Diagnosis of Early-Onset Pre-eclampsia

I was let down by my local hospital’s antenatal and fetal assessment unit by the way they failed to recognise or take seriously enough my symptoms, or take the urgent action required when I presented with pre-eclampsia at 20 weeks gestation, quickly worsening with mine and my baby’s life becoming in danger over a period of around 2 weeks.

It was my first pregnancy, achieved through IVF after trying to conceive for 3 years. My baby already had growth restriction at this point.

Prior to this stage I’d had 3 severe bleeds, threatened miscarriages during my first trimester, and despite this was still labelled ‘low’ risk.

Ultimately my baby boy was stillborn at 25+1 weeks – an event that is sadly associated with pre-eclampsia.

Whilst I was in hospital, having been in for a month; I spent 2 weeks in this hospital and then I was transferred for specialist fetal-renal obstetric care – which was excellent – at a Women’s hospital who are more used to looking after mothers-to be in similar situations to how I was.

I feel that the staff at the first hospital (my local) did not have the awareness that pre-eclampsia can develop even at this early stage. It seemed to me that they refused to take it seriously, and so correct diagnosis and proper treatment/care was delayed until I finally saw an out-of-hours GP at my local hospital, who immediately understood the severity of my condition; my blood pressure had peaked at 170-180/ 100 by then, and proceeded to get me admitted that night.

angelbaby

Consultation at Doncaster Women’s Hospital

I was really pleased with the speed of referral from my GP to the consultant at the Doncaster Royal Infirmary Women’s Hospital. The appointment was made at the GP’s surgery with the ‘choose and book’ scheme so I was seen 2 weeks after having seen my GP.

At the clinic, the staff were courteous and pleasant. I had to wait 1 hour after my appointment time to be seen but I felt I was given time when I was seen, so I didn’t mind. The doctor who I saw was a little bit flippant and cynical about my referral but said that the GP was right to refer me. There was a trainee doctor present who stood at the end of the bed while I had an internal examination. I would have felt more comfortable if the doctor had asked me if it was ok for the trainee to observe, as opposed to doing so without being invited.

Overall, I felt that I had been examined thoroughly, given appropriate advice and dealt with in a reasonable way.

Maestro188

Excellent unit, great level of care

I’ve just been discharged after an overnight stay at the women’s health unit for an operation on a bartholins cyst. The staff were amazing, my two nurses were warm, friendly and always on hand if I needed anything, even though the ward was extremely busy. The consultant and anaesthetist were fab and kept me informed at every step, explaining what they were doing and why. I was slightly nervous about the op as I’m 26 weeks pregnant but they took great care to ensure the safety of my baby. I haven’t a clue why Tameside has such a bad rep. This was my second stay there and both times have been excellent in terms of the level of care and treatment that I’ve received.

Anonymous

My stay in the Women’s Health Unit

I feel I have to write to thank all the doctors and staff on the WHU at Tameside Hospital, my Consultant Dr Hanna, the Anaesthetist Dr Kitson, the recovery nurse Zoe and all the staff on the unit.

At every stage of my procedure they were friendly, reassuring, and very professional. The nursing staff on the unit were very busy, yet no questions were too small or silly.

The ward was constantly being cleaned and beds were made and remade with clean sheets every day, the domestic was chatty and clearly enjoyed her work. Overall the atmosphere of ward was cheerful and friendly yet very professional.

I felt I was in very safe hands. I would not hesitate to recommend these staff and this service. Tameside is very lucky to have them.

Poppy123

Lewisham Hospital Appointmnet System

I experienced a miscarriage at 9 weeks and attended the Emergency Pregnancy Unit at Lewisham hospitaland received excellent service especially from Gloria, one of the midwives there.

