Outstanding

We are absolutely delighted that the Royal Surrey’s Maternity Services have been rated OUTSTANDING in today’s CQC report!

In their report, the CQC’s Deputy Chief Inspector for Hospital Inspection, Amanda Stanford, said:

“Maternity services have also been using innovative methods to improve the experience of patients, including providing integrated person-centred care that involves other providers. One notable example of this is the introduction of midwives in the call centres at the local ambulance trust to ensure women receive the best care and attention when they need it.”

Our staff were described as an energetic and ambitious workforce who took accountability and ownership for changes within the department. It was also noted that staff were responsive to patients’ requests, with adjustments being made where possible to allow patients with specific individual needs to access care.

Examples of outstanding practice noted in the report include our

* Award nominated bobble hat bundle

* Dedicated Home Birth team

* Antenatal education classes

* Pregnancy advice line

* Family Focused Caesarean Births

You can read the full report here http://www.cqc.org.uk/provider/RA2

Ask Us About…Positioning and Attachment

Ask your midwife about how to tell if your baby is positioned and attached well and is getting enough milk.

Good positioning and attachment at the breast is extremely important. Effective attachment ensures that your baby gets enough milk at each feed and that your milk supply is stimulated. It also prevents sore nipples, engorgement, blocked ducts and mastitis.

While you can’t see how much milk your baby is drinking at each feed there are lots of signs that show that your baby is attached well and getting enough milk.

Talk to your midwife in pregnancy about effective breastfeeding or come along to one of our antenatal breastfeeding classes. If you’ve already had your baby talk to your midwife about a breastfeeding assessment.

Click to access otbs_leaflet.pdf

#EveryDropCounts #NoseToNipple #SkinToSkin #Oxytocin #Prolactin #Mastitis #SoreNipples #CHIN

Friday Night Live

I was ‘due’ with baby at the end of April 2018. Having been very careful in my first pregnancy to only tell people the end of my ‘due window’ date and to have mentally prepared for going to 42w or longer, and then birthed him at 39 + 6, somehow this time I’d messed up and actually told people the end of April! So as the 1st of may came and went I found that I was starting to get impatient – and irritated as the ‘any news yet’ texts started rolling in! Turns out I’m great at advising friends and family that babies ‘arrive when they’re ready’ but I’m not so patient myself!

With my first I’d had no pre-labour signs at all and the first thing which happened was my waters breaking in the night. However, this time around I’d had tightenings, on and off low back ache, baby’s head engaging and waddling for a morning only for it to have gone back up after a lie down etc for weeks!

Having checked the weather forecast for the may bank holiday weekend I’d joked on the Thursday that Friday Eve would be perfect timing for baby to arrive! On Friday I was feeling quite emotional and irritated by my son so I did wonder if it would happen! I’d been watching home birth videos with my son to prepare him in case he was there and on Fri afternoon we watched a new one together. After we finished watching it I started becoming aware of some ‘period pain’ cramps starting to come and go. At the same time (around 3.15) my husband phoned to say he was leaving work and on his way home for the weekend.

By the time he got in (around 4.45) I told him that tonight could be the night as although the cramps were mild they were coming and going every few minutes. We decided to continue with dinner and then Dan would at least blow up the birth pool just in case. I also text my doula and the midwives just to give them a heads up it could be tonight.

At 5.10 my phone rang and I answered, thinking it could be one of the midwives. However it wasn’t – it was an estate agent giving us the news we hadn’t got the house we wanted. I felt deflated and through dinner the cramps stopped and I was worried labour would stall. By 6ish though they had started again so I called the midwives and by 6.30 they were increasing in strength so I called again, and my doula, to say please come NOW.  My first birth was only a 4 hour active labour and I’d been warned this one was likely to be even faster so I suddenly wanted them here asap! I was thrilled when Alice (midwife on call) said that Tanya had been asked to be called as Tanya had been my named midwife through both pregnancies.

My son was still up and wanting to play so I just knelt on an armchair through surges and played with him in between. When Nikki (doula) arrived around 7, Dan took Charlie through to go to bed and left us to labour alone. Around 7.25 though Charlie came pottering out wanting mummy to put him to bed (we usually feed to sleep still at night). I judged he was close enough to sleep to give it a try so I went and laid down with him and let him have a feed. I had to use all my hypnobirthing concentration and affirmations to get through surges whilst staying relaxed so he could go to sleep!

At 7.40 he was down and I left him and returned to the sitting room. Surges were getting really quite strong and I could feel we really weren’t that far away. The midwives arrived (Alice, Tanya and a student) whilst I was still labouring knelt in the armchair and Dan cracked on with getting the tea and biscuits out (fortunately he already had the pool up and filled!).

After the next surge or two I asked if I could get in the pool as I was starting to feel the urge to push. It was heaven getting in! Once I was in I don’t think I had many more surges to breathe through before I could feel her head was there and ready! At that I panicked slightly inside as she was coming so fast I was worried I would tear. Dan tried to leave to go make more tea and for the first time I snapped at him to stay with me!

Her head was born in an unstoppable rush on one surge and then Tanya was able to warn me that there was a hand up and I was able to gently breathe her out through the next surge. I even managed to catch her this time whereas Laura (midwife) had had to help me with my son! Official birth time was 8.14, only 34 minutes after finishing putting Charlie to bed!

We had lots of cuddles in the water as we greeted our little girl (we hadn’t found out the sex and I’d not had any strong feelings this time, unlike with my son). However the placenta was being a little slow to come so eventually Dan cut the cord so Tanya and I could concentrate on getting it out whilst she had some skin to skin with daddy. The placenta then came out quite quickly and I got out the pool to be checked – miraculously no tears and not even a graze!

We snuggled on the sofa and all had a chat over tea and biscuits whilst the midwives finished their notes and did the first checks and weighed (7lb 9oz).

By half 10 everyone left us to it, with Alice joking she’d said she’d wanted a birth that evening, preferably done by 10pm 😉 we were happy to oblige!

I cannot express how blessed we are to live in an area with access to such amazing midwives, providing an incredible personalised service on the NHS.

Ask Us About…Hand Expressing

Ask your midwife about hand expressing.

Did you know that being able to hand express is a really useful skill? Hand expressing can be used to help attachment, relieve engorgement and sort out a blocked duct. It is also the best way to express colostrum (the first milk)

However you are planning to feed your baby, they can really benefit from having colostrum as their first feeds.

Colostrum can be hand expressed in pregnancy and stored in small syringes ready for your baby’s arrival.

Ask your midwife about hand expressing or come along to the Colostrum Collection Drop In on a Thursday afternoon (14:00-16:00) the Parentcraft room at the back of antenatal clinic.

#EveryDropCounts #LiquidGold #Colostrum #EBM #KnowYourBoobs