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Your pregnancy, your choiceSupport for choosing your
place of birth in East London
Introduction – improving your choiceThe NHS in East London is looking at ways of improving choice and a more personalised pregnancy for women and aims to:
• help you have a maternity journey that is personal to you
• give you information on the range of options available and
• help you make choices that are right for you
What do women want in East London?Women and their partners told us that:
• They wanted practical information about what to expect and facilities at the site of their place of birth choice
• They wanted the same midwife all the way through their pregnancy, friendly and helpful staff and good reviews of the services
• They wanted to be able to contact someone when they need to for advice and guidance
• There is a lack of information and support on choices available to them, e.g. homebirth and birth centres, breastfeeding, mental health and local classes for women and their partners
2
How will the information in this booklet help you?This information will help you to:
• think about the questions you would like to ask your GP or midwife about pregnancy
• what is important to you about your birth
• choose options that are available to you and record these decisions through your pregnancy and birth
What are my choices for birth? You can choose the provider that you want for your birth, but you should be aware that some are busier than others and they will prioritise the women who live closest to them.
Most women can choose where they receive antenatal care, although some women with particular medical needs may be advised to attend hospital for appointments.
Wherever you choose to give birth in East London and the parts of Essex served by Queen’s Hospital in Romford, you will have access to the right expertise from our highly skilled and experienced staff.
We want to ensure you receive the best quality, safe care during your birth. It is your choice whether to accept or decline any test, vaccine, treatment or appointment that you are offered.
Labour
This booklet will help you decide where you would like to give birth to your baby. One or more options may be advised to you but you may wish to choose a different option – remember, it is your pregnancy and your choice.
East London Maternity BookletEast London Maternity Booklet
2 3
1st trimester 0-12 wks
2nd trimester 13-28 wks
3rd trimester 28 wks –
birth
After the baby
is born
Post-natal care
You will be offered:
Routine blood tests, ultrasound scan also known as the dating scan (around 12 weeks).
There are foods you should avoid when you are pregnant, visit www.nhs.uk for the latest guidance.
Always check with your GP, pharmacist or midwife before you take any medicine.
Visit www.Start4life for tips on keeping yourself well during pregnancy.
Looking after yourself – visit www.nhs.uk to get advice on common health problems during pregnancy.
Please visit www.gov.uk/working-when-pregnant-your-rights for more information on your rights including maternity leave.
You will be seen at home by your midwife after which, a health visitor will visit you at home to help you, your family and your new baby stay healthy.
If you were due for a cervical screening test while pregnant, this should be rescheduled for at least 12 weeks after the birth.
You will be offered:
Scans, screening and tests for your baby, and routine blood tests for you.
Anti D treatment if you are rhesus negative.
You will be offered:
Vitamin K and a physical examination at birth, and a more detailed examination within 72 hours.
BCG vaccination.
You will be offered:
A heel prick test which tests your baby’s blood for nine rare, but serious health conditions.
A hearing screening will also be carried out if you had your baby at home. If you had your baby in a birth centre or hospital, this will be arranged for you after the birth.
As soon as you know you are pregnant, see your GP or self-refer as per details provided for each provider (www.myhealth.london.nhs.uk) to the provider of your choice. You should receive your booking appointment before ten weeks
Consider where you want to have your baby:
• Midwife-led unit• Home• Hospital
Ask your midwife for a maternity exemption certificate to benefit from free prescriptions and NHS dental treatment.
You will be offered:
• Whooping cough vaccination• Seasonal flu vaccination• Oral glucose tolerance test for
women at risk of gestational diabetes• Screening for HIV, syphilis and
hepatitis B
You will be offered:
Routine blood tests, ultrasound scan (around 20 weeks) to check your baby’s growth.
You will also have the option to find out the gender of your baby should you wish to.
Ask your midwife for a MAT B1 certificate (after 20 weeks). This confirms your pregnancy for your employer.
Book your antenatal classes – your midwife will give you details.
If you are out of work or on a low-income visit www.gov.uk to see what benefits you are entitled to.
Prepare your hospital bag
Prepare your birth plan – you will get the information you need from your antenatal classes or midwife.
Check out what you will need for feeding your baby and prepare yourself now.
Shortly after your baby is born you will be given a personal child health record (PCHB), also known as the red book. This may be in an electronic format that is currently being rolled out across areas of England.
