Maternity Services Obstetrics & Gynaecology - Care during pregnancy, birth and the postnatal period during Covid-19 - The Rotherham NHS ...
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Care during pregnancy, birth
and the postnatal period
during Covid-19
Obstetrics & Gynaecology
patientinformation
The Rotherham NHS Foundation Trust
Maternity
ServicesBring your Hearing about your experience of our
medicines services is very important as it means we
when you can pass compliments on to our staff and
come into
hospital make improvements where necessary.
Prescription
medicines
Tell us what you think by emailing us
Medicines you at: your.experience@nhs.net
have bought
Alternative &
herbal medicines
Inhalers
If you require this document in another
language, large print, braille, audio
or easyread format, please ask our
healthcare providers*
*Note to healthcare providers:
Translated / easyread healthcare information can be
sourced via the Easyread websites listed at the
back of this leaflet or via contacting our translation
service which can be accessed through the Hub.Maternity care during Covid-19
Introduction
The Rotherham NHS Foundation Trust’s Maternity
Services remain committed to facilitating support for
pregnant women throughout their pregnancy and
childbirth.
We recognise the value of the support of a partner,
relative or friend for pregnant women when accessing
maternity care services.
We are pleased to say that we can now welcome
support partners to all hospital antenatal appointments
including Early Pregnancy Assessment Unit and
Antenatal Day Unit.
We welcome support partners onto Labour Ward for
all admissions, induction of labour and on Wharncliffe
Ward for two hours per day, at pre-arranged times.
The Maternity Team have carried out risk assessments
in all areas and we continue to review these in line with
national guidelines.
3Guidance for women and support partners:
l Support partners should be a member of your
household or support bubble
l We ask that no children attend for any maternity
appointments or scans
l Masks must be worn at all times
l Women and support partners must regularly wash
sanitise their hands with the washing facilities/hand
gels provided
l Support partners should not attend if they have
symptoms of Covid-19 or isolating
l Women and support partners to maintain the two-
metre social distance form others
We would like to thank all women and families
using TRFT Maternity and Gynaecology Services for
their ongoing support and patience during these
unprecedented times.
This update will include:
l General information about the Trust’s approach to
Covid-19
l Your care during pregnancy, labour and after your
baby is born
l Some national links to further information
Thank you
Sarah Petty
Head of Midwifery & Nursing
Family Health DivisionMaternity care during Covid-19
General information about the Trust’s approach
You will see that we are promoting social distancing
on our sites by altering seating areas where we can,
introducing ‘stop and wait’ points, and asking all patients
who have symptoms of Covid-19 to stay at home.
Where it is possible and appropriate we are undertaking
telephone or video consultations so that our clinics are
less crowded.
All our staff are trained in the use of Personal Protective
Equipment (PPE) including when and how this should be
worn. We are following national guidance on PPE, which
is subject to change.
We have identified and equipped separate areas in the
hospital to care for patients with Covid-19. Our maternity
unit and neonatal unit also have separate isolation
areas identified. We provide hand washing facilities and
alcohol hand gel for use at the entrance to all wards and
departments, and advise you to wear a mask at all times,
unless you are in active labour.
If you are worried about yourself or your baby, please
get in touch. Your care will be provided by Midwives
(and Doctors where necessary) in the normal way
during the Covid-19 pandemic. We can make safe
arrangements for you and your baby if you have
tested positive for Covid-19, have symptoms, or have
been in contact with someone within the last 14 days
who has tested positive/displayed symptoms.
3Maternity care during Covid-19
Your Care During Pregnancy Urgent care
If your baby’s pattern of movements changes or
reduces in number, please call and speak to a Midwife
promptly on 01709 427700.
If you are advised to attend the Antenatal Day Care Unit
or Maternity Triage Unit, please attend at the allotted
time. Support partners can attend with you but please
be mindful that we are maintaining social distancing
rules, so your partner will be invited onto the ward once
you have been escorted to the allocated assessment
area prior to your assessment beginning.
