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).
The two routine scans to assess the baby’s development will take pace as usual, but no one will be able to attend with the woman due to visiting restrictions during the pandemic. You will be asked to bring a urine sample with you for your 20-week scan and this will be collected and tested by your midwife.

The regular 16-week face-to-face appointment will now take place over the telephone and the 25-week appointment will no longer be offered.

You will then be asked to attend at 28, 32, 36 and 40 weeks and again the community midwife will be wearing PPE.

All face-to-face appointments will be limited to 15-minutes and we ask that you do not bring partners or children with you.

Some of the most significant changes will be made during the delivery of the baby. While only one birth partner will be allowed, deliveries will still take place in a private room, compete with an en-suite bathroom ensuring both privacy and less chance of infection. 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.

Post-natal checks will be carried out over the phone at during allotted. If required due to complications, the community midwife will discuss with you to ensure that a visit is required, or advise that you attend our postnatal clinic where your baby can be weighed and screening tests performed, once again by staff wearing full PPE.

The new parent education sessions, covering feeding and bathing etc., will no longer take place. Valuable information will be made online and a dedicated phone line to offer support on Infant feeding has been created: 01429 522863. New mums are welcome to phone for feeding advice as often as necessary, including after being discharged from the Trust’s care.

Any complications or difficulties will be assessed and managed on an individual basis.

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 www.rcog.org.uk

  • If you have concerns with your pregnancy, please contact the Advice line: 01642 624223/624376

March 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. 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): No visitors
  • Postnatal Patients (Ward 22): Birthing partner only, 10 am to 8pm. Please note partners will no longer be permitted to stay over night

Community Midwifery Antenatal appointments and Postnatal Care:

We will be performing some of your care by telephone consultation to reduce face to face 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 face to face 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.
  • The Maternity Assessment Unit at Hartlepool will be providing a reduced service, opening, Wednesday, Thursday and Friday 9am to 5 pm. Women concerned about their pregnancy outside of these days should contact the Advice line: 01642 624223/624376

Home Birth:
Due to the current pressure regarding COVID-19 North Tees and Hartlepool Foundation Trust are currently suspending the provision of the home birth service from1 April 2020 in order to ensure that safety of both our staff and the women and families within our care. This will be reviewed regularly and the home birth service reinstated as soon as possible.

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:

      • at home
      • at the maternity unit under midwife led or consultant led care at the University Hospital of North Tees maternity unit

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.

Further reading

C0441 – Maternity Leaflets CV19 Looking After Yourself

C0441 – Maternity Leaflets CV19 Parent Information

C0441 – Maternity Leaflets CV19 Planning Your Birth

North Tees and Hartlepool-v3 leaflet – April 26.5.2020