Health & fitness
Doctors told me I wasn’t in labour then I reached down and felt feet – after 6 years of IVF my baby girl died in my arms
WHEN Keira Smith married her husband Shaun in 2013, she knew they were facing an uphill battle to have children naturally.
He was taking medication that affected his fertility, so in 2018 Keira was delighted to get pregnant via IVF.
However, 34 weeks later that joy turned to devastation when their baby Mali died three days after birth, due to medical negligence.
Keira, 39, is sharing her story after a damning report found half of NHS maternity units are unsafe.
The Care Quality Commission rated 48 of 131 services “inadequate” or “requires improvement”, while a shocking 65 per cent did not meet “good” safety standards.
The report found that incidents are poorly managed and not learned from, not all patients receive a safe assessment, mums-to-be face long delays due to short-staffing, and there are also concerns about how maternity staff communicate and engage with women and their families.
NHS maternity services have come under increased scrutiny in recent years after a series of high-profile inquiries, including the Ockenden Review into more than 200 baby deaths at the Shrewsbury and Telford Hospital NHS Trust, as well as an investigation into services in East Kent.
Keira told The Sun: “I met Shaun in 2009, and we had a fabulous life together, going to festivals and travelling.
“Then in 2012, the year before we got married in Jamaica, he was diagnosed with psoriatic arthritis, a painful condition which causes red patches and sore joints.
“He took Methotrexate to combat it, but knowing it could affect his fertility, we had sperm samples taken.
“We did try to conceive naturally, and Shaun came off medication, but was in immense pain so we had IVF via the NHS, at the Welsh Institute of Fertility in Cardiff.
“It was about a year before I was at the point of having an embryo implanted, in spring 2018.
“When it was successful, we were over the moon and – this is something I beat myself about for ages afterwards – I told people that it all seemed quite easy.
“I wasn’t that sick, and didn’t even feel that tired.”
Because she was an IVF patient, Keira had regular check ups, and when she was just over 34 weeks, she saw a consultant.
The scanner was broken but he confirmed what her midwife had told her – that the baby was breech, meaning it was lying feet first.
After the appointment, she popped to the loo and there was a “show” – a sign she was in labour already.
Keira, who works in HR at Cardiff Metropolitan University, said: “The maternity unit confirmed I was in labour and transferred me to Bridgend Hospital, where my waters fully broke.
“The consultant there told me, ‘You need a C-section, but we don’t want to deliver too early, the longer she’s in there the better’.
“To begin with, I felt fine and there were no contractions.”
But the next day, Keira’s contractions began, although a consultant told her she wasn’t dilated.
I bathed her, brushed her hair, dressed her, and she passed away peacefully in my arms. Going home without her was the worst moment of my life
Keira Smith
“The pain was getting worse. I told the midwife, ‘I can feel my body pushing, I’ve got no control’,” she said.
“It all felt so alien to me as I’d never given birth before.
“I was alone with Shaun when suddenly I put my hands down and the baby’s feet were outside my body.
“It all kicked off: I was screaming, ‘The feet are out, the feet are out!’ and Shaun was in the corridor shouting, ‘She’s in labour, she’s been telling you and telling you but you haven’t listened’.”
The next two hours were a blur of panic as Keira was wheeled to a delivery suite and gave birth naturally.
“I was begging for a C-section but by then it was too late, there was no going back,” she said.
“Mali was born, silent: they spent 16 minutes resuscitating her, but she’d been without oxygen for at least that long, and probably longer.
“Then she was whisked away to the Special Care Baby Unit.”
DEVASTATING TRUTH
Keira added: “One thing that sticks in my mind was midwives congratulating me on the birth.
“They kept saying she was doing well for a baby that had been without oxygen for so long.”
Baby Mali was transferred to a bigger hospital, the Royal Gwent in Newport.
For the first 24 hours, the couple had prepared themselves for the news that Mali might be disabled, but now medics told them the devastating truth: she was not showing any real signs of life.
“She was small at 4lbs 9oz but she was perfect: her heart, lungs, size,” Keira said.
“They told me if she’d been born by C-section she’d have had every chance.
“After three days, they gently told us we needed to think about withdrawing life support.
“I wasn’t really functioning, but I remember thinking I didn’t want to prolong the pain for her.
“We said our goodbyes. I bathed her, brushed her hair, dressed her, and she passed away peacefully in my arms.
“Going home without her was the worst moment of my life.
“The bottom had fallen out of my world, and I couldn’t believe other people were still going about their daily lives.
