Croydon Health Services NHS NHS Trust (BOHB0053) Your maternity guide 2010–2011 Croydon University Hospital 530 London Road, Croydon CR7 7YE 020 8401 3000 Maternity Services Guide Welcome Contents Welcome to the Croydon Health Services Maternity Antenatal care chart 3 Department. This booklet has been written by the Antenatal care 4 staff of the Maternity Unit, in consultation with the users of the service, to give you information about the Options for place of birth 5 services available to you before, during and after the General information 5 birth of your baby. If you have any further questions, please ask any of the midwives or visit Specialist services and staff 7 www.croydonhealthservices.nhs.uk Safeguarding mothers and babies 7 Sally Brittain, Head of Midwifery Services Useful telephone numbers Code (020) NB Although midwives may be Antenatal Clinic (appointments) 8401 3156 either women or men, in order to simplify this booklet Antenatal Clinic (midwife) 8401 3459 midwives will be referred to as Fetal Assessment Unit 8401 3469 ‘she’ throughout. Community Midwives main office 8401 3171 North One team 8654 9716 Interpreters North Two team 8764 0189 We have both a telephone and a face-to-face interpreter service. Central team 8686 8954 Your community midwife will South team 8660 3915 organise an interpreter for your Labour Ward 8401 3179/3180 antenatal appointments if this is required. Neonatal Unit 8401 3191 Mary Ward 8401 3182 Whilst every care has been taken Hope Ward 8401 3176 in compiling this publication and the statements contained in it are Birth Centre 8401 3169 believed to be correct, neither Other useful numbers: Bounty nor the hospital accept any responsibility for any inaccuracies. GP: Advertisements do not carry Health Centre: the endorsement of the issuing hospital. Cover image provided by Bounty Portrait (further details of the service 11/2010 are on page 6) 2 Welcome Antenatal care chart Pregnancy confirmed Referred to midwife for appointment 8–10 weeks (blood tests taken) You will need to be booked by the midwife before you have a consultant appointment GP/Midwife care Consultant care 11–13+6 weeks 11–13+6 weeks Dating scan and combined Dating scan and combined screening for Down’s syndrome screening for Down’s syndrome 16 weeks Midwife appointment. Complete booking Problem/high-risk: 20–22 weeks Frequency of appointments Referral to Anomaly scan will depend on the consultant clinic factors associated 25 weeks (first baby only) with your pregnancy GP appointment 28 weeks Midwife appointment. Collect MAT B1 form. Blood tests taken If problem is resolved: 31 weeks (first baby only) Referral back GP appointment If problem resolved, to midwife/GP refer back to midwife/GP 34 weeks Midwife appointment 36 weeks GP appointment 38 weeks Midwife appointment 40 weeks Midwife/GP appointment 41 weeks 41 weeks Midwife appointment. Membrane Consultant appointment, sweep, discuss induction of labour discuss induction of labour Delivery You may be seen more often during your pregnancy depending on your requirements. Antenatal care chart 3 Antenatal care designed to monitor the wellbeing of you and your baby and to give you an opportunity to Referral and booking discuss any concerns you may have. If you have not already seen a midwife for a booking appointment you can make your own Information for women during pregnancy referral for your care or ask your GP to do so. We provide an Early Pregnancy Drop-In for all The self-referral form is available online at women and their partners to attend on the www.croydonhealthservices.nhs.uk and first Wednesday of each month. We comes directly to the department, which recommend attending at about 20 weeks speeds up the process. If you would prefer to of pregnancy. go to your GP first however, he/she will also be At this session you will be able to meet: able to do this for you. • Midwives from the dedicated home We would like to start caring for you as birth team early as possible in your pregnancy so kindly • Midwives from the Birth Centre arrange this referral as soon as you know you • Infant feeding advisors are pregnant. • Nurses from Special Care Baby Unit Named midwife • Smoking cessation advisors Your care will be led by a named midwife, who • Physiotherapists will be responsible for ensuring you have the right number of appointments with the right • Health visitors. people throughout your pregnancy and after Also available, but independent and thus not you have had your baby; this will take into endorsed by the Trust, are: account your individual needs, preferences and • Yoga teachers choices. Normally your named midwife will be • Hypnobirthing practitioners your community midwife, who works with a • Cloth nappy companies small team in your area. You can contact her • Baby sling companies on the number provided at booking to discuss any aspect of your care. • Car safety advisors • Fire brigade Choices for your care When you see the midwife she will discuss • Osteopathy/cranial osteopathy with you the care pathways available. Whilst • Maternity bras we may offer advice about your care this is just • Photographer to help you make your own informed choices. • Prenatal exercise These choices can then be recorded in your • Red Cross (first aid courses). notes that we request you carry with you Later in pregnancy we are pleased to be able throughout pregnancy. to offer all