Register the birth of your baby within 42 days – visit www.gov.uk for details.
KEY: General Scans, screening and tests for your baby Looking after yourself.
My maternity journey – a handy guide showing what to expect when
East London Maternity BookletEast London Maternity Booklet
4 5
For more information visit www.nhs.uk and search for screening tests for you and your baby. Your urine and blood pressure will be checked at each antenatal appointment.
You can choose to have your baby:
Home births are a popular choice for some women. They are suitable for women who have an uncomplicated pregnancy and want to give birth in familiar surroundings with support from midwives.
The 2011 ‘Birth Place in England Study’ focused in particular on birth outcomes in healthy women with straightforward pregnancies who are at ‘low risk’ of complications.
Research showed:
For second and subsequent babies, home births are just as safe as hospital births for the baby. They are also safer for the mother, because her chances of needing a caesarean section or other medical intervention are lower. (For example, the likelihood of having a caesarean birth is four times less than in hospital).
For women expecting their first baby, birth at home seems to slightly increase the chance of problems for the baby though the overall risks are still very low. If there is a problem during labour, you will
be offered a transfer to hospital, accompanied by your midwife. Just under half of all first-time mothers transfer from a home birth to hospital during or after labour. However, only around one in ten women require a transfer who have given birth before.
Speak to your midwife if you are considering a homebirth.
Homebirth – reasons to consider
• You want to increase the likelihood of having a straightforward birth and avoid medical interventions
• You want to enjoy your own surroundings and comforts – your own bed and bathroom for instance – to help you relax and be as comfortable as possible, without the need to interrupt labour to go to hospital.
• You are more likely to be cared for during labour by a midwife that you know
• You can have access to a water birthing pool if you have room for this within your home
At home – a homebirth
Birth centres are staffed by midwives and are particularly suitable for all women with straightforward pregnancies, including first-time mothers. The emphasis at any birth centre is on creating a calm ‘home-from-home’ environment, which helps labour to progress better. Birth pools are available and encouraged.
Birth centres can be either “standalone”, which are birth centres that are not on the same site as other maternity services, or “alongside” which are on the same site as other maternity services.
In the 2011 ‘Birth Place in England Study’, research showed:
• For first-time mothers, 60 per cent will not need to transfer to a delivery suite from a birth centre
• If you are having a straightforward pregnancy, birth centres are just as safe for babies as delivery suites, and significantly safer for the mother, because the likelihood of you needing a caesarean section or other medical interventions is much lower
In a birth centre
• For example, women who start their labour in the birth centre are 50 per cent less likely to have a caesarean birth. This applies even if the mother moves from the birth centre to a delivery suite during labour
• If a problem occurs during labour or you need an epidural, the mother will be offered a move to the delivery suite, accompanied by her midwife
• If you have previously had a vaginal birth after caesarean section, please discuss possible options for a birth centre with your midwife or at a clinic.
Birth centre / Midwifery-led units – reasons to consider
• You want to give birth in a homely environment
• You want to be able to have a water birth
• Smaller units with support from midwives
• You want to increase the likelihood of a straight- forward birth and avoid medical intervention.
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7
2
8
6
3
5
4
1
In a hospital delivery suite
In a hospital delivery suite also known as an obstetric unit, Women who have any complicating factors which might reduce the chances of a straightforward labour will be recommended to have their baby in a delivery suite, where doctors are available to help if needed. This will be discussed throughout your pregnancy. You will have your own room to give birth in.
You may wish to change your mind about your choice of birthplace if your circumstances change. If you develop complications, you may need to consider changing where you have your baby.