“It was surreal, it felt like madness.”
Damning report finds half of NHS maternity units as are ‘sub-standard’
By Sam Blanchard, Health Correspondent
URGENT action is needed to fix NHS maternity services as half of them are below standard, inspectors warn.
An audit by the Care Quality Commission found massive variation in mum-and-baby units but also “common areas of concern” across England.
It rated 48 per cent of 131 inspections “inadequate” or “requires improvement”.
A shocking 65 per cent did not meet “good” safety standards.
Official figures show the number of women dying during pregnancy or shortly after the birth of their baby is at a 20-year high.
The CQC said many clinics do not properly report or learn from safety incidents.
Mums-to-be often face long delays due to short-staffing, it added, and their concerns are not always taken seriously.
Communication with families is not as good as it should be, either.
Nicola Wise, hospitals director at the CQC, said: “Although we’ve seen examples of good care and hardworking staff doing their best, we remain concerned that key issues continue to impact quality and safety.
“Disappointingly none of those issues are new.
“We cannot allow an acceptance of shortfalls that are not tolerated in other services.
“We must do more to ensure that poor care and preventable harm do not become normalised.”
The national review inspected all maternity services that had not been visited and rated since 2021.
It said some failings could be fixed within hospitals but others would need more cash and action from the Government.
The report said scandals at the East Kent hospitals and Shrewsbury and Telford were not isolated and families are being let down nationwide.
A review is already under way in Nottingham, which saw family outcry at a public meeting with the local hospital on Wednesday.
Health Secretary Wes Streeting said maternity care is “one of the biggest issues that keeps me awake at night worrying.”
He said: “We’re keen to make sure that lessons are applied right across the country.
“We are determined to get this right.”
Shortly afterwards, as the couple registered both Mali’s birth and death, Keira received a call.
It was 2wish charity, set up by Rhian Mannings, offering her help and support.
“That call was everything I needed that I didn’t know I needed at the moment in time,” said Keira.
“They organised counselling and other therapies. I would have been lost without them.”
But grief was taking its toll on her marriage to Shaun.
While Keira cut herself off from the world, and stayed at home, taking time off, her husband coped by going back to work and continuing with normal life.
“I was in a big hole of grief and didn’t want to rejoin the world. He was as bereft as me in other ways,” she said.
“I would get comfort from going to her grave, in a local cemetery, but that would just floor him.”
When I first heard Macsen cry, it was like I’d taken a breath for the first time in 18 months
Keira Smith
The couple tried to heal their pain by having IVF again.
Keira said: “I knew I couldn’t replace Mali but I needed a child with me.
“I was convinced the IVF would fail, but I got pregnant straight away.
“The emotional strain and worry was horrendous.
“For me, nothing would feel right until I walked through the door of my home with my new baby.
“Shaun and I started to pull apart from each other – and then Covid hit, which made things worse.”
Happily, on May 18, 2020, Keira gave birth to a healthy 7lbs 5oz boy called Macsen, an ancient Welsh name.
But it was too late for the marriage, and the couple split two months later.
MALI’S LEGACY
“When I first heard Macsen cry, it was like I’d taken a breath for the first time in 18 months,” she said.
“But as overjoyed as we were, the damage had been done to our marriage.
“Bereaved parents go one way or the other, and we weren’t going to survive that.”
Supported by friends and family in the town of Abertillery, Monmouthshire, Keira got back on her feet, and worked out a co-parenting routine with her ex, and they’ve raised Macsen side by side ever since.
But she was determined to give back to 2wish, the charity that helped her when she was so low.
Two years ago, she walked with a group of bereaved parents and supporters to the top of Kilimanjaro, raising £60,000, and now she is trekking to Everest Base Camp to raise more money.
“For me it’s another journey I can take with Mali,” she said.
“It’s about furthering her legacy and her memory: we’re trying to raise awareness and raise as much money as we can for an amazing charity.
“I live at the bottom of a mountain, so I’ve been training there, but I’m worried about the altitude too – you just don’t know how you’ll cope until you are there.”
Last year also saw the conclusion of the legal case Keira and Shaun made against the hospital.
It had already admitted negligence after an internal investigation, but Keira felt real change was needed.
“I wanted justice for Mali,” she said. “And they didn’t deny liability.
“I have a massive amount of respect for the NHS, but ultimately the system failed Mali, and we need to do as much as we can to make sure that no one else goes through what we went through.”
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Health & fitness
Dad, 43, left ‘dying in hospital’ seeing tigers in his room after scratching himself while cutting his nails
A DAD almost died after scratching himself while cutting his nails.