I’d already received my appointment for my 13 week scan but was told the EPU would cancel this on my behalf

3 weeks later I received a reminder text for the appointment asking me to ring a number to cancel the appointment if I could no longer attend. The woman who answered the phone apparently works for the call centre new appointments and therefore could not cancel the appointment. Her tone was quite brusque and imapatient. Further she also complained to me that this had nothing to with her and I would have to redial another number and that she had complained many times to Women’s Health that the wrong number went out on the texts. According to her the texts are sent by a third external party and she has no control of these.

I did phone Women’s Health, the woman I spoke to did have decency to apologise for what had happened and said she would log the incident as this was their error and happened “very rarely”.

This was very upsetting reminder for me – I received it at work. I’ve tried very hard to move forward from the miscarriage and this has brought it back. It’s particularly disconcerting as I offered at the time of the miscarriage to cancel the scan but was assured this would be taken care of. I also found the woman who initially answered the phone quite rude and seemingly irritated that I had called the requested number.

After this experience, I think Lewisham needs to improve their admin.

Crofton Park

Care at Queen Elizabeth Hospital after a miscarriage

I was given the news that my pregnancy was unsuccessful at my 12 week scan. Although it was a terrible situation the nurse practitioner was wonderful and very sensitive to my needs and that of my husband. I was asked to come back for another scan in two weeks time to check my progress.

I arrived for this scan after a very difficult two weeks in which time I had fully miscarried. Unfortunately I had to wait for my scan in the same waiting room as all the expectant mothers which was very difficult to deal with. At this point sitting in a waiting room surrounded by happy parents to be wasn’t where I needed to be and despite fighting it I couldn’t stop myself from crying.

I cannot fault the care that I received from the staff at the women’s health clinic at Gateshead’s Queen Elizabeth hospital but I did feel that people in my situation could be given a private room so that we aren’t put in any more of a difficult poistion than we are already in.

Gd8282

My experience at QMC Nottingham

I am taking the opportunity to offer an account of my recent hospital experience at QMC Nottingham- Oct 08. I have taken time to respond to your request so that I can report facts rather than giving an emotive response.

The pre-op afternoon which I attended for the necessary tests was a very helpful time to have the opportunity to talk to the Consultant and the Anaesthetist: to ask my questions and to share my concerns. I spent some time talking with the Anaesthetist about my wanting a block rather than a general anaesthetic, because of the post-op adverse reactions I had had from previous general anaesthesia. The Anaesthetist said he would much prefer to do a block, and I signed the consent form with that agreement in place.

My husband and I entered the Day Admissions Ward at the required time- 10.30am. One nurse was sitting doing the admission of a patient. She did not acknowledge us. We sat down on the available chairs and we were left there for the next 1.5 hours with no communication from any of the nurses who came and went and who generally appeared to be in confusion-no sense of knowing what they should be doing, standing around chatting generally. I eventually turned to my husband and said ‘I feel so unsafe here’. The nurses sent one of the other patients down to theatre. She was subsequently sent back, really distressed, as she was the wrong patient the theatre was expecting (the nurses were so busy laughing about it – they did not seem to notice their distress). Suddenly Sister arrived on duty and order and calm was restored. I breathed a sigh of relief. She went around and spoke to each patient. I had expected to be a day patient, but she was expecting me to stay overnight because of the need for “more powerful drugs that I would need for this op that I would not have at home”. A young lady arrived and sat before me saying she was my anaesthetist. I asked where the anaesthetist was that I had met and with whom I had talked with at length at the pre-op day. I had felt reassured by him and felt confident in his ability. There had been no suggestion that he would not be available for the operation day.

So I was some what shaken to find this different anaesthetist who was saying that I would be having GA- which I argued was not so. But she revealed she could not do blocks- had never done one. However, eventually, she said she had a colleague who had done them in the past. I reluctantly agreed I would have a block done by this unknown person (although internally was debating whether to leave!!!)

The admissions nurse then came to check my personal details and continued to fill in numerous forms with ticks and circles and her signatures- but not communicating with me. She spent nearly three hours admitting three patients, with minimal communication with any of us.

