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.

November Stats: Transfers

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 tanya.ashton@nhs.net to arrange a no obligation home visit or request a referral from your current community midwife.

November Stats: Continuity Of Carer

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

Homebirth Team Stats: November 2018

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.