Tatton Spiller developed a life-threatening condition in June 2022 after getting a “very small cut” which put him in intensive care for five days.
Initially, the 43-year-old didn’t think much of the accidental nail cutter injury.
“It wasn’t a huge cut. In fact there is no scar left, no lasting mark,” Tatton, from Kent, said.
But over the next few days, his hand started to get very tender and sore.
To be on the safe side, the dad-of-four decided to visit the minor injuries unit where he was soon told to go home and take paracetamol, he claims.
When he returned home alone, Tatton had started to throw up.
Too unwell to write a text, the dad from Kent tried to send a voice note to his partner Katie, which got progressively “less coherent”.
When Katie couldn’t make it home, she asked her mum to check on her partner.
Her mother found Tatton “in bed, dying.”
“If she hadn’t come round, I can’t bear to think what would have happened,” the politics writer said.
Once the ambulance arrived Tatton said he was taken straight to the intensive care unit (ICU), where his memory became hazy and the hallucinations began.
Tatton, who also has bipolar disorder, was quickly diagnosed with sepsis, a life-threatening condition that occurs when the body’s immune system overreacts to an infection or injury, damaging the body’s tissues and organs.
The infection left him convinced him it was 1996, he was in a cinema, and that a tiger was in his hospital room.
He added: “I didn’t know where I was. I had no relation to reality at all.
It is not just the risk of dying, but having your hands and feet amputated, being in a coma, your loved ones being told you might die
Tatton Spiller
“I couldn’t tell them the year, the prime minister or the day of the week. I was insistent that it was 1996.”
It was only when Katie, who he has been with for six years, could finally visit that he snapped out of the haze and was moved to a recovery ward.
Initially, nurses couldn’t reassure Katie that Tatton would survive.
But since the incident, the dad has fully recovered physically but still battles with mental health from the traumatic events.
Tatton remained in the ICU for five days before being transferred to the general ward where he stayed for ten more days, while he regained his strength.
I gradually got better, even going as far as walking to the shower on my own,” he explained.
But as the days went on, Tatton began to struggle mentally so decided to discharge himself.
“I had lost a lot of weight, grown a lot of facial hair and just needed to be in my own bed,” he said.
He was unable to cut his nails in the first few months after going home, asking his fiancée to do it for him.
‘It takes such a small infection’
Tatton, who founded the popular website Simple Politics, said: “I was pretty unlucky to get it but having survived it. I am a very lucky man.
“I have since physically made a full recovery. Mentally I experience bad flashbacks to the intensive care unit.
“I remember some of those visions very clearly and they are not good.
“Anything can set me off and it is hard because suddenly you are back dying in the hospital again”
Now Tatton is fighting for more awareness for the condition, encouraging others to get their cuts examined, no matter how small.
He said: “The word sepsis is much more in people’s vocabulary now than it was.
“It takes such a small infection that then has these huge consequences.
“Getting people to ask, ‘could this be sepsis?’ and get it checked out is so important.
“It is not just the risk of dying, but having your hands and feet amputated, being in a coma, your loved ones being told you might die.
“All of it is preventable if we could get people to question whether they have sepsis.”
Sepsis Research Feat added: “Tatton’s story illustrates vividly how something as seemingly innocuous as a minor wound can lead to life-threatening sepsis. Anyone can be affected by sepsis at any time.
“The potential cognitive and traumatic aspects of sepsis are also so marked in Tatton’s story.”
Sepsis – the facts
- There are 47 to 50million cases of sepsis every year worldwide
- At least 11million people die from sepsis annually
- One in five deaths globally is associated with sepsis
- As many as 40 per cent of cases are in children under the age of five
- Sepsis is the number one cause of death in hospitals
- It is also the most common reason for hospital admission
- Up to 50 per cent of all sepsis survivors suffer from long-term physical or psychological effects
Source: Stop Sepsis Save Lives
Health & fitness
From sarcasm to big dinners – the 5 easy-to-miss signs your loved one is depressed and how to help them
IF a loved one is feeling depressed, you might be tipped off if they dip out of activities they usually enjoy or suddenly seem to be down and anxious.
Indeed, sadness, tearfulness and losing interest in hobbies are typical signs of the condition most people can recognise.
But depression affects everyone differently and it can actually manifest in ways you might not expect.
Some surprising cues from your loved one may indicate that they’re going though a hard time with their mental health and could use some support.
