COVID19 Maternity Update

Posted on Tue, 31/03/2020

Coronavirus / COVID 19 update

At QE Maternity we appreciate that this is a difficult and uncertain time. We have all been made aware of how important social distancing is and how these changes can save lives.  Therefore we have had to make some decisions that we would not have considered a few weeks ago to ensure that we protect our mothers and babies and our staff and their families.  

 

We are following national recommendations.

 

1.     Community Midwife Clinics and Visits

 

Changes to schedule of care

 

·     We will be contacting you via telephone prior to face to face visits to check that you and anyone in your household are not displaying any signs of infection. We will not visit you at home if you or any members of your household are unwell or self -isolating.

·     Please can we ask that when we visit your home that only you and your baby are present for our visits. This can be accommodated by using a different room to other household members during the visit. This is so we can adhere to social distancing measures that have been advised to minimise spread of infection.

·     Please do not attend your appointment at the GP Surgery or Children’s Centre if you or anyone in your household are unwell, especially with a new, continuous cough or a high temperature. Please contact your Community Midwife on 0191 4455306 to let us know that you cannot attend.

·     At this time we are not able to offer a home birth service.

 

Antenatal Care

 

·     Community midwife antenatal clinics are still going ahead in the GP surgeries and Children Centres so please attend your appointments. Please attend your antenatal appointments on your own and do not bring your partner or children to your antenatal appointments.

·     When you come for an ultrasound scan or antenatal appointment please can you attend alone.  We know that this is not ideal but hope this may only be for a few weeks if we all follow guidance.

·     We will be carrying out some antenatal appointments on the telephone rather than face to face. This includes the first appointment, which is called the Antenatal Booking and your 16 week review. After completing your antenatal booking appointment via the telephone, a member of the team will arrange a very brief home visit to complete your bloods and blood pressure.

 

Postnatal Care

 

·     We will be carrying out a telephone review the day after discharge from hospital.

·     The Day 5 visit will take place face-to-face to complete the blood spot test but this will involve a telephone review prior to ensure you and your family members are not displaying any signs of infection.

·     The Day 10 review and transfer to health visitor will be completed by telephone. If there is a clinical need to visit this will be arranged on an individual basis.

·     Birth registrations have been suspended. We recommend that you continue to access national guidance about when you can register your baby's birth.

 

2.     Consultant-led Antenatal clinics at Queen Elizabeth Hospital

 

·     Where possible, we have started using telephone appointments instead of seeing you in Antenatal Clinic. We will contact you by phone in the days before your appointment and let you know whether we are planning a telephone appointment for you (which will be within 48h either side of your original appointment), or would prefer to see you in person in Antenatal Clinic.  Please note, our call will show as an unidentified number and we are unable to leave message due to confidentiality reasons. Please ensure you keep your phone handy, with the sound on, around this time.

·     If we ask you to come to antenatal clinic for review, either initially or following your telephone appointment, we request that you do not bring anyone else, including children, with youPlease let the Antenatal Clinic know before you come if you or anyone in your household are unwell, especially if you have a new, persistent cough or a fever.

·     If you have an ultrasound scan booked, please attend for this at the time on your appointment sheet. We will do our best to minimise your wait. A midwife will check your blood pressure and urine during this visit. A doctor will phone you to discuss your ultrasound scan results afterwards, if needed.

 

3.     Coming to hospital

 

·     If you have concerns about your pregnancy, please call the Pregnancy Assessment Unit. Please let us know if you are unwell, especially if you have a new, continuous cough or a high temperature.

·     If you need to come to the Pregnancy Assessment Unit for a test or review, please come by yourself.

·     We are now asking patients to bring only one birthing partner with them for labour or a planned caesarean section. If your planned birthing partner is unwell, especially with a new, continuous cough or a high temperature, or has been diagnosed with Coronavirus/Covid 19, please arrange for an alternative birthing partner to come with you instead.

·     We recommend identifying who your alternative birthing partner would be now. If your birthing partner has been in contact with someone with suspected Coronavirus/Covid 19 but does not have any symptoms,we will ask them to wear a surgical mask while they are with you in hospital.

·     At this time we are unable to allow visiting, including partners, on the postnatal ward. We do appreciate this is very hard for all the family and will aim to discharge you home as soon possible.  We will review these arrangements for any mothers who cannot be discharged quickly due to either their or their baby’s clinical condition.

·     If you are booked for an induction of labour or elective caesarean section, we will call you the day before to confirm arrangements.  Please keep your phone handy the day before (with sound switched on). Please note, our call will show as an unidentified number.

 

4.     Special Care Baby Unit (SCBU)

 

·     If your baby needs to be admitted to our Special Care Baby Unit, both parents can visit the baby but no other visitors are permitted. There may be exceptional circumstances in which different arrangements can be agreed, but this will be based upon an individualised assessment.

The Pregnancy Assessment Unit remains open 24 hours a day. If you feel unwell or have any other concerns, please call them for advice.

We appreciate that this may be an anxious time for you. Please be reassured that we are putting extensive plans in place to reduce risks of Coronavirus/Covid 19 to you and your baby. These plans may change over time and we will provide updates via your pregnancy app as needed. We would like to thank all our mothers and their families for supporting our NHS teams through this pandemic.

 

Useful numbers

Antenatal clinic     0191 445 2742

Pregnancy Assessment Unit (24 hours)  0191 445 2764

Call us on 0191 482 0000

In emergencies dial 999 / Non-emergencies dial 111

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