Delivery suite/labour ward – reasons to consider
• You have complicating factors which mean that you may need additional care during the labour
• The opportunity to give birth in a birthing pool on delivery suite
• Your baby may need special care immediately after birth
• If you definitely want an epidural then you can choose to birth in the delivery suite. If you change your mind when in labour you can transfer to the birth centre if its on-site (choosing a hospital with an alongside birth centre may be appropriate)
Maternity providers in East London
Provider Address Telephone Website
1Queen’s Hospital (BHRUT)
Rom Valley Way, Romford, Essex RM7 0AG
01708 503742www.bhrhospitals. nhs.uk
2Homerton University Hospital
Homerton Row, Hackney E9 6SR
Maternity helpline 10am-6pm 020 8510 5955
www.homerton. nhs.uk
3Barkantine Birth Centre
121 Westferry Road E14 8JH
020 7791 8300www.bartshealth. nhs.uk/maternity
4Barking Community Birth Centre
Barking Community Hospital, Upney Lane, Barking, Essex IG11 9LX
020 3644 2450www.bartshealth. nhs.uk/maternity
5Newham University Hospital
Glen Road, Plaistow E13 8SL
020 8090 9999www.bartshealth. nhs.uk/maternity
6Royal London Hospital
Whitechapel Road E1 1BB
020 3594 2573www.bartshealth. nhs.uk/maternity
7Whipps Cross University Hospital
Whipps Cross Road, Leytonstone E11 1NR
020 8539 5522 extension 5395
www.bartshealth. nhs.uk/maternity
8Neighbourhood Midwives
Cyberlink Children’s Centre, 51 Beaumont Road E10 5DE
020 8874 6624www.neighbourhood midwives.org.uk/ NHS-care/
East London Maternity BookletEast London Maternity Booklet
8 9
Barking Havering & Redbridge University Hospitals NHS Trust (BHRUT) – Queen’s Hospital, Romford
The Trust provides maternity care to around 8200 women each year, making it one of the largest maternity services in the country. Recognising that pregnancy and birth are important times for women and their families and will provide support for your individual birth choices with up-to-date facilities, information and highly trained staff treating you with compassion and respect.
Maternity services are provided mostly at Queen’s Hospital in Romford but some antenatal care is provided at King George Hospital, Ilford.
www.bhrhospitals.nhs.uk/maternity-services
Queen’s Hospital, Romford, Rom Valley Way, Romford, Essex RM7 0AG
t: 0330 400 4333
Core and specialist services
1:1 midwife support Alongside midwifery led service Anaesthetic clinic Antenatal education Bereavement service Birth after c section Birth pools Breastfeeding support Car parking: Pay and display Diabetic specialist midwife Epidural service Fetal medicine service Homebirth service Labour ward Neonatal intensive care Partner staying overnight Perinatal mental health support Screening Access to smoking cessation services
Substance and alcohol misuse midwife
“We are one of the largest maternity services in the country and recognise that pregnancy and birth are really important times for women and their families and support individual birth choices”
Maternity service providers
Clifden RdClifden Rd
Ch
urch
ill Rd
Co
nisto
n W
alk
Stavely Cl
Ch
elmer R
d
Burnett Cl
Stavely Cl
Homerton University Hospital
Queen’sHospital
The Royal London Hospital
The Barkantine Birth Centre
WhitechapelRom Valley W
ay
Rom Valley W
ay
Raven Row
Sidn
ey St
Stepney Way
Cavell St
Milw
ard St
Whitechapel Rd
OldchurchPark
Brooksby’s Walk
Fulready Rd
Hospital Rd
Ambulance Rd
Back Rd
Hospital Rd
Homerton Grove
Homerton Grove Adventure Playground
Newham University Hospital
Belg
rave Rd
Crofton Rd
Wigston Rd
Wanlip Rd
Woodside Rd
Glen Rd
Prince R
egen
t Ln
Glen Rd
Greenway
Ambulance Rd
Barking Hospital
Upney Ln
The Dr
Edgefield Ave
Manor Rd
Westrow Dr
Goodey Rd
Helmore Rd
Ridley Cl
Stephen Jewe
rs G
ard
ens
Upney
The Quarter
deck
Sir JohnMcDougall
GardensJanet St
Alp
ha G
rove
Tham
es Path
Strafford
St
Westferry R
d
Moiety Rd
Telephone helpline Transfer time Unit tours Vulnerable women’s service
East London Maternity BookletEast London Maternity Booklet
10 11
Bus stops
Towards Routes
HJ terminates here193, 496, 498
HK Hornchurch 365
HL Becontree Heath5, 128, 175, 499
HM Romford Station128, 175, 365, 498, 499
HN Romford Market 5, 193, 496
How to find Queen’s Hospital Romford (BHRUT):
By bus:
Overground • Romford station part of TfL Rail• 10 minute walk to hospital • Buses 128, 175, 193, 365 to
the hospital
Underground • Dagenham Parkway
(District line) then 175 bus• Hornchurch (District line)
then 193 bus
By car Multistorey car park on site payment required. Sat nav is RM7 0AG