I walked to theatre at 1.30pm and the anaesthetist put the canular in my hand which I felt was not in correctly and the subsequent sedative went into my tissues. One of the post op nurses spontaneously confirmed that my opinion about the canular was correct. (My past training is as an SRN).

The block was attempted and was extremely painful. The anaesthetist appeared anxious/panicky as she quickly ordered her colleague to ‘flush’. Eventually I was taken into theatre, where it was found that the block was incomplete and my hand was not fully numbed. SO I had to have GA. I felt quite anxious, trapped and let down.

My main Post Op Recovery Nurse- Nick was brilliant. He was professional, competent, gave me a sense of safeness- that he knew what he was doing. He communicated and included me in every decision. I would like to thank him for communicating. It was a very different immediate post-op experience from my last one. I returned to the ward about 5.30pm.

By 7.10pm I was in a lot of pain. My husband asked a nurse for some analgesic. After looking at my chart- she said I was not due for any for another half hour. At 7.40pm, the pain was really bad- my husband asked again t the nurses station. He was told that we would have to wait because they were on change over time, and a nurse would also be needed from another ward.

By this time I was almost at screaming pitch. I tried deep breathing- but I found I was hyperventilating and began to ‘fizz’ all over. My body suddenly went into shock and was shaking violently. Silent tears pouring down my face (I am not a person who screams or even cries easily). A visitor opposite said, “By lass that’s making you sweat isn’t it!” By around 8.00pm I was managing to disassociate a little- but the pain was excruciating. My husband went and pleaded again- but they still had more important reports to get through and also they had to get another nurse from another ward. I felt I was losing it completely. Some time later I suddenly heard a voice saying “well are you going to do it or am I”. I opened my eyes to see a syringe pointing closely at my face. She repeated her sentence, but being in a state of feeling ‘out of it’ I still could not grasp what she meant, (morphine- in my past experience came in a small syringe with a needle). “Open your mouth” she said, I did, and she poured the contents of the syringe into my mouth and she went. It was 8.30pm. I felt exhausted, in sever shock and very cold. My husband put my fleece over me.

The anaesthetist had written up Codeine and Paracetemol for the ensuing analgesic, which the anaesthetist had said could be taken together. (I normally take co-codomol for my arthritis) I checked this combination with her both before and after the op, but the nurses would only give one or the other. I was in constant pain and I felt much happier when I got home and could control my own pain management.

I really am concerned at the lack of nursing care and in particular their ability to be aware of the pain control/management needs of patients. I am also concerned about the lack of including patients in conversations and decision making. It felt as though we were expected to leave our brains outside the ward. Other nursing needs of patients were not attended to, and nurses seemed driven by the pieces of papers they had and were never seen without. They rarely introduced themselves. It felt they were driven by the system. Throughout the following day, I asked four nurses for help to remove the canular (which was very sore) and to enable me to dress to go home, it was the cleaner who kindly came to my rescue in the afternoon when she saw me struggling to dress with one arm. A nurse removed the canular just as I was leaving the ward in the late afternoon.

The cleaning team was wonderful. They did a superb job and were very thorough and meticulous in their work. They brought laughter and relaxation of tension onto the ward- which was wonderful. They did a number of personal care things for people- which eased things for each one of us. A lovely bunch of people doing a great job- often unrecognised and unacknowledged. A big thank you to them for bringing some ‘normality’ and fun as well as keeping us safe because of the work they do so well.

One final episode. A young patient had her boyfriend as a visitor. He was around for most of the first day, talking loudly and incessantly. He took her out to a party in the evening, and brought her back gone 10.00pm. He helped her into bed and then drew the curtains round the bed and stayed for another hour. We felt unhappy about this and very uncomfortable about having a 17-19yr old man in a women’s ward at that time of night. He was eventually asked to leave by a nurse, who did a check inside the closed curtains. This he did but then rang his girlfriend (the patient) 10mins later. They conducted a conversation for another half hour until she was asked, by a patient, if the conversation could be continued on the following day rather than at this time of night. She brought the phone call to an end. The young man was back on the ward by 10.00am the following morning- at a time when the women in the ward bay were all doing personal things and did not want the presence of a strange young man around. The staff appeared to be oblivious of the situation.

