2020 January – June Stats

It’s been a whirlwind of a year so far, with Covid restrictions and the temporary suspension of the team having a impact on this half years statistics.

83 clients were cared for within our caseload during this period. This includes those clients who were impacted by the temporary suspension of the team due to covid.

Out of these 83 clients, 89% of their babies were breastfeeding or receiving breastmilk at discharge to the health visitors.

52 of these clients changed their planned place of birth prior to the start of active labour – 25 of these were due to the covid suspension. Of these 25 Mums, 14 were still cared for by the team at The Royal Surrey. Additionally we have seen a change from a midwifery led caseload to a mixed caseload with a higher number of clients (24%) joining the caseload having consultant input in their pregnancies.

31 clients from the total caseload were still intending to birth their babies at home at the start of active labour. Of these mothers, 100% had vaginal births, and 84% were cared for by a midwife they knew.

Of these 31 mothers who started labour at home:

5 required transfer in labour, 3 required postnatal transfer (Transfer rate of 26%).

76% had physiological third stages with optimal cord clamping

58% of the births that occurred at home, happened in the pool. A further 10% of clients who laboured at home used the pool for pain relief.

If you would like to learn more about the team and birthing your baby at home, and you live within the team’s catchment https://surreyhillshomebirth.org/about/

Contact us for a one to one chat: rsch.homebirth.referrals@nhs.net

Team Stats 2019

alt text: infographic of 2019 stats

We are delighted to be able to finally share our 2019 stats with you.

The Surrey Hills Homebirth team work within a continuity caseloading model which means that we continue to care for our clients throughout their childbearing journey, even if plans or place of birth change along the way*

In 2019 we were responsible for the care of 203 pregnant women and their families.

Of these families 32% birthed their first baby, 42% birthed their second, while 26% birthed their third or subsequent baby

92% of our entire caseload experienced a vaginal birth and 82% knew the midwife who was caring for them in labour.

133 (66%) of our caseload used water in labour (hydrotherapy) with 50% (n=101) remaining in the water as they birthed their baby (waterbirth).

We welcomed 99 girls and 104 boys in to the world.

From our original caseload (n=203) 73% (n=148) of families planned to give birth at home with the Surrey Hills team at the onset of established labour. The remaining 55 families (27%) opted for an alternative place of birth. This change in planned place of birth occurred for a number of different reasons including consent to Induction of Labour, the development of situations/conditions which recommended a hospital based birth and moving out of area.

Of the 148 families who planned to give birth at home at the onset of labour 82% achieved their planned birth at home (n=121). 18% (n=27) experienced an in labour transfer to an alternative place of birth, while 3% (n=5) were transferred in the immediate postnatal period.

95% of the clients that birthed at home had a physiological (natural) birth of the placenta with optimal cord clamping.

*please note that there have been some changes to our service in 2020 due to Covid 19 pandemic. Please talk to a team member or read the Covid 19 page for more details

2019: The Third Quarter

Due to the popularity of our previously published stats the Jodie has put together the stats for the third quarter (July- September 2019) of this year.

In the third quarter of 2019 the team were responsible for case-loading the care of 42 woman. We work within a continuity caseloading model which means that we continue to care for our clients throughout their childbearing journey, even if plans or place of birth change along the way.

74% of our entire caseload were cared for in labour by a midwife they had met before and all women who birthed at home were cared for by a member of the Surrey Hills team.

From this caseload of 42 women, 66.7 % (n=28) still intending to birth at home at the start of their labours, while 14 women (33.3%) changed their intended place of birth before labour started for various reasons including; consenting to an Induction of Labour (n=8) and planned/elective Caesarean birth (n=3).

23 members of our caseload (82%) birthed their babies at home as planned, while 17.8 % (n=5) transferred in labour to the Royal Surrey for further care/support in labour. Two members (7.14%) of our caseload transferred to the Royal Surrey in the immediate postnatal period.

All of the mums who started their labour’s at home had a vaginal birth!

61% (n=26) of our total caseload used water to support them in their labours (hydrotherapy), while 47.6% (n=20) birthed their baby in the water (waterbirth).

We were privileged to welcomed 19 girls and 23 boys in to the world and to support their parents in the first crucial weeks of parenthood.

If you would like to learn more about the team and birthing your baby at home, and you live within our catchment, come along to one of the team’s informal forums or contact the team to arrange a 1-2-1 chat in the privacy of your own home at rsch.homebirth.referrals@nhs.net

2019: The Second Quarter

Due to the popularity of our previously published stats the Jodie has put together the stats for the second quarter (April 2019-June 2019) of this year.

In the second quarter of 2019 the team were responsible for case-loading the care of 49 woman, 94% of whom went on to have a vaginal birth.

92% of our caseload were cared for in labour by a midwife they had met before.

