Samantha X

All went well during Samantha X’s pregnancy, until a check at 24 weeks showed her blood pressure was very high. At 28 weeks she was admitted to hospital for checks. Samantha X’s blood pressure continued to rise. Doctors decided to perform an emergency caesarean. Her daughter was born at 29 weeks and spent 7 weeks in hospital.

This was Samantha X’s first pregnancy, and everything had gone very smoothly, until she reached 24 weeks, when a routine check discovered she had high blood pressure. She spent a night in hospital and was put on medication to reduce her blood pressure. She had another check at 28 weeks, and again her blood pressure was high, so she was admitted to hospital for checks. At 29 weeks she was diagnosed with pre-eclampsia and told that she would have to stay in hospital until the baby was born.

Samantha X was admitted on a Friday and started to prepare herself for a long stay in hospital but after two spikes of very high blood pressure over the weekend, the doctors decided they needed to deliver the baby early. Samantha X was visited by an anaesthetist over the weekend, and by a paediatrician who came to explain to her and her husband what would happen to their baby after she was born and taken to the special baby unit. They found this very reassuring.

Samantha X had an emergency caesarean on the Monday morning and was only briefly able to see her daughter before she was taken off to neo-natal intensive care (NICU). She did not get to go and see her again until 5 hours later, this time for only 10 minutes. She describes feeling cheated by not having that special time with her baby just after her birth. She was also sad that she was unable at any stage to establish breastfeeding, although she tried hard for a month. Samantha X spent a further couple of days having 1-1 care in the delivery suite, as doctors struggled to get her blood pressure down. But she was then discharged to the maternity ward from where she was able to visit her daughter regularly. She was discharged home after 9 days and her daughter spent another 40 days in hospital. The travel during those weeks was hard as she was not allowed to drive and her husband was back at work. But they soon established a good routine of visiting their daughter. Their daughter had no major complications from her early birth. Samantha X felt very well supported in the neo-natal unit by the staff and also a parent run charity.

Samantha X felt that communication with the doctors was good. She felt confident during the crisis that they had a plan, which they had told her about, and that they knew what they were doing. Although she has not had a formal follow up with the consultant, they did have a very helpful chat while she was still in the hospital about subsequent pregnancies. The consultant also emphasised that she should ask to be referred back to her if she had any concerns. That offer of an open door has given her a lot of confidence. Samantha X has had routine GP 6 week check and midwife checks but described the care as mostly focused on her daughter. Her daughter was 8 ¬Ω months at the time of the interview and doing well. Samantha X was shortly due to go back to work.

Samantha X said there were some things she felt cheated by.

Age at interview 32

Gender Female

Age at diagnosis 31

Samantha X talked about the impact on her husband at the time. She thought that they have coped with it in slightly different ways from one another.

Age at interview 32

Gender Female

Age at diagnosis 31

Samantha X noticed that other people were sometimes unsure about how to react to the news that her baby had been born prematurely and needed to stay in hospital.

Age at interview 32

Gender Female

Age at diagnosis 31

Samantha X found that some people have been reluctant to ask about her baby’s health, but that this is less of a problem now.

Age at interview 32

Gender Female

Age at diagnosis 31

Samantha X thought it would have been good for her to talk to someone about what happened to her.

Age at interview 32

Gender Female

Age at diagnosis 31

Samantha X’s baby was born prematurely as a result of pre-eclampsia. Visiting her baby in the neonatal unit was difficult as they were both so unwell.

Age at interview 32

Gender Female

Age at diagnosis 31

Samantha X talked about the health of her baby daughter when she was discharged from hospital.

Age at interview 32

Gender Female

Age at diagnosis 31

Samantha X encouraged her husband to spend most of his time with their baby, but this meant she was on her own a lot.

Age at interview 32

Gender Female

Age at diagnosis 31

Samantha X faced difficulties with breastfeeding. This upset her a great deal at the time and soon afterwards, but had become easier to cope with since.

Age at interview 32

Gender Female

Age at diagnosis 31

The situation changed quickly for Samantha X she went from expecting to stay in hospital for many weeks to being told she would need a caesarean section very soon.

Age at interview 32

Gender Female

Age at diagnosis 31

Knowing that an emergency caesarean section was very likely, Samantha X and her husband had the chance to talk with a paediatrician beforehand. She found this really helpful for explaining how her baby was going to be looked after when born.

Age at interview 32

Gender Female

Age at diagnosis 31

Samantha X started to learn more about pre-eclampsia through webpages showing the week-by-week changes that happen in pregnancy.

Age at interview 32

Gender Female

Age at diagnosis 31

Samantha X was admitted to hospital 29 weeks into her pregnancy when her tests came back showing high blood pressure and proteinuria. She was shocked to learn that she would need to stay in until her baby was born.

Age at interview 32

Gender Female

Age at diagnosis 31