Coronavirus guidance

If you think you may have symptoms of Coronavirus >, follow the national guidance and self-isolate for 10 days. Please see our information for visitors > before you plan on visiting one of our hospitals. If you, or a member of your family has tested positive for Coronavirus, please find resources to aid your/their recovery on our Coronavirus - Supporting your recovery > page.

Maternity Services during Coronavirus (British Sign Language interpretation)

 

British Sign Language interpretation of our Maternity services during the Coronavirus pandemic.

Introduction

  • You must continue to access your Maternity appointments throughout your pregnancy and following the birth of your baby.
  • If you have Coronavirus symptoms, please contact your community Midwife about how you contact the Maternity Department to let them know.
  • We are continuing to provide routine antenatal appointments in the community and at Royal Derby Hospital and Queen’s Hospital Burton. Some appointments are happening at different venues but your midwife will discuss this with you.
  • At your routine antenatal appointments, your midwife will discuss all the birth options available to you, including suitability to birth at home. Please ask your midwife for more information.
  • Your community midwife will contact you by text to ask some screening questions and give advice on any changes to your appointment.
  • Do not reduce your number of visits without agreeing first with your maternity team.
  • If your partner comes with you, he/she will be asked to wait outside the department.  If you need a BSL interpreter, please discuss this with your midwifery team before the appointment.
  • We appreciate attending your appointments and ultrasound scan alone may be upsetting; however this arrangement is in place to protect women, babies and staff from Coronavirus.
  • During antenatal scans we are still sexing babies if requested and if possible. However we will not extend the scanning times to do this.
  • If you notice your baby is not moving or movements have changed or reduced - immediately contact the hospital you are booked with for advice. Do not wait for your next midwife appointment.
  • All staff in the maternity departments and community will wear face masks and eye protection when caring for you, even if you don’t have any symptoms of Coronavirus. The masks are there to keep you and the staff safe.
  • Please remember, behind every mask is a smile.
  • If you have any questions, please contact your named midwife or midwifery team. See your hand held record for details.

Giving Birth

  • The homebirth service is available. The birthing facility at Samuel Johnson Maternity Unit remains closed, so your baby will be born at Queen’s Hospital Burton or Royal Derby Hospital.
  • Women attending in spontaneous labour can be supported by one birth partner who does not have any Coronavirus symptoms. Good hand hygiene should be used frequently whilst in the unit and entry to and from the ward area must be kept to an absolute minimum.
  • You will have access to pain relief options, including gas and air and an epidural.
  • You can still be mobile and birth in a position of your choice. You can use the birthing pool if you do not have Coronavirus symptoms.
  • We will support you as you plan for labour and birth. This might include changing your birth plan or transferring care to a different maternity service.
  • If you have Coronavirus symptoms or are self-isolating due to a family member, you must inform us before arriving at hospital. You will be asked to put on a mask whilst we transfer you to an isolation room.
  • All staff in the maternity department will wear facemasks and eye protection when caring for you, even if you don’t have symptoms of Coronavirus. The masks are there to keep you and the staff safe. Please remember, behind every mask is a smile.
  • If you have any questions, please contact your named midwife or midwifery team. See your hand held records for details.

Induction of labour

  • If you need to be induced you will be told a date and time to attend the labour ward.
  • Following the start of the induction process and until labour starts, women can return home. Women returning in labour can be supported by one birth partner who does not have any Coronavirus symptoms.
  • At Royal Derby Hospital, where possible, admission for induction of labour will take place on the labour ward. A birth partner can stay for the ward admission and then must return home.Please talk to your midwife about how we can support you with communication at this time.
  • When labour starts, women are transferred to a labour room and a birth partner can join them.
  • At Queen’s Hospital Burton, induction of labour takes place on a maternity ward. A birth partner can stay for the ward admission and then must return home. Please talk to your midwife about how we can support you with communication on the ward.
  • When labour starts, women are transferred to labour ward and a birth partner can join them.
  • We support social distancing by reducing the number of people spending long periods of time together in close proximity.
  • Following a straightforward, uncomplicated birth and where safe to do so, you should make arrangements to leave hospital approximately six hours after the birth. If not possible or admission to the ward is necessary, parents can spend time together on the labour ward following the birth. The birth partner must then return home when mother and baby are admitted to the postnatal ward.Please talk to your midwife about how we can support you with communication on the ward.

Caesarean birth

  • If you are having a planned Caesarean, your birth partner can stay with you beforehand on the ward and in theatre. The birth partner must wear a surgical face mask and follow infection prevention and control measures. Medical and midwifery staff in theatre will be wearing full PPE.
  • The birth partner can stay with you in the recovery area on labour ward before transfer to the postnatal ward. The birth partner must then return home when mother and baby are admitted to the postnatal ward.Please talk to your midwife about how we can support you with communication on the ward.
  • Following a planned caesarean section without any complication and where baby is fit for home, you can consider discharge after 24 hours on the ward if safe to do so.
  • In cases of emergency caesarean section where immediate delivery of the baby is required, your birth partner will wait outside theatre during the operation.The birth partner will be able to join mother and baby afterwards in the recovery area before transfer to the ward. You may be required to stay in hospital longer than 24 hours.

Caring for you & baby after birth

  • Babies will not be separated from their mothers unless there is a clear clinical need.
  • Breast feeding is still encouraged.
  • There is limited visiting on the postnatal ward due to strict social distancing recommendations, which aim to reduce the risk of infection. Please talk to your midwife about how we can support you with communication on the ward.
  • Postnatal care following discharge home will still be provided by the community Midwifery teams. Visits will be assessed on an individual basis and women will be contacted by the community midwife before arranging a home visit.
  • When the midwife visits, please keep other family members in a separate room even if they want to stay so that just mother and baby meets the community midwife.If you need a BSL interpreter please inform your community Midwifery team before they visit.

Getting ready for a home visit from your midwife

  • Contact us to let us know if you or anyone in your home has Coronavirus symptoms, before we visit you at home.
  • Open the window of the room where the midwife will meet you, so it is well ventilated to reduce the risk of infection.
  • Midwives and support workers should not have to touch too many surfaces in your home, so please open doors for them.
  • Make space so the midwife can see you and baby alone. Other members of the house should maintain the social distancing of 2 metres.If you need a BSL interpreter for this appointment please let your community Midwifery team know before they visit.
  • The midwife will wear protective clothing, including a mask when they visit. Please remember behind every mask is a smile.