While some people believe that depression is trivial and something you can get over if you set your mind to it, it is actually a serious condition that affects around one in 10 people over the course of their lives.
It impacts people of all genders and ages – including children – and nobody will experience it in exactly the same way.
If left untreated without either therapy or medication, depression can spiral out of control.
But with the right support, most people make a full recovery, according to the NHS.
Speaking to The Sun, Dr Rina Bajaj, counselling psychologist and author of ‘The Magic in Me’, shares some less obvious symptoms which might help you spot the condition in a loved one.
1. Heightened productivity
While depression is commonly associated with decreased motivation and productivity, some people may experience the opposite effect.
“They may throw themselves into work, projects, or other activities as a way to distract themselves from their underlying emotional pain,” Dr Rina explained.
“This excessive focus on achievement can be a way to escape negative thoughts and emotions temporarily.”
It’s important to pay attention to whether this productivity is driven by genuine fulfilment or if it seems to be a way to avoid addressing underlying issues.
“Encourage your loved one to maintain a healthy work-life balance and seek support if needed,” she explained.
2. Inappropriate humour
Many of us use humour as a defence mechanism to cope with stressful or difficult situations.
However, engage in “excessive” joking, sarcasm is often a way people suffering with depression deflect from their true feelings, the expert said.
It can be challenging to differentiate between genuine humour and a cry for help, so it’s important to observe patterns and changes in their behaviour.
The psychologist added: “If you suspect someone may be using humour to mask their depression, gently express your concern and offer a safe space for them to open up.”
3. Unusual sensitivity to criticism
While people with depression are more likely to self-depreciate they are also more sensitive to criticism from others.
They might also react strongly to what they believe to be criticism – even if it is constructive or well-intentioned.
“This sensitivity can stem from heightened self-doubt and a negative perception of themselves,” Dr Rina said.
“It’s important to be mindful of how you provide feedback and offer support and understanding when they express feeling hurt by criticism,” she advised.
4. Changes in appetite
Your loved one’s dinner table habits can also be a marker of whether they’re struggling with depression.
Some people may lose their appetite when they’re going through a hard time and start to lose weight.
But others may start eating more than usual, according to mental health charity Mind.
Zishan Khan, a psychiatrist with Mindpath Health, tells Everyday Health: “For many, changes in appetite can be one of the earlier signs of being depressed or even a warning sign of an upcoming depressive episode.”
5. Physical aches and pains
For some, depression may manifest itself in a physical way.
A person struggling with their mental health may start noticing physical aches and pains that don’t seem to have an obvious cause.
According to Madhukar Trivedi, a professor of psychiatry at the University of Texas Southwest Medical School, physical symptoms are common in depression.
Depression… the signs to look for and what to do
Depression can manifest in many ways.
We all feel a bit low from time to time.
But depression is persistent and can make a person feel helpless and unable to see a way through.
They may also struggle to about daily life.
Mind says these are some common signs of depression that you may experience:
How you might feel
- Down, upset or tearful
- Restless, agitated or irritable
- Guilty, worthless and down on yourself
- Empty and numb
- Isolated and unable to relate to other people
- Finding no pleasure in life or things you usually enjoy
- Angry or frustrated over minor things
- A sense of unreality
- No self-confidence or self-esteem
- Hopeless and despairing
- Feeling tired all the time
How you might act
- Avoiding social events and activities you usually enjoy
- Self-harming or suicidal behaviour
- Difficulty speaking, thinking clearly or making decisions
- Losing interest in sex
- Difficulty remembering or concentrating on things
- Using more tobacco, alcohol or other drugs than usual
- Difficulty sleeping, or sleeping too much
- No appetite and losing weight, or eating more than usual and gaining weight
- Physical aches and pains with no obvious physical cause
- Moving very slowly, or being restless and agitated
If you feel this way, visit your GP who can help you.
If you, or anyone you know, needs help dealing with mental health problems, the following organisations provide support.
The following are free to contact and confidential:
Mind, www.mind.org, provide information about types of mental health problems and where to get help for them. Email info@mind.org.uk or call the infoline on 0300 123 3393 (UK landline calls are charged at local rates, and charges from mobile phones will vary).
YoungMinds run a free, confidential parents helpline on 0808 802 5544 for parents or carers worried about how a child or young person is feeling or behaving. The website has a chat option too.
Rethink Mental Illness, www.rethink.org, gives advice and information service offers practical advice on a wide range of topics such as The Mental Health Act, social care, welfare benefits, and carers rights. Use its website or call 0300 5000 927 (calls are charged at your local rate).