You and your support partner will be asked to attend
your appointment wearing a mask, and will be asked
about Covid-19 symptoms both prior to and on arrival.
Should I still attend my antenatal appointments
in the community?
We want to take good care of you and your baby. Your
appointments are essential to monitor the health of
yourself and your baby.
Some antenatal appointments will take place over
the telephone, your Midwife will advise you of which
ones these will be. Before any face-to-face antenatal
appointments, you will be telephoned by a Midwife or a
Maternity Support Worker to check if you have Covid-19
symptoms before you attend.
6Maternity care during Covid-19
Your Care During Pregnancy If you or a member of your household is experiencing
symptoms of Covid-19 or self-isolating please do not
attend; in this case your Midwife will advise you on how
we can facilitate your appointment safely. If you and
your household are symptom free you will be invited
to still attend your antenatal appointment with your
Community Midwife. We are awaiting confirmation
from GP surgeries about support partners attending
Community Midwifery appointments.
Will hospital appointments including scans
still be running?
Antenatal care is essential so hospital appointments
will still be carried out. You should continue to attend
all hospital appointments, including scans, unless told
otherwise.
Support partners are now able to attend all hospital
antenatal appointments including scans at Greenoaks
and Early Pregnancy Assessment Unit (EPAU). On arrival,
you may notice we have screens in the waiting areas to
help with social distancing measures.
7Maternity care during Covid-19
You may receive a call from an ‘unknown number’ up to 48
Your Care During Pregnancy hours prior to your appointment, please answer as it may be
one of our team trying to get in touch. You can expect to be
asked some personal questions so that the hospital team can
identify you when they call, for example your full name and
date of birth. You will not be asked for any other information
such as bank or credit card details.
If you or a member of your household is experiencing
symptoms of Covid-19 or self-isolating please do not attend
your appointment. In this case, our Midwives will advise you
on how we can facilitate your appointment safely. If you do
need a telephone or video consultation, this will be arranged
with you over the telephone.
We continue to welcome support partners onto Labour Ward
for all admissions, for induction of labour and on Wharncliffe
Ward for two hours per day, at pre-arranged times.
As antenatal classes are cancelled, is there
any further information I can receive?
Community Midwifery teams are providing antenatal
classes virtually, which they will invite you to book onto
during your pregnancy.
We have a virtual tour of Delivery Suite available on
the Trust’s website and YouTube channel, along with
some antenatal education sessions lead by our very own
Midwives. We also have an e-Midwife service (see page
13 for how to access this) meaning you are able to ask any
questions that you may have via social media messaging
services.
8Maternity care during Covid-19
Admission to Hospital
Your Care During Labour Anyone who needs to stay with us will be swabbed for
Covid-19 in line with government guidance, unless they
have had a positive Covid-19 result within the last 90
days.
During labour
All women are advised to call the Delivery Suite when
in early labour for advice. When you attend Triage or
Delivery Suite, you may have one birth partner during
this time.
Before admission, we will ask questions about your
birth partner’s health. If they have any symptoms of
Covid-19 or are self-isolating, they will be advised not
to attend the unit with you. It is advisable when making
your plans for labour and birth to identify alternative
birth partners in case this becomes necessary. We advise
that anyone who accompanies you to the Delivery Suite
wears a mask at all times.
You will be unable to change birth partners during
labour and relatives will be unable to wait outside the
Delivery Suite. This is to protect you, your birth partner,
the staff and others in the area.
You and your birth partner will have time together
following the birth of your baby on Delivery Suite. If it
is safe to do so, you may be discharged home from the
Delivery Suite.
9Maternity care during Covid-19
If you have symptoms of or confirmed Covid-19 you will
Your Care During Labour be cared for in isolation with a team who have additional
protective clothing. In an emergency this may cause a
slight delay, as staff are putting this equipment on at
speed to reduce the impact of this on you and your baby.
Elective caesarean section
If you are having a planned caesarean section you can
have one birth partner for the duration of your caesarean
birth. Once the operation has finished you will return to
Delivery Suite where you can spend some time together
as a family before being transferred to the ward.
