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ummbilal
25-01-08, 05:38 PM
Maternity services criticised by watchdog
Published: Friday, 25 January 2008, 7:45AM

Women and their new babies are being failed by poor maternity care, a report has warned.

The Healthcare Commission said a fifth of NHS Trusts are failing to deliver an acceptable level of care.

The report also found ultrasound scans are not being properly checked for abnormalities in unborn babies.

Guidelines from the National Institute for Health and Clinical Excellence (Nice) recommend 11 checks to be performed during ultrasound scans.

These include studying the baby's heart function, length of spine, counting bones in the arms and legs and looking at head shape and size.

The scans should also examine the development of the baby's face and lips.

But the Healthcare Commission found that just 61 per cent of scans performed by trusts included all 11 checks.

Nice also raised the quality requirements for Down's Syndrome screening in April 2007, but only 11 per cent of Trusts reported meeting these standards for all women.

This means those women in the remainder of cases are receiving inferior screening, according to the Commission.

A shortage of midwives is being blamed on the shortcomings.

On average, units have 31 midwives per 1,000 deliveries but nine trusts trusts had only 26 midwives per 1,000 deliveries or fewer.

Two thirds of these trusts were scored weak in the review, suggesting very low staffing levels may be associated with poor overall performance, according to the report.

The Royal Colleges recommend 36 midwives per 1,000 deliveries to enable one to one care in labour.

A total of 68 per cent of trusts were meeting a guideline set by the Royal College of Obstetricians and Gynaecologists requiring consultants to be present on the labour ward for at least 40 hours per week.

However, 32 per cent were not yet meeting the guideline, according to the study.

How is your NHS trust rated?

http://www.itv.com/News/Articles/Maternity-services-criticised-by-watchdog.html

to see how you local hospital is rated, check the link.

ummbilal
25-01-08, 05:50 PM
Heres a few tips from me a Doula (childbirth companion) to help with problems that can occur in the hospital.

Firstly make sure you have a birth companion with you, preferably someone who makes you feel at ease, your husband can be brilliant and make you feel safe and relaxed, however some husbands can make their wife feel anxious while in labour, your mother is a good choice unless she makes u nervous or will be nervous herself.
An experienced mother is the best choice for most women, a woman who you feel safe with and can tell you everything is normal and knows exactly what labour feels like.

If you feel the midwife you've been asigned is making you nervous, if she interupts u mid contraction, ask your birth companion to have a quiet word and stop her doing it, to birth sucessfully a mother need s to feel safe and uninhibited, not agitated and scared.

If you feel your midwife is extreemly negative you can ask for another one, and inshaallah you should get one.

You should if you are in a low risk pregnancy be able to give birth in whatever position you need to, some midwives will get nervous if the mother is settled in the bathroom or is comftable in a corner of the room and not in the on the bed position, this is not right and a woman who is disturbed while busy away within herself can end up having intervention.
I would strongly recommened that women make a birth plan and make sure the midwives acctually READ it, be prepared to be flexiable as you cannot predict how your labour will go, make sure your husband or birth partner know your wishes and will speak for you if you need them to, often the mother is in so much pain she cannot form sentences.

a good book for potential birth companions/husbands is.

http://www.amazon.co.uk/Birth-Partner-Everything-Through-Childbirth/dp/1558320105/ref=sr_1_1?ie=UTF8&s=gateway&qid=1201286911&sr=8-1

how a experienced mother can help you get through your labour and feel positive afterwards..

http://www.amazon.co.uk/Doula-Book-Trained-Companion-Healthier/dp/0738206091/ref=sr_1_1?ie=UTF8&s=gateway&qid=1201286953&sr=8-1

remember if you are not happy say something, this is your baby's birth and is important, while the midwife might birth 10 babies on this day, you only get to do this once do it how you want to.

alternativly have a home birth, very safe indeed if you are in a low risk pregnancy and gives you complete privacy.

muslim_sis
25-01-08, 06:01 PM
I saw this on the news today! Some hospitals like chelsea and westminster are good tho, but then again there are so many bad rated hospitals hence the bad service to the maternity units.