I have rated my overall birth satisfaction as high due to my self advocacy and confidence to stand firm with certain requests with regard to my birth experience, no thanks to the staff or policies in place. I have no doubt my experience would have been very different if I had not been educated and empowered during my first birth, which was with an MGP midwife at the same hospital who has since left. It would seem that midwife leaving has caused the unit to change rather dramatically and the level of care and respect once shown is no longer present.