We expect discharge to be within 24 hours of the
procedure - this is personalised to your individual clinical
needs.
Emergency caesarean section
If this event should occur during labour and it is clinically
possible, your partner can accompany you into Theatre
& Recovery. However, if you need a General Anaesthetic
(GA) it is not possible for your birth partner to accompany
you into Theatre, but to wait for you nearby in Recovery.
Once the operation has finished you will return to Delivery
Suite where you can spend some time together as a
family before being transferred to the ward. Your Midwife
will support you throughout and will advise accordingly
during this time.
10Maternity care during Covid-19
Your Care During Labour We will invite your birth partner to escort you to
Wharncliffe Ward so that they are familiar with where you
will be staying, but will ask that they say their goodbyes
until their allocated visiting slot the following day.
Visiting slots are allocated at the beginning of each day,
when a Healthcare Assistant will visit each patient on the
ward and ask which two-hour slot they would like their
birth partner to visit. Please note, due to social distancing
measures there cannot be more than one birth partner
within a bay at a time. This is to protect you, your baby,
your birth partner, the staff and others in the area.
Induction of labour
If you require an induction of labour, your named birth
partner can accompany you during this assessment. If you
require admission to the ward, your birth partner can return
for their allocated visiting slot.
Once your labour is established or you are transferred to
the Delivery Suite for any reason, your birth partner can join
you. This is an assessment based on individual needs.
11Maternity care during Covid-19
Home births
Your Care During Labour Women who have booked to birth at home are advised
to contact Triage on 01709 427700 for advice in early
labour.
The Midwife will advise you what to do. She will ask
questions to assess you and your unborn baby’s health
at that time. The Midwife will contact her colleagues to
make sure that everything is in place to support your birth
choice. This depends on preparing the available staff for an
anticipated home birth and the level of available transport
by our healthcare partners, should you need a quick
transfer from home. This will be assessed on an individual
basis.
12Maternity care during Covid-19
After Your Baby is Born After your baby is born
Once your baby is born and as long as you and your
baby are well, we will encourage and support you to go
home when you feel ready.
Your care will be personalised to your needs and those
of your baby. Screening tests available for your baby will
be discussed with you and arranged by your Midwife.
If you have symptoms of or confirmed Covid-19, you
will be cared for in isolation with your baby. You will be
encouraged and supported to breastfeed, if you wish.
Should you need to stay in hospital, your birth partner
will be able to stay with you, but will be advised to
isolate with you in your room. Once your birth partner
goes home, we ask that they do not return to the
hospital to reduce the spread of Covid-19.
Once you have been discharged home, we will advise
you to follow national guidance by self-isolating at
home for the necessary amount of time.
Please be aware this is only guidance and may
change at any point. We will keep you informed at
every step of the way if we need to make changes
to any of the outlined above, to keep you and your
loved ones safe.
13Maternity care during Covid-19
After Your Baby is Born Community visits
Community Midwives are continuing to visit during this
time and you will be contacted prior to the Midwife
attending about how this appointment will be carried
out.
Please be aware these visits will involve minimal hands
on contact. We also request that there are no
visitors in the house during the visit and that the
Midwife only has face-to-face contact with mother and
baby.
Registering the birth of your baby
The registration of births have now resumed. This
service has changed slightly in response to the Covid-19
pandemic and is now a two-step process; initial
information will be taken via a telephone appointment,
followed by a short face-to-face appointment.
The Registry Office can provide more information on
01709 823542. Parents can make a claim for Child
Benefit or Universal Credit prior to the registration of the
birth.
Please see more information available at:
www.rotherham.gov.uk
12Maternity care during Covid-19
What if I have any worries or concerns?
Further Information l If you have concerns about the wellbeing of
yourself or your baby, please call Triage as
normal on 01709 427700.
l If you need to change your Greenoaks Antenatal
Clinic or Ultrasound Scan appointment please
call 01709 424513.
l If you need to change your Community Midwife
appointment please call 01709 423729.
l Our e-midwife, Olive, is available to answer
your questions via direct messaging. Her page
can be found on Facebook at @Oliveemidwife
or by searching Rotherham Maternity Services
- Ask Olive. The service is manned by experienced,
fully qualified Rotherham midwives.
