‘I had to leave my baby and felt like a prisoner in hospital’
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Marie-Louise Connolly, Denise O’Connor and David Hunter
BBC
Shelley Browne was diagnosed with postpartum psychosis after Ruby’s birth
A new mother who was detained in a psychiatric hospital for five weeks says she “felt like a prisoner” because she was separated from her baby.
Shelley Browne, who had postpartum psychosis, was admitted under a mental health order after giving birth three years ago.
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The business case for a mother and baby unit is months overdue, but the Department of Health (DoH) said it was well developed.
However, it has also warned any future unit is dependent on funding being identified.
Shelley told BBC Spotlight she felt “lonely” and “pathetic” after being dropped off at the door of the Ulster Hospital psychiatric ward without her daughter, but said staff tried their best.
“I went in voluntarily and it was just the loneliest feeling in the world getting dropped off at a mental health ward with a bag and no baby,” the 35-year-old said.
What is postpartum psychosis?
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A rare but serious mental health illness that can affect any mother
Symptoms can include hallucinations, delusions, manic and low moods, loss of inhibitions, restlessness, out-of-character behaviour and confusion
If left untreated the condition can get rapidly worse and lead to mothers harming the baby, themselves or others
The most severe symptoms usually last between two and 12 weeks but recovery can take several months
SOURCE: NHS
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Shelley Browne spent five weeks in hospital without her baby after giving birth
“I was a mother without her child and I felt like a prisoner,” said Shelley.
“She wasn’t with me, and I was in a mental facility. And it just broke me every morning.”
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Danielle and Nial Sands, with son, Joe
Danielle Sands refused hospital treatment to stay with her first son, Joe, in 2022.
Instead she relied on specialist community teams.
“They had made it very clear that when I would go in there, I wouldn’t have my Joe with me.”
“There was voices in my head 24⁄7, and they were negative,” she said.
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“Telling me everything I couldn’t do, I wasn’t good enough.”
Danielle and her partner, Nial, were supported by a community specialist perinatal mental health nurse.
The term perinatal covers the period of time from when a woman becomes pregnant, and up to a year after giving birth.
“And frankly, to be honest, somewhat embarrassing that we’ve been talking about this for almost 20 years and we’re still not there yet.”
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Family handout
Orlaith Quinn died less than 48 hours after giving birth to her third child
In 2018, Orlaith Quinn died at the Royal Jubilee Maternity Hospital in Belfast.
The 33-year-old had given birth to her third child, a daughter, less than 48 hours earlier.
Siobhan Graham said her daughter began showing signs of postpartum psychosis shortly after giving birth.
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“To go in and have a baby and come back out in a coffin, and you’ve three children left without their mother, it’s just not a position you think you’ll ever find yourself in a million years,” she said.
Orlaith’s body was found in a part of the hospital that is unused at night. She had taken her own life.
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Orlaith Quinn (left) pictured with her parents, Brendan and Siobhan
A 2022 inquest concluded Orlaith’s death had been “foreseeable and preventable” and that there were a number of missed opportunities in her care and treatment.
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In a statement, the Belfast Health Trust said it would like to extend a sincere and unreserved apology to Orlaith’s family.
It added its maternity team would like the opportunity to meet Orlaith’s family to offer an apology in person.
The trust said it was committed to learning from Orlaith’s death and had put in place a training programme to help staff recognise the wider spectrum of perinatal mental health disorders, and the risk of maternal *******.
Consultant perinatal psychiatrist, Dr Jo Black, who is originally from Cookstown, was instrumental in setting up a mother and baby unit in Devon.
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An eight-bed unit, the layout and decor of Jasmine Lodge means it does not feel clinical.
It has areas for families to visit, and a team of specialists.
She said it was “extraordinary” there is not a similar unit on the island of Ireland.
“All of our evidence shows us that maternal ******* remains a major killer in the maternity period,” she said.
“We can’t shy away from that, and so these units save lives.”
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‘Poor data collection’
A late maternal death is when a woman died between six weeks and one year after pregnancy.
However, poor data collection could mean the need for perinatal mental health services is being underestimated, according to Dr Julie Anderson.
Spotlight has confirmed the Department of Health has yet to implement a 2017 recommendation from the health regulator to improve data collection.
At the time, the Regulation and Quality Improvement Authority (RQIA) said patient coding should be improved.
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The Department of Health said a review of coding practices for perinatal mental health conditions, and related hospital admissions, was planned.
If you have been affected by any of the issues in this story you can find information and support on the BBC Action Line website.
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