Disabled parking Blue badge parking available in front car park near main entrance
Homerton University Hospital, Hackney, Homerton Row, Hackney, London E9 6SR
t: 020 8510 5955 (10am-6pm)
Core and specialist services
1:1 midwife support Alongside midwifery-led birth centre
Anaesthetic clinic Antenatal education Bereavement service Birth after c section Birth pools Breastfeeding support Car parking: Limited Epidural service Fetal medicine service High BMI clinic Homebirth team Labour ward Neonatal intensive care Partner staying overnight Perinatal mental health support
Screening Access to smoking cessation services
“We provide a co-located birth centre, delivery suite, named community midwives, shared care for women at high risk and a caseloading model by the homebirth team”
Maternity service providers
Clifden RdClifden Rd
Ch
urch
ill Rd
Co
nisto
n W
alk
Stavely Cl
Ch
elmer R
d
Burnett Cl
Stavely Cl
Homerton University Hospital
Queen’sHospital
The Royal London Hospital
The Barkantine Birth Centre
WhitechapelRom Valley W
ay
Rom Valley W
ay
Raven Row
Sidn
ey St
Stepney Way
Cavell St
Milw
ard St
Whitechapel Rd
OldchurchPark
Brooksby’s Walk
Fulready Rd
Hospital Rd
Ambulance Rd
Back Rd
Hospital Rd
Homerton Grove
Homerton Grove Adventure Playground
Newham University Hospital
Belg
rave Rd
Crofton Rd
Wigston Rd
Wanlip Rd
Woodside Rd
Glen Rd
Prince R
egen
t Ln
Glen Rd
Greenway
Ambulance Rd
Barking Hospital
Upney Ln
The Dr
Edgefield Ave
Manor Rd
Westrow Dr
Goodey Rd
Helmore Rd
Ridley Cl
Stephen Jewe
rs G
ard
ens
Upney
The Quarter
deck
Sir JohnMcDougall
GardensJanet St
Alp
ha G
rove
Tham
es Path
Strafford
St
Westferry R
d
Moiety Rd
Substance and alcohol misuse midwife
Telephone helpline Transfer time Unit tours Vulnerable women’s service
Homerton University Hospital, Hackney
The Trust provides maternity care for more than 6000 women and their babies each year, during pregnancy, labour, birth and up until one month after birth.
Our philosophy of care is based on respect for pregnancy as a state of health and childbirth as a normal, healthy physiological process. The aim is to keep women informed at all times of the progress of their pregnancy and likewise any issues that arise during their care. The Trust encourage decision-making as a shared responsibility between the woman, her family and her caregivers. To facilitate this, care provision must include evidence based information, education and counselling support to enable the woman to make informed choices.
www.homerton.nhs.uk/our-services/services-a-z/m/maternity-services/
East London Maternity BookletEast London Maternity Booklet
12 13
Bus stops
Towards Routes
F
Hackney Central or Clapton Pond
236, 242, 276, 308, 394, 425, 488, W15
E
Hackney Wick, Leyton or Mile End
236, 276, 394, 425, 488, W15
HB
Hackney Wick, Leyton or Mile End
236, 276, 394, 425, 488, W15
How to find Homerton University Hospital:
By bus:
Overground: • Homerton station• London Overground service
towards Stratford or Richmond
By car: Limited car parking on site – payment required. Some pay and display parking in local roads
Disabled parking: Blue badge parking available in front car park.
Maternity service providers
Barts Health NHS Trust
We recognise that expectant mothers require very special attention. Our dedicated teams are here to help you through your pregnancy and birth and provide you with the best care to suit your individual needs.
You can choose to access maternity care in any of our units:
• Barkantine Birth Centre, Tower Hamlets in Canary Wharf
• Barking Community Birth Centre, based in Barking
• Newham University Hospital, Newham, Plaistow
• The Royal London Hospital, based in Tower Hamlets, Whitechapel
• Whipps Cross University Hospital, based in Waltham Forest, Leytonstone
Our information will help you to access care from our expert maternity teams, who will support you to plan and prepare for pregnancy, birth and beyond.
From pregnancy through to postnatal care, our team of midwives and
medical staff will help you to make informed choices.
As part of your journey with us, you can choose to have your baby at one of our tranquil birthing units led by experienced midwives; in one of our labour wards with leading consultants close at hand; or in the comforting surroundings of your own home.
We are very proud of our maternity units at The Royal London Hospital and Newham University Hospital – and refurbishment at Whipps Cross University Hospital is currently underway.
