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.
Following on from our November stats we would like to show you in more detail why not all of our caseload’s babies were born at home.
The more research you do in to #homebirth the more you will discover that transfer rates and the reasons for transfer, aren’t quiet what you might imagine.
In November 28 of our caseload birthed their babies.
Six changed their planned place of birth from home to the Royal Surrey County Hospital prior to the onset of labour. Five consented to an induction of labour (18%) and one to an elective caesarean birth(3.5 %).
22 of our clients were planning to birth at home at the onset of their labours. Of these mums 18 went on to birth at home as planned, while four (18%) transferred in to hospital during the course of their labours.
Two transferred for additional analgesia (9%), one (4.5%)for meconium (baby’s first bowel movement) stained liquor (waters) and one (4.5%) for prolonged 2nd (pushing) stage of labour.
Because we are a #continuity case loading team we continue to care for our clients even if plans change along the way.
We hope that you find this information when exploring your birth place options and making decisions about your birth plan.
If you are planning to birth your baby with the Royal Surrey and would like to explore your birth place options we would be delight to talk things then with you.
You can either come to one of our informal “meet the homebirth team” mornings ( see details of upcoming Forums here), email the team at email@example.com to arrange a no obligation home visit or request a referral from your current community midwife.
Continuity of carer means consistency in the midwife that cares for a woman and her baby throughout pregnancy, birth and postnatally.
It has been shown to correlate with numerous positive outcomes including;
24% less likely to experts preterm birth
15% less likely to need regional analgesia (Epidural)
16% less likely to have an episiotomy
Woman’s chances of having a spontaneous vaginal birth were also found to increase
(Cochrane Review 2016)
The Surrey Hills Homebirth team is a caseloading Midwifery Team. All women in our caseload have a named midwife and as they get closer to their birth have the chance to meet the other four members of the team.
Not only is continuity of carer overwhelming what women say they want, it also provides so much job satisfaction for midwives, we love getting to know families this way!
#Continuity #ContinuityMatters #BetterBirths #Caseloading #Midwifery #Homebirth
Jodie has done another wonderful job translating our stats in to a user friendly infographic.
November was a busy month with 28 of our caseload’s babies making their arrivals.
6 of our clients changed their place of birth prior to the start of their labour.
22 clients intended home as their baby’s place of birth at the start of labour and 82% (n=18) achieved their planned homebirth. Therefore our transfer rate in labour was 18 %(n=4).
72 % (n=13) of the homebirth’s took place in water with a further 5 clients using water during their labours only (use of water in labour 82%).
Mode of birth is presented for all clients cared for by the Surrey Hills team including those who’s place of birth changes prior to labour.
82 % (n=23) of the babies birthed in November were unassisted vaginal births.
3.5% (n=1) was born with Ventouse assistance.
3.5% (n=1) was born with the assistance of Forceps.
3.5 % (n=1) was born via an Elective Caesarean Birth.
7% (n=2) of the births took place via Emergency Caesarean. 1 baby (3.5%) was born via prior to the start of labour and the other (3.5%) during active labour.
Babies are usually born between 37 and 42 weeks gestation, this is referred to as “term” in the UK.
But did you know that only 4% of babies arrive on the magical date that everyone counts down to? More than 90% arrive on either side of their due date.
This picture shows when our caseload babies decided to make their arrival and none of them fancied their “due date”!
#VariationsOfNormal #DueDate #GuessDate
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.
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.