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"Not supportive of homebirth"

About: Maternity care / Community Midwifery Unit Maternity care / Labour Suite Perth Royal Infirmary / Community Midwifery Unit

(as a service user),

I booked with Perth for my pregnancy and had expressed my preference for a homebirth which my community midwife was supportive of as I had a straightforward pregnancy.

However when my waters broke, I phoned Perth and the midwife (a different one) could not have been less helpful. It was 9am and there were midwives on that day and she refused to come out and see me and I felt she didn’t want to support me in my birth preferences at all. She made me go in for a visit - which was the last thing I wanted to do but I felt pressurised into it. This was just the beginning of a really stressful latent phase of labour.

Ultimately I didn’t feel supported in my birth preferences which was a huge shock and I didn’t get the homebirth I wanted because there didn’t seem to be any support there at the end. You end up feeling like you’re inconveniencing them with the plan you made with them! I would be aware of community midwives supporting homebirth because some clearly don’t actually support it. It’s not a surprise the homebirth rate is so low in Tayside with this approach.

So I am writing this feedback to tell others my experience that if you want supported in homebirth at Perth or Dundee it obviously depends on what community midwife you speak to when you go into labour.

I have since been informed that the staffing levels are sometimes not high enough to keep Perth open even as a midwife unit, or to support homebirth - I think this is really poor care and if they want everyone to just give birth in ninewells then say that to the ladies instead of pretending you can offer something you can’t.

It just adds more stress when you should be focusing on getting your baby here safely. When I went to ninewells I felt very dismissed for having planned a homebirth and nobody really seemed to care about any of my preferences. I felt like I was on a conveyer belt and needed to just go with whatever they wanted me to do.

Overall a really disappointing experience, and I don’t think the midwives or doctors realise what a huge effect this stress has on someone’s experience.

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Responses

Response from Stephanie Gardiner, Senior charge midwife, Obs and Gynaecology, NHS Tayside 6 months ago
Stephanie Gardiner
Senior charge midwife, Obs and Gynaecology,
NHS Tayside
Submitted on 20/11/2023 at 15:14
Published on Care Opinion at 15:14


Dear moonrh66

I wish to congratulate you on the birth of your baby. I hope you are both doing well at home and enjoying the thrills a newborn baby brings to the family unit.

I would like to extend my gratitude to you for taking the time to share your experience within our service during your labour and birth. It is invaluable for us as a team to directly receive personal feedback of care provision, to enable us to evaluate and influence service improvement. I am very sorry we did not support your birth choices, or consider how to adapt these with your considerations as your birth journey progressed.

The experience you share of how we facilitated your birth choices from the beginning of labour, is extremely important to us as a service, to acknowledge and reflect upon, to promote a positive birthing experience for all families.

If you would feel comfortable, I would be very grateful if you would agree to contact myself directly to provide the opportunity for us to review your labour and birth journey. I would be very happy to meet with you in person or via telephone to facilitate this. My email address is stephanie.gardiner@nhs.scot

Thank you very much

Best wishes

Stephanie Gardiner

Senior Midwife

NHS Tayside

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