We hope that you will have a straightforward pregnancy, but if you do experience any complications, then you will have access to a wide range of experts who can provide specialist advice. Our team includes obstetric and gynaecology consultants, specialist nurses and anaesthetists. We will ensure that you are kept fully informed and treated with care and dignity at every stage of your journey.
www.bartshealth.nhs.uk/maternity
East London Maternity BookletEast London Maternity Booklet
14 15
“We are a freestanding NHS midwife-led birth centre located on the Isle of Dogs. We support low risk women birth naturally in a home from home environment. Women from any area can choose to birth here as long as you are happy to travel when in labour”
The Barkantine Birth Centre, 121 Westferry Road, London E14 8JH
t: 020 7791 8300 w: www.bartshealth.nhs.
uk/maternity
Core and specialist services:
1:1 midwife support Antenatal care after 36 weeks
Antenatal education Bereavement service Birth pools Breastfeeding support Car parking (limited) Fetal medicine service Freestanding midwifery led service
Partner staying overnight Perinatal mental health support
Screening Access to smoking cessation services
Telephone helpline
Transfer time: 30 minutes to Royal London Hospital
Unit tours Vulnerable women’s service
Visiting hours: closes for visitors at 10pm
Facilities for labour: 5 rooms, ensuite bathrooms, double bed, flat screen TV, balcony, aromatherapy, birth balls, bean bags, birth mats, birthing stools
Birthing pools: 5 birthing pools
Homebirth services: Homebirth service linked to Royal London Hospital services
FMU transfer to delivery suite if required: Yes 30 min transfer time to Royal London
Barts Health NHS Trust
How to find the Barkantine Birth Centre:By bus:
Underground: • Mudchute or
Island Gardens (DLR)• 10 minute walk to Barkantine
By car: No parking on site. NCP car park London Docklands City Harbour. E14 9GL
Disabled parking: 4 blue badge spaces at Westferry Circus car park. E14 9HD
Bus stops
Towards Routes
CIsland Gardens or Mudchite
135, 272, D7, N550
T Limehouse135, 277, N550
Clifden RdClifden Rd
Ch
urch
ill Rd
Co
nisto
n W
alk
Stavely Cl
Ch
elmer R
d
Burnett Cl
Stavely Cl
Homerton University Hospital
Queen’sHospital
The Royal London Hospital
The Barkantine Birth Centre
WhitechapelRom Valley W
ay
Rom Valley W
ay
Raven Row
Sidn
ey St
Stepney Way
Cavell St
Milw
ard St
Whitechapel Rd
OldchurchPark
Brooksby’s Walk
Fulready Rd
Hospital Rd
Ambulance Rd
Back Rd
Hospital Rd
Homerton Grove
Homerton Grove Adventure Playground
Newham University Hospital
Belg
rave Rd
Crofton Rd
Wigston Rd
Wanlip Rd
Woodside Rd
Glen Rd
Prince R
egen
t Ln
Glen Rd
Greenway
Ambulance Rd
Barking Hospital
Upney Ln
The Dr
Edgefield Ave
Manor Rd
Westrow Dr
Goodey Rd
Helmore Rd
Ridley Cl
Stephen Jewe
rs G
ard
ens
Upney
The Quarter
deck
Sir JohnMcDougall
GardensJanet St
Alp
ha G
rove
Tham
es Path
Strafford
St
Westferry R
d
Moiety Rd
East London Maternity BookletEast London Maternity Booklet
16 17
“We are a safe place for you to have your baby if you have a low-risk pregnancy, allowing you to give birth naturally in one of our four comfortable rooms. Fully equipped with birth pools for labour and partners can stay with you”
Barking Community Birth Centre, Barking Community Hospital, Upney Lane, Barking, Essex IG11 9LX
t: 020 8644 2450 t: 020 8252 8281 w: www.bartshealth.nhs.
