lothian 10 months ago
Fiona Lumber
Charge Midwife Lothian Birth Centre, Simpsons Centre for Reproductive Health,
NHS Lothian
Submitted on 27/06/2023 at 16:01
Published on Care Opinion at 16:01


Dear CStew22,

I'm sorry this is your experience of sterile water injections. We are glad to hear your positive feedback about the staff you encountered in the service.

I hope you and your family are thriving and all is well.

Thank you so much for sharing this experience with us, we are delighted at the positive experience you encountered from the staff and very grateful you have highlighted this to us.

We also acknowledge the extreme personal courage you have shown when sharing this experience of the Sterile Water Injections and reliving the trauma of it again at the time of typing it. We do aim to ensure that we fully counsel people in sterile water application before its administered.

We do genuinely strive for this to be the case, and do we advocate it for labour pain as a low-risk non-pharmacological method - I am saddened that this was not the experience you had and in fact caused you more pain. Information leaflets that should have been given to you to read before its given and we should record your experience of its personalised efficacy on an anonymised feedback sheet. We use these sheets to gleam the information we need for internal audit of its value. It has had a good uptake of utilisation and we have information that it works well, and people have had more than one episode of using it in the duration of their labour. But we also appreciate it does not work in that way for all.

If you need further clarification please contact me, Fiona Lumber, Charge Midwife in Lothian Birth Centre on Fiona.lumber@nhslothian.scot.nhs.uk

Kind regards

Fiona Lumber

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