From this caseload of 49 women, 81.6% (n=40) still intending to birth at home at the start of their labours, while 9 women (18.4%) , for various reasons, changed their intended place of birth.

35 members of our caseload (87.5%) birthed their babies at home as planned while 12.5% changed their planned during the intrapartum period (active labour to two hours after birth) and transferred to the Royal Surrey for further care/support.

90% of the women who laboured/birthed at home used water to support them in their labours (hydrotherapy) and 85.7% of the births that took place at home occurred within the water (waterbirth).

We were privileged to welcomed 19 girls and 30 boys in to the world and to support their parents in the first crucial weeks of parenthood.

If you would like to learn more about the team and birthing your baby at home, and you live within our catchment, come along to one of the team’s informal forums or contact the team to arrange a 1-2-1 chat in the privacy of your own home at rsch.homebirth.referrals@nhs.net

2019: The First Quarter

Due to the popularity of our previously published stats the lovely Jodie has put together the stats for the first quarter (January 2019-March 2019) of this year.

In the first quarter of 2019 the team were responsible for case-loading the care of 56 woman. From this caseload, 47 women (83.9%) still intending to birth at home at the start of their labours, while 9 women (16.1%) , for various reasons had changed their intended place of birth.

37 members of our caseload (78.7%) birthed their babies at home as planned while 21.3% changed their planned place of birth while in labour (care transferred to the Royal Surrey).

75% of our caseload were cared for in labour by a midwife they had met before and 30% were cared for by their own named midwife.

76.6 % of the women who birthed at home used water to support them in their labours (hydrotherapy) and 70% of the births that took place at home occurred within the water (waterbirth).

We were privileged to welcomed 26 girls and 30 boys in to the world and to support their parents in the first crucial weeks of parenthood.

If you would like to learn more about the team and birthing your baby at home, and you live within our catchment, come along to one of the team’s informal forums or contact the team to arrange a 1-2-1 chat in the privacy of your own home at rsch.homebirth.referrals@nhs.net

Team Stats 2018

We are delighted to be able to finally share our 2018 stats with you.

The Surrey Hills Homebirth team work within a continuity caseloading model which means that we continue to care for our clients throughout their childbearing journey, even if plans or place of birth change along the way.

In 2018 we were responsible for the care of 190 pregnant women and their families (6.3% of 2998 registrable births supported by Royal Surrey Maternity in 2018).

Of these families 27% birthed their first baby and 73 % had had at least one child before.

We welcomed 99 girls and 91 boys in to the world.

From our caseload of 190 clients, 135 (71%) families planned to give birth at home with the Surrey Hills team at the onset of established labour.

The remaining 55 families opted for an alternative place of birth. This change in planned place of birth occurred for a number of different reasons including consent to Induction of Labour, the development of situations/conditions which recommended a hospital based birth and moving out of area.

79% of our caseload (n=190) knew the midwife who was caring for them in labour.

Of the 135 families who planned to give birth at home at the onset of labour 97.1% had a vaginal birth.

24 of our clients experienced an in labour transfer (17.8%) to an alternative place of birth. 111 families birthed their babies at home as planned (82.3 %). 3 of our families were transferred in the immediate postnatal period (2.2%).

Altogether 27 families (20%) were transferred during birth or in the immediate postnatal period.

Of the 135 families that planned to give birth at home at the onset of labour 98% used hydrotherapy (birthing pool) with 71 births (63% of our home births) occurring in the water.

95% of the clients that birthed at home had a physiological (natural) birth of the placenta with optimal cord clamping.

October 2018 Stats continued

Following on from the fantastic infographic Jodie created at the start of the month we wanted to spend some time exploring a few of our stats.

Today we are looking at our transfer rates.

In October we had a caseload of 17 pregnant clients.

4 of our clients changed their planned place of birth prior to labour. The reasons for change of planned place of birth were maternal choice (n=1), premature (prior to 37 weeks) labour (n=2) and Induction of Labour (n=1).

13 women planned to birth at home at the onset of their labour. Of these clients 11 birthed their baby at home as planned.

Two clients were transferred to the Royal Surrey County Hospital in labour. The reason for transfer were prolonged first (dilating) stage of labour (n=1) and prolonged second (pushing) stage of labour (n=1).

All of the clients who transferred to the Royal Surrey for their baby’s birth (n=6) had normal (unassisted) vaginal births.

9 of the 11 families who birthed at home remained at home. 2 families transferred in after their baby’s birth. one for Retained Placenta and one for postnatal observation of the baby.

Homebirth Team Stats:October 2018

The lovely Jodie has compiled our audit results and created this beautiful info graphic!

We are constantly auditing our outcomes but this is the first time we’ve shared them like this.

What do you think about the results?

Do you find it helpful to have access to this kind of information?

Do you find the infographic formate more accessible?

What kind of information would you like to know about the team?

We are hoping to share some more detailed October info with you in the coming weeks.