women booking with Croydon Most women only need to see a midwife Health Services the opportunity to attend throughout their pregnancy. However some classes to help them prepare for childbirth and women have additional needs that will require the first week with their baby. referral to a specialist. Your midwife will discuss Advice on childbirth, encompassing positions this with you and keep you informed of any for labour, choices of pain relief etc, is covered recommended referrals. at the sessions held on Tuesday evenings at Antenatal appointments 7.30pm and Saturday mornings at 9.30am. During your pregnancy you will be offered a NB these sessions are the same and you only number of appointments based on your need attend one of them. individual needs. These appointments are 4 Antenatal care A guide to the first week at home, encompassing Hospital birth feeding and general baby care, is covered on Some women prefer to have their babies in Monday evenings at 7.30pm. Please bring a hospital. If you do decide to give birth in doll or teddy to this session. hospital, we have a beautiful, fully equipped These sessions do not need pre-booking. We Birth Centre that offers care to women who recommend attendance at around 34 weeks have uncomplicated pregnancies. gestation. Our recently refurbished Delivery Suite is All of the above sessions are held in the available for women with more complicated Antenatal Clinic. The classes are held in Parent pregnancies. Education Room; Early Pregnancy Drop-In is If you wish to come and look round the throughout the clinic area. The entrance is on department, please feel free to drop in for one Woodcroft Road. of our tours, which run every Saturday at For women who have given birth before, a 12.30pm. Please come to the maternity refresher class is offered on the first waiting area near Delivery Suite. Wednesday of every month from 10am to Single/amenity rooms noon in the Parent Education Room. This A limited number of single rooms are available session is an ideal recap as you approach birth within the Maternity Department; these are for another time. often allocated to women who have a specific Scanning and screening in pregnancy need for them. However, when they are not There are many choices to make with being used for this purpose they can be regards to screening and scanning during allocated for private use as amenity rooms. your pregnancy. You can express your interest in having an You will be sent a detailed guide, Screening amenity room in the antenatal period but tests for you and your baby, when you receive they cannot be pre-booked. Your community your booking appointment. midwife can give you a form for this purpose If you have any questions please discuss this or you can collect one from the Antenatal with your midwife. Clinic. The costs vary slightly depending on location Options for place of birth and facilities; kindly see the form for the most up-to-date information on prices. It is every woman’s choice where she decides to have her baby. We are here to provide support and advice to enable you to make the General information decisions that are right for you. Visiting times Home birth If you have your baby on the Labour Ward or Croydon Health Services actively supports the Birth Centre, your partner and one other women who choose to give birth at home. person of your choice can be with you throughout if that is what you would like. The many women who choose home birth are cared for throughout pregnancy by a dedicated If you need to be admitted to hospital when team of midwives. Antenatal care is provided in you are still pregnant or if you need to go to your own home, giving you the opportunity to the Postnatal Ward after having your baby the build a relationship with the team who will be visiting hours are 10am to 8pm. caring for you during labour. Most women who have had a straightforward In the unlikely event you come into hospital birth experience go home a few hours after during labour, your midwife will stay in attendance. having their baby and thus do not need transferring to the Postnatal Ward. General information 5 Supervision of midwives We ask that friends and relatives contact you Supervisors of midwives are experienced on this number and not via the ward phone as midwives who have undergone additional it is important that this line be kept free for training. Our team of supervisors of midwives emergencies. are here to support the midwives and ensure Please ensure that you switch off your the safety of the women and their families mobile phone when you enter the hospital who use our Maternity Unit. as it may interfere with sensitive medical Supervision is a statutory requirement and equipment. every practising midwife has a named Security supervisor of midwives. The Maternity Unit has CCTV security cameras The supervisor is also available to you if you and security doors throughout to ensure the require guidance or wish to discuss more safety of you and your baby. complex matters. The supervisor on duty can be Access to the wards is closely monitored. contacted via switchboard. Please help us by being vigilant and reporting Car safety for your baby any suspicious behaviour. Babies and young children must always travel in an appropriate car seat. Never use Parking a rear-facing baby seat in the front of a car Parking is available in the Maternity area. where an