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Maternity Services Brighton and Sussex University hospitals NHS Trust Helen O’Dell

Maternity Services Brighton and Sussex University hospitals NHS Trust Helen O’Dell Director of Clinical Operations Women & Children / Head of Midwifery. One Maternity Service. Two sites Royal Sussex County Hospital, Brighton Princess Royal Hospital, Haywards Heath

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Maternity Services Brighton and Sussex University hospitals NHS Trust Helen O’Dell

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  1. Maternity Services Brighton and Sussex University hospitals NHS Trust Helen O’Dell Director of Clinical Operations Women & Children / Head of Midwifery

  2. One Maternity Service • Two sites • Royal Sussex County Hospital, Brighton • Princess Royal Hospital, Haywards Heath • Community Midwifery Service • East Team • West team • North Team

  3. Activity and Staffing • Increased midwives by 15 WTE • Increased Maternity Support Workers by 4.5wte • Meets 1:30 midwife : birth ratio • 5,761 women 5,990 babies

  4. 2012 / 2013 • 131 twins • 4 triplets • 743 women labour in water • 278 women give birth in water • 3.3% (189) women give birth at home • 28% caesarean section

  5. Women’s Journey • Booking • Community Midwife • Discuss option for place of birth • Parent education • Triage • Home or hospital birth • Home / Postnatal Ward

  6. Complicated pregnancy • Obstetric Led Care • Antenatal Clinic / Day assessment Unit • ‘High Risk’ Team – Diabetes, Perinatal mental Health • Hospital Birth • Postnatal ward • Transitional Care • Trevor Mann baby Unit – Neonatal Intensive Care

  7. Innovations • Specialised midwives • Birth Stories • Bereavement Care (butterfly room) • Substance Misuse (BJM midwife of the year) • Safeguarding • Teenage pregnancy • Breast feeding support • Home birth service

  8. Home birth Team • 24 hour service • Home visit • Homebirth shift enables continuity • 1% increase first month • 5.5% Brighton and Hove • 10% target

  9. Improving environment • Ensuites (privacy and Dignity) • 8 out of 11 rooms • Disabled facilities • Pool room • Planning 2 temp low risk birth rooms with pools and ensuites • Dedicated infant feeding room • Private room for bereaved parents

  10. www.mypregnancymatters.org.uk

  11. Education and training • Mandatory education multidisciplinary training • Training workshops (home birth training at midwives houses) • Skills drills in the clinical areas • Improved team work • Communication • Students medical and midwifery • Research

  12. User Involvement • MSLC (involvement in interviews, service improvement, protocols) • Birth stories feedback • Walk the Patch • Patient Voice • Friends and Family Test • Baby Expo

  13. Future Plans • Sussex Women’s Health Centre • Birth Centre • Midwife Led Clinics • Conferences • Complimentary Therapies

  14. Brighton & Sussex University Hospitals NHS Trust

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