Association of Radical Midwives

From MIDWIFERY MATTERS, Issue No.107, Winter 2005

 

Why doesn't every practice have a One to One midwife?


Penny Barnes


Call me naïve, but before I got pregnant I had never considered what sort of care I would receive from the NHS. I had no fear of childbirth thanks to my Mum and always thought that everyone knew their midwife well before any labour pains started!


As a child I lived in rural Norfolk. I was born in 1972, my brother in 1973 and my sister in 1975. We were all born at home and my Mum had the same midwife for all three of us. I had attended antenatal classes with my Mum when she was carrying my sister and remember rubbing my Mum's back during labour. My Mum had taken a very brave step and allowed me, at three years old, to see my sister being born. I remember it and grew up with a positive image of birth as well as being very close to my sister.


So when I got pregnant at thirty two, I went to my doctor and asked, "What happens now?" She gave me the practice midwife's phone number and told me to ring her. I rang her and got a rather frosty response. She was part time, overworked and had colleagues off on long term sick. She wasn't able to see me until I would have been four months pregnant. She also told me, when I asked a few questions about having my baby at home, and tried to explain that I really didn't want to go to hospital, that I wouldn't necessarily have met the midwife who would deliver my baby. I had felt very relaxed and happy about it all until then. I remember feeling upset and thinking "It's not supposed to be like this." I rarely needed to go to a doctor and now I needed some support where was it? I felt like a number not a person and was quite shocked. I became aware at this point that I was going to have to actively seek the care I had naïvely assumed I would receive.


Then I had a chat with someone I knew who had recently become a midwife and I knew she would have a similar philosophy and an understanding of what I wanted. Chrissie I can't thank you enough! She told me that I could swap practices to one that had a One to One midwifery team. I registered at the practice and was put in touch with a midwife. From this point everything changed. My midwife visited me at home for all my antenatal check ups and explained how the One to One service worked. She got to know me as a person as well as my wishes when it came to giving birth. I really wanted to have an active birth without any drugs but knew that I would need a lot of support to achieve this.


I never had to write a birth plan because Pam had taken the time to talk to me and discuss my options and intentions. Together with Katherine, a student midwife, they had noticed on the bookcase the photo of me scuba diving and this prompted them to ask whether I had considered a water birth. I had no idea that this was available. I felt that the One to One service just got better and better! They booked a birthing pool for me. I felt very relaxed through the rest of my pregnancy because I knew that I was going to be in good hands when it came to labour and trusted Pam completely. I also met Wendy who worked with Pam in the One to One team. Wendy worked when Pam didn't and vice versa. I hadn't got to know Wendy as well but she too was supportive in my aim to have a home water birth.
My due date came and went. I became anxious as I feared being so late that I would have to go to hospital to be induced. All through my pregnancy I had read very little about pregnancy and birth as I felt my gut instinct was serving me well. Parent craft sessions (which always makes me think of lace making!), were very good and I felt that I didn't need any more information or to read horror stories of things that could go wrong etc. But when I was eight days late I read about induction. I tried every suggestion to get things started; acupuncture amongst them. I felt that nature had served me well through this pregnancy and that labour would start when nature felt it should, not a hospital's dating scan. However I still feared that I would be pressured into going to hospital when my baby became ten days late. Wendy and Pam both put my mind at rest. When I was ten days late I had a membrane sweep after talking through the options with Pam who said that we would take it a day at a time.


Things started four hours later. My labour was longer than I had expected but, as I understand it, quite normal for a first birth. During the birth Pam, Wendy and Katherine together with my husband helped me to find the strength to achieve what I wanted. I went very much inside myself during labour but I remember them saying "You can do it, you're strong". They knew this because they had taken the time to know me. Pam, Wendy and Katherine all helped deliver our baby who, thanks to them all, was born at home in water as I wished. I can't thank or praise them enough. They went above and beyond the call of duty and gave me so much support and care through pregnancy, birth and for a fortnight after, helping me with breastfeeding too.

 

Updated LW November 30, 2006