airbag is fitted (unless it is We ask that you pay to park when you arrive. switched off). If using a front-facing seat, On the day you come in for labour only, your position the car seat as far back as nominated birth partner will be able to obtain possible. Should the car have airbags in the a parking exemption form after paying for rear, check the car manual or contact the the first two hours. At other times, parking manufacturer to see if it has been tested is available at the rates displayed by the with a car seat fitted and get a copy of the machines. research results before fitting the seat. Bounty Distributor Registering the birth The Bounty Distributor visits this hospital on a Once you have had your baby your midwife regular basis to distribute packs containing will give you information that will explain how FREE samples and the Child Benefit Claim Pack. to register the birth. This letter also contains Bounty Customer Care tel: 0800 316 9341 your baby’s NHS number. Bounty Portrait The register office for the area is located at: A newborn portrait service is available to mums Mint Walk (seven days a week). It offers the opportunity Croydon to capture your newborn’s first moments, so CRO 1EA you can treasure it forever and share it with Tel: 020 8760 5618 your family and friends. A range or portrait Hours: Monday to Friday, 9.30am–4.30pm prints and gifts are available. For further information please visit the Bounty Telephones Portrait website at www.bounty.com/portrait For your convenience Patientline is available beside all beds in the Maternity Unit. The combined telephone/television/radio points are paid for by debit or credit card, or by pre-paid cards that are available at various points throughout the unit. 6 General information Specialist services and staff Bereavement services We have many specialist services and staff to There are specialist midwives who offer ensure that your care can be tailored for your emotional ongoing support to parents who specific needs. suffer any loss in childbearing. They can be contacted on 07920 751863. Screening coordinators The screening coordinators are available to Mental health guide you through the choices available for We offer a dedicated service for women who screening tests in pregnancy. suffer from pre-existing mental health problems, and for those who have issues that You will receive the booklet Screening tests for arise during pregnancy. you and your baby, which is a very helpful guide to the choices available. If you have any At the Beech Clinic we have an obstetrician further queries or just want to talk your with a specialist interest in mental health issues, decision through they can be contacted via a psychiatrist and a dedicated lead midwife for switchboard on bleep 529. this area. Infectious diseases Safeguarding mothers and babies Available to answer any queries regarding the Our specialist team is available to support recommended screening for infectious diseases families who need additional support because and the subsequent results, the infectious of their social circumstances. diseases midwife can be contacted via switchboard on bleep 990. The midwifery management team The midwifery managers would be happy to Infant feeding advisors address any issues you feel require their Croydon University Hospital is committed to attention. They can be contacted via e-mail or supporting you with the feeding method of telephone as below. your choice. Head of Midwifery: Sally Brittain The infant feeding advisors can help you in hospital and in the community with all infant Email: Sally.Brittain@mayday.nhs.uk feeding issues whilst you are still under Tel: 020 8401 3000 ext 4394 midwifery care. They can be contacted for Deputy Head of Midwifery and Clinical advice and support via switchboard on bleep Midwifery Manager for Community, 576, even before your baby is born. Outpatients and the Birth Centre: Sue Stock When you are discharged from midwifery care Email: Sue.Stock@mayday.nhs.uk you will be given details of any ongoing Tel: 020 8401 3000 ext 4443 support that is available, including breastfeeding drop-ins and Baby Cafés. Clinical Midwifery Manger for In-patient Services: Deborah Caffull Vaginal birth after Caesarean (VBAC) If you have had a caesarean you may well have Email: Deborah.Caffull@mayday.nhs.uk questions about why it was thought to be Tel: 020 8401 3000 ext 3168 necessary and how it will affect your fertility Clinical Governance Lead Midwife: Mary and subsequent pregnancies. Fosbrook The VBAC team is available to help with all Email: Mary.Fosbrook@mayday.nhs.uk these issues. They will support you immediately Tel: 020 8401 3000 ext 5943 following a caesarean and through any future pregnancies. The team can be contacted on 07919 691428. Safeguarding mothers and babies 7 If you would like this information in large print please return this leaflet with your name and address to: Women & Children Directorate Croydon Health Services 530 London Road Croydon CR7 7YE Please state whether you would prefer 16, 18, 20 or 22-point font size. Published by Bounty (UK) Ltd., 29 Broadwater Road, Welwyn Garden City, Herts AL7 3BQ. Reproduction in any media, of any part of this publication, without the prior written permission of both the issuing hospital and Bounty is strictly forbidden. The hospital receives remuneration from Bounty for every baby born in this unit.