Maternity

Maternity Care Booklet

Please see our new booklet compiled with information for service users of maternity during the COVID-19 outbreak.
Maternity care during Coronavirus Outbreak booklet

 

COVID-19 Statement for Maternity Patients

COVID-19 Maternity Information

The new pregnancy pathway:

Beginning with the initial online registration of the pregnancy, the mum-to-be will be allocated an assessment appointment over the telephone.

A short, 15-minute face-to-face appointment for blood tests and other assessments will take place in a safe clinic setting where social distancing can be performed. The community midwife will be in full personal protective equipment (PPE).

Routine scans to assess the baby’s development will take place – a partner is welcome to attend EPAC , dating, anomaly, nuchal and growth scans

Following national guidance, at some point all pregnant women will be asked to be seen alone in a private appointment.

We aim to offer routine ‘in person’ appointments wherever possible, where the community midwife, or health professional will be wearing PPE. In periods of increased Government restrictions or in times of reduced resources due to the pandemic, some of these may be performed virtually or by telephone.

All appointments will be limited to 15-minutes.

If for any reason you are required to be admitted to the antenatal ward, your birth partner will be allowed to visit at allocated times which includes induction of labour. There are a range of videos later on this page with vital advice and information.

Some of the most significant changes will be made during the birth of your baby.

While only one birth partner will be allowed, birth will still take place in a private room, compete with an en-suite bathroom ensuring both privacy and less chance of transmission of infection.  To reduce risk of infection, the birth partner will be asked to take a Lateral Flow COVID-19 test – this self-administered test returns a result within 30 minutes.

Midwives will wear enhanced PPE during deliveries, including full face shields. Theatre staff assisting with caesarean deliveries will also be wearing enhanced PPE.

The birth partner will be able to visit the woman and baby after the birth but the Trust aims, whenever safe, to ensure mum and the new-born are home within six hours of delivery. However, if this is not possible, visiting of the birth partner is permitted but with restrictions in place.

Wherever possible we aim to provide in-person post-natal appointments following the birth of your baby. As a standard we will see you on the first day following discharge, when your baby is five days old and again at ten days old. Your community midwife will make an individual plan to suit the needs of you and your baby. We can offer breastfeeding support in person or virtually if required.

We would like to reassure pregnant women that safety is our key priority, and we are following the guidance published by the Royal Colleges.

A reminder that anyone with a:

Please follow advice on these websites, as this will reflect national evidence and the evolving situation. For further information please visit the Royal College of Obstetricians and Gynaecologists

Any queries regarding your pregnancy?

If you have any question at all about your pregnancy you can contact one of our Maternity Assessment Units.

  • North Tees: 01642 624239
  • Hartlepool: 01429 522879

Read the Maternity Care During Coronavirus Outbreak: Information for Service Users for more details.

November 2020 – COVID-19 New visiting information:

  • For anyone attending a planned antenatal appointment OR attending the maternity assessment unit (MAU): No visitor is permitted to attend with you. No children will be allowed to attend. Please adhere to government social distancing guidance whilst in the waiting area.
  • Delivery suite: one birthing partner only for all admissions to the delivery suite. You will not be allowed to swap with another birthing partner. Please bring plenty refreshments for your birthing partner as they will not be permitted to leave the unit for the duration
  • Antenatal Patients (Ward 22): One birth partner to an allocated visiting session or for one-hour after the induction of labour.
  • Postnatal Patients (Ward 22): Birthing partner only, 10 am to 8pm. Please note partners will no longer be permitted to stay over night, or allowed repeated access to the units

Community Midwifery Antenatal appointments and Postnatal Care:

We will be performing some of your care by telephone consultation to reduce in person contact, to comply with the Governments social distancing and Self-isolation guidance. Your Community Midwifery Teams will contact you before your scheduled antenatal appointments and following delivery to plan your care. Your care will be provided by either a traditional appointment or telephone consultation following the initial telephone triage call by your community midwife.

Temporary Service Suspension:

  • Due to the Government guidance of social distancing and self-isolation, we have temporarily suspended all parent education and Breast feeding workshops.

Thank you from your maternity team for your support at this challenging time

Expecting a baby is a very exciting time, and now you can choose where your child is brought into the world.

We have given you some information here about the options available to you so that you can discuss them further with your midwife, partner and family.It may be possible for your care to be co-ordinated by the same small team of midwives, offering continuity of care throughout your pregnancy, birth and afterwards.

We currently offer Continuity of Carer pathways, according to the NHS long term plan, for groups of low risk women, pregnant teenagers, those women who may have a booked caesarean section and diabetic mothers. Please ask your community midwife if you can benefit from this care.

You can have your baby:

You can now take a virtual tour of our maternity services at University Hospital of North Tees.
Take Virtual Tour

If you decide to deliver at home and there are any complications, you will be transferred to University Hospital of North Tees by ambulance. We are therefore reliant on the ambulance service and its response times for the speed of the transfer.

The University Hospital of North Tees is a teaching hospital and students may be present. If you do not wish a student to be involved in your care, please could you let you midwife know.

You can download a handy digital interactive booklet from the NHS Pregnancy and Birth Choices in the North East and North Cumbria website featuring key information and advice to better understand the choice of available birthplace settings and recording decisions and notes as your pregnancy progresses.

What are the main things I need to consider when deciding where I want my baby to be born?

There are important factors that you need to consider when making your decision. These include:

      • your safety
      • the safety of your baby
      • your own personal choice
      • where you will feel most comfortable, confident, relaxed and in control of your labour and delivery
      • the facilities you may require for birth

Your community midwife will assess your needs to advise if you are low risk and under the care of a midwife for your pregnancy or high risk requiring a consultant obstetrician for your pregnancy care and/or labour. Your midwife will discuss the reasons for the options available to you when discussing your choices.

Choices you make during your early pregnancy may be affected by any problems that develop during your pregnancy. If any of these affect your choices then these will be discussed with you by your midwife or obstetric doctor.

HypnoBirthing and active birthing

We’re offering HypnoBirthing and active birth classes for expectant mothers and their partners, to help women have a more relaxing and comfortable birth by using self-hypnosis, relaxation and breathing techniques.

Simple guidance for parents

Every month a few healthy babies are admitted to the neonatal unit due to low blood sugar levels and/or a low temperature.

Here are some simple steps to help prevent this.

Pregnancy and birth choices app

This useful app has been developed by the Northern England Clinical Networks for the Local Maternity Systems in collaboration with women and families.

The app gives mums-to-be across the North East access to information they might require throughout their pregnancy and after their baby is born. Providing key information and advice, it aims to help expectant mums make informed choices about their birth from trusted NHS sources, all in one place, and right at their fingertips.

The Pregnancy and Birth Choices App can be accessed here, then select to download on to a device.

Professional midwifery advocate

A new model for midwifery supervision came into effect in April 2017. To find out more visit here

Antenatal and Newborn Screening

We have screening available at our Trust. To find out more visit here.

 

COVID-19 and its impact on the refugee and asylum seeker community during pregnancy.

Members of the refugee and asylum seeker community will find some useful information here.

Videos

Below  are a series of short videos offering advice on bonding with your baby, what to bring to hospital, the stages of labour, pain and pain relief, cuts and four different labour positions.  If you require subtitles, click on the ‘CC’ logo on the bottom of the screen.

 

Further reading