Links for further information
http://www.nhs.uk/conditions/coronavirus-Covid-19
https://www.rcog.org.uk/en/guidelines-research-services/
guidelines/coronavirus-pregnancy/covid-19-virus-infection-and-
pregnancy/
https://www.babylifeline.org.uk/covid-19-advice
https://www.tommys.org/pregnancy-information/blogs-and-
stories/im-pregnant/pregnancy-news-and-blogs/pregnancy-and-
coronavirus-information-pregnant-women
https://www.therotherhamft.nhs.uk/Maternity_and_Gynaecology/
Rotherham_Maternity_Services
13How to contact us For GP out of hours,
Maternity Triage contact your surgery
Telephone 01709 427700
Useful websites
Delivery Suite www.therotherhamft.nhs.uk
Telephone 01709 424491 www.nhs.uk
Greenoaks www.gov.uk
Telephone 01709 424513 www.patient.co.uk
Community Midwife Easyread websites
Telephone 01709 423729 www.easyhealth.org.uk
www.friendlyresources.org.uk
Wharncliffe Ward www.easy-read-online.co.uk
Telephone 01709 424348
We value your comments
Ward B11 If you have any comments
Telephone 01709 424349 or concerns about the services
or 01709 425208 we have provided please
Switchboard let us know, or alternatively
Telephone 01709 820000 you can contact the
Patient Experience Team.
Useful contact numbers
If it’s not an emergency, Patient Experience Team
please consider using a D Level
Pharmacy or call NHS 111 The Rotherham NHS
before going to A&E. Foundation Trust
NHS 111 Service Rotherham Hospital
Telephone 111 Moorgate Road
Rotherham
Stop Smoking Service S60 2UD
Telephone 01709 422444
Telephone: 01709 424461
A&E (UECC)
Monday to Friday
Telephone 01709 424455
9.00am until 5.00pm
Email: your.experience@nhs.net
Produced by The Rotherham NHS Foundation Trust Maternity Services, April 2020, May 2021
Revision due May 2023. Version 1.0 ©The Rotherham NHS Foundation Trust 2021. All rights reserved.
14How to find us
Hospital site plan
Two Way traffic
Woodlands One Way traffic
P Public Parking
Busy Bees Oakwood
Nursery Hall
IT Centre
P Day Surgery
ERIV
Centre
L D
PAY AND
Maternity Urgent &
AL
P
DISPLAY
D H
Entrance Emergency
OAKWOO
Care Centre Greenoaks
Oldfield
PAY AND
Centre DISPLAY
ROTHERHAM
Moorgate
Wing HOSPITAL
Main P P
Entrance PAY AND
PAY AND
DISPLAY
DISPLAY
On
eW ay
ay ew Bus stop IDE
BAK On OODS
Bus stop E R STRE
ET Security
TO W
Bus stop Centre
8
MOO A61
RGATE ROAD
Rotherham main routes
To Leeds Parkgate To Doncaster
Thorpe
35 Hesley
B6089
A633
Kimberworth
Park A630
A629 To A1, M62
East Dene & Hull
Kimberworth
M1 Place Clifton A6123
TOWN
Kimberworth CENTRE
A630
Bramley
A6109 Herringthorpe
A631 1
Rotherham
North 34 Hospital Wickersley
A631
Woodside Moorgate
South 34
A631 A618
Brinsworth A631 M18
A630 Whiston
To 33 M1
Sheffield
A630 32
Treeton
To A618 M1 To Nottingham
Sheffield and the SouthSustainable Forests / Low chlorine
LS 05/2021 V2 Jones & Brooks
Rotherham Hospital
Moorgate Road
Oakwood
Rotherham
S60 2UD
Telephone 01709 820000
www.therotherhamft.nhs.ukYou can also read