“In fact, vague aches and pain are often the presenting symptoms of depression,” he writes in a report published to The Journal of Clinical Psychiatry.
“These symptoms include chronic joint pain, limb pain, back pain, gastrointestinal problems, tiredness, sleep disturbances, psychomotor activity changes, and appetite changes.”
Moving very slowly, or seeming restless and agitated are some additional ways depression can make itself known physically.
Other common symptoms to look out for
There are many symptoms of depression, the NHS says, some of which can interfere with your work, social life and family life if they persist.
Here are other symptoms of depression, according to the National Institute for Mental Health:
- Persistent sad, anxious, or “empty” mood
- Feelings of hopelessness, or pessimism
- Irritability
- Feelings of guilt, worthlessness, or helplessness
- Loss of interest or pleasure in hobbies and activities
- Decreased energy or fatigue
- Moving or talking more slowly
- Feeling restless or having trouble sitting still
- Difficulty concentrating, remembering, or making decisions
- Difficulty sleeping, early-morning awakening, or oversleeping
- Appetite and/or weight changes
- Thoughts of death or suicide, or suicide attempts
- Aches or pains, headaches, cramps, or digestive problems without a clear physical cause and/or that do not ease even with treatment
Tips on how to help a loved one
It’s sometimes hard to know how to help someone you love who is suffering with depression – especially if you’ve not experienced it yourself.
If you believe someone you know and love is experiencing low mood try speaking to them about it, suggests Dr Rina.
“It’s important to approach the conversation with sensitivity and empathy,” she said.
Here are Dr Rina’s tips on how to best support someone suffering:
1. Create a safe space
It’s important to make sure you validate the feelings and experiences of your loved one, so that they feel understood and not alone.
“Encourage open dialogue and let them know you are there to listen without judgment or criticism,” Dr Rina said.
2. Educate yourself
You can read up about depression on to better understand what your loved one may be going through.
“This can help you provide informed support and reduce stigma,” she explained.
Mental health charity Mind have some good educational resources on depression on their website.
3. Encourage professional help
Try and persuade them to seek professional help from a mental health provider, if they feel up for it, the expert said.
To make things easier for your loved one, offer assistance in finding resources, making appointments, or accompanying them to therapy sessions if needed.
4. Support healthy habits
Encourage your loved one to engage in activities they enjoy, maintain a balanced diet, get regular exercise, and practice self-care.
You can even try offering to participate in these activities together to give them more support.
5. Stay connected
Make sure you keep in touch regularly, even if it’s just through
simple check-ins.
“Offer your presence and support, and remind them that
they are not alone,” Dr Rina added.
The NHS has created a mood assessment tool to reveal if you have signs of anxiety or depression.
It asks a broad set of 18 questions about your feelings in the past two weeks with multiple choice answers.
The Sun previously launched the You’re Not Alone campaign in September 2018, on World Suicide Day.
It helps to remind anyone facing a tough time, grappling with mental illness or feeling like there’s nowhere left to turn, that there is hope.
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40 MIN FREAKY FRIDAY HIIT WORKOUT – Full Body, No Equipment, No Repeat – (HIIT IT HARDER DAY 26)
DAY 26 HIIT IT HARDER CHALLENGE – 40 Minute FREAKY FRIDAY HIIT Workout! Today we’re working every muscle group – the full-body, it’s going to be Super Fun and Super Sweaty! No Repeat means NO EXCUSES remember team!! Grab your mat and water, and maybe a towel to wipe the sweat too 💦💦 Let’s do it!!
▸ Muscles Worked: Arms, Abs, Legs, Chest, Back and Shoulders
▸ Time: 30 Min
▸ Equipment: No Equipment
▸ Instructions: Follow along and complete as many reps as possible in 50 Seconds. After 10 Seconds of Rest continue to the next move.
▸ The Workout:
1. Warm Up 0:00 – 05:15
2. Workout 05:15 – 35:16
3. Cool Down 35:16
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D I S C L A I M E R
If you are a newbie start with a simple and easy exercise before attempting all advanced exercises. Performing exercises out of your capability might strain your muscles and you may get injured.
This channel offers health, fitness and nutritional information. You should not rely on this information as a substitute for, nor does it replace, professional medical advice, diagnosis, or treatment. By performing any fitness exercises without supervision like with this video, you are performing them at your own risk. See a fitness professional to give you advice on your exercise form. Growingannanas will not be responsible or liable for any injury or harm you sustain as a result of this video.
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