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Still birth/maternal deaths..how do you cope?

Discussion in 'Managing Emotions' started by RedRidingHood, May 7, 2010.

  1. La Sage-Femme Active Member

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    oh god!:no:
  2. iolaus Education Moderator

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    It's true you don't forget that sound, it's so primative and gutteral and unique. It echos through the unit, even if you aren't in the room you know that's whats happens. The only other time I've heard similar was one where social services waited till after the birth to tell someone she couldn't take the baby home with her - it's that realisation of loss and disbelief.

    Today we are lucky in that stillbirth is still quite rare, so people take it for granted that you get past 12 weeks and you get to take a live baby home with you, sadly it doesn't always work like that
  3. robynsmum New Member

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    although this makes for some sad reading i think it is an excellent thread and a bit of a reality check for us wannabes! makes me realise as a mum how lucky i am to have taken home a healthy baby. can i ask has anyone ever been in the situation where the mother has not survived? how would you cope with the family and the baby would the father be allowed to stay with the baby if he could?
  4. iolaus Education Moderator

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    I was recently working but not caring for the woman when there was a maternal death.

    Dad took baby home - they can't stay on the maternity ward with baby (obviously they aren't kicked out straight afterwards), if baby needed to stay in for whatever reason they'd go to SCBU and parents can usually stay there
  5. MissJS Active Member

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    I agree, this thread prepares me a bit, in case I come across this, which I most definitely will. Thank you to you ladies who have answered these questions.
    To those who have experienced these situattions, have you ever felt like it's been your fault that a baby has ever died, for example during a delivery?

    JX
  6. iolaus Education Moderator

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    Fresh stillbirths are rare, however it is natural for you to beat yourself up about it - I know I did with the uterine rupture case, even though I was completely cleared, plus there will be an investigation into any fresh stillbirth where the midwife will be investigated - will probably take 4 months or so to be completed
  7. Mrs F New Member

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    I didn't realise these things a) were routinely done, and b) took so long. That must be an awful thing to have hanging over you for so long, even when you know that there was nothing else that could have been done :no: I have to admit it does make me wonder how I woud react in a situation like that (I have a tendency to over-analyse stuff anyway when there's a chance I could have changed things had I done something differently :( ).
  8. iolaus Education Moderator

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    I think part of the reason for investigation is in case you later get sued all that work has been done and will help you (even if you've done something wrong I suppose then it's been dealt with so shows you've learnt from it etc)

    If someone dies you will also likely end up in coroner's court - a few collegues ended up there last week, a neonatal death, about 8 months ago (birth was 6months before that but the death was related to the birth), everyone was upset there because it was one of the midwives working on the unit's niece - but if you were involved in the care at any point (even if it's answering the emergency buzzer) thenyou will have to write statements and could be called in court
  9. midwifegonnabe Communications Moderator

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    I have just read through this entire thread and it has really opened my eyes up. Thank you for sharing your difficult experiences. Iolaus I knew litigation was high in midwifery but I never imagined it could go on for so long and you could attend court even if you wasn't directly involved in the care, thank you for this information.
    Many people have said to me how would I cope in situations like these, and I know I would find it difficult as I'm sure any human would, but at the end of the day you need to be there for that family. They are the ones that have lost their child and for that moment in their life they need your support and loving care. I can imagine I would go into autopilot and deal with my emotions later with my colleagues.
  10. Shoshana Education Moderator

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    Yes, this has happened to me. I answered an emergency buzzer when a woman had shoulder dystocia. 8 years later I had a letter from the hospital/solicitors asking me to attend a meeting to discuss this case. The parents were suing the hosptial because their daughter did not have full use of one of her arms, that was attributed to the difficulties at delivery. So the hospital solicitors were putting together statements from all people involved. - I was in the room for only about 5 minutes.

    This is a few years ago now and I've not been called back since. Most cases are settled out-of-court.

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