All in all the experience left me with a sense of ‘unsafeness’ and of my being uncared for, at a time when I felt most vulnerable. There is a sense that if a patient was collapsing- it would not necessarily be noticed- or reacted to by the nurses- because it was not on their chart/form/instruction sheet- and I am sorry if that sounds facetious- but that was how all of us on that ward bay had shared together was how we felt.

The appointment system at QMC seems somewhat chaotic. At the initially contact I phoned for, and been given, a consultant appointment as per instructions from my GP, this was subsequently changed by QMC as “not the right appointment for me”. When leaving the hospital after the op, the nurse gave me a clinic appointment date and also a Consultant appointment- 5 weeks hence (4th Dec). The nurse also told me to ring for an X-ray to be done before the clinic appointment. The X-ray unit told me that I needed to ask the receptionist for a “white card which would be in my file at the clinic appointment and to go straight there before going to x-ray”. Two days later I received a letter cancelling 4th Dec and transferring it to the 15th Jan 09. At the next clinic appointment, the Dr I saw said he would need to see me in 4 weeks- in spite of my showing him the letter I had received. So another appointment was made for the 27th Nov. One thing I am not sure about is whether it is now up to me to cancel the Jan appointment or will that have been automatically done by the system. Maybe it will just become a statistic of one more missed appointment.

The OT’s, whom I have seen weekly, and latterly also the physiotherapists, are excellent, kind and really proficient in the work they do. Over the weeks, they been very encouraging and were flexible to cover my needs. However, the system- which includes patients seeing either one or other- or sometimes all of OT’s, Doctors, Physiotherapists tends to leave patients confused and often annoyed as they sit and wait- whilst watching other people who arrived long after themselves being seen before them. This was particularly the concerning for one elderly man who spoke to me, who was really concerned because he was a diabetic. He had been there from 9am and he was seen at 1pm and needed to eat at regular times. There is a card numbering system to see the OT’s- (and it is the patients who tend to tell each other that a card needs to be obtained)- but if you are seeing more than on clinical person- it does not appear to flow well. Patients would do well to be warned of the system and the long delays- and to take a good book with them!!! Unfortunately, the nurses are not helpful acting more like glorified clerks with not a smile between them.

Mode916

Our great experience of Royal Devon and Exeter NHS Foundation Trust

Sadly, my elderly mother has required emergency admission to hospital three times this year and she has attended numerous outpatient clinics with a number of different departments. Our daughter also gave birth at the hospital’s new Centre for Women’s Health shortly before Christmas. Throughout all of our contact with the hospital, over many months, our experience has been excellent. A very big thank you and well done to all of the many dedicated staff concerned. You are a great advertisement for the NHS.

Rutbi4

Excellent care in Women’s Health dept

I was a patient in the Women’s Health department at the Royal Bolton hospital last month. I was most impressed with the respect, care and understanding shown to me by all staff within the department.

The only thing that could have been better was if there was less time spent waiting for appointments.

Thank you to everyone in the department, as they were all excellent.

Dancer481

Exceptional nurses on the women’s health ward

I was admitted to the women’s health ward from A&E for 3 days.

Never been in Tameside before, however I found the service from the nurses on the women’s health ward exceptional. These nurses work long shifts & still greet you with a smile & are happy to help with any request you have.

Cleanliness of hospital – more so A&E than wards – not so great & could do with improving somewhat as blood was visible on bins & gowns left in toilets.

Overall Tameside could do with some improvements, however I can’t fault the nurses service on women’s ward. Extremely happy with that.

Tanz1