uk/maternity
Core and specialist services:
1:1 midwife support Antenatal care after 36 weeks Antenatal education Bereavement service Birth pools Breastfeeding support Car parking: Limited Fetal medicine service Freestanding midwifery led service
Partner staying overnight Perinatal mental health support
Screening Access to smoking cessation services
Telephone helpline
Transfer time: 30 minutes to Newham Hospital
Unit tours Vulnerable women’s service
Visiting hours: Visiting times 9am to 9pm
Facilities for labour: 5 rooms, bean bags, birth balls, birth mats, birthing stools, supporting rope or sling
Birthing pools: Yes
Homebirth services: Homebirth service linked to Newham Hospital services
FMU transfer to delivery suite if required: Yes 30 min transfer time to Newham
Barts Health NHS Trust
How to find the Barking Community Birth Centre:By bus:
Underground: • Upney (District line)• 5 minute walk to Birth Centre
By car: Some free car parking on site. Postcode IG11 9LX Upney Lane
Disabled parking: 4 Blue badge spaces on site
Bus stops
Towards Routes
AMarks Gate or Becontree
62
L Barking 62
Clifden RdClifden Rd
Ch
urch
ill Rd
Co
nisto
n W
alk
Stavely Cl
Ch
elmer R
d
Burnett Cl
Stavely Cl
Homerton University Hospital
Queen’sHospital
The Royal London Hospital
The Barkantine Birth Centre
WhitechapelRom Valley W
ay
Rom Valley W
ay
Raven Row
Sidn
ey St
Stepney Way
Cavell St
Milw
ard St
Whitechapel Rd
OldchurchPark
Brooksby’s Walk
Fulready Rd
Hospital Rd
Ambulance Rd
Back Rd
Hospital Rd
Homerton Grove
Homerton Grove Adventure Playground
Newham University Hospital
Belg
rave Rd
Crofton Rd
Wigston Rd
Wanlip Rd
Woodside Rd
Glen Rd
Prince R
egen
t Ln
Glen Rd
Greenway
Ambulance Rd
Barking Hospital
Upney Ln
The Dr
Edgefield Ave
Manor Rd
Westrow Dr
Goodey Rd
Helmore Rd
Ridley Cl
Stephen Jewe
rs G
ard
ens
Upney
The Quarter
deck
Sir JohnMcDougall
GardensJanet St
Alp
ha G
rove
Tham
es Path
Strafford
St
Westferry R
d
Moiety Rd
East London Maternity BookletEast London Maternity Booklet
18 19
“We recognise that expectant mothers require very special attention, our dedicated teams are here to help you through your pregnancy and birth and provide you with the best care to suit your individual needs”
Newham University Hospital, Glen Road, Plaistow, London E13 8SL
t: 020 7476 4000 w: www.bartshealth.nhs.
uk/maternity
Core and specialist services:
Alongside midwifery led service
Anaesthetic clinic Antenatal education Bereavement service Birth after c section Birth pools Breastfeeding support Car parking: Pay and display Epidural service Fetal medicine service High BMI clinic Homebirth service Labour ward Neonatal intensive care Partner staying overnight
Perinatal mental health support
Screening Access to smoking cessation services
Substance and alcohol misuse midwife
Telephone helpline Unit tours Vulnerable women’s service
Visiting hours: 2pm-8pm
Facilities for labour: 15 rooms
Birthing pools: Yes
Homebirth services: Yes homebirth teams
Barts Health NHS Trust
How to find Newham University Hospital:
By bus:
Clifden RdClifden Rd
Ch
urch
ill Rd
Co
nisto
n W
alk
Stavely Cl
Ch
elmer R
d
Burnett Cl
Stavely Cl
Homerton University Hospital
Queen’sHospital
The Royal London Hospital
The Barkantine Birth Centre
WhitechapelRom Valley W
ay
Rom Valley W
ay
Raven Row
Sidn
ey St
Stepney Way
Cavell St
Milw
ard St
Whitechapel Rd
OldchurchPark
Brooksby’s Walk
Fulready Rd
Hospital Rd
Ambulance Rd
Back Rd
Hospital Rd
Homerton Grove
Homerton Grove Adventure Playground
Newham University Hospital
Belg
rave Rd
Crofton Rd
Wigston Rd
Wanlip Rd
Woodside Rd
Glen Rd
Prince R
egen
t Ln
Glen Rd
Greenway
Ambulance Rd
Barking Hospital
Upney Ln
The Dr
Edgefield Ave
Manor Rd
Westrow Dr
Goodey Rd
Helmore Rd
Ridley Cl
Stephen Jewe
rs G
ard
ens
Upney
The Quarter
deck
Sir JohnMcDougall
GardensJanet St
Alp
ha G
rove
Tham
es Path
Strafford
St
Westferry R
d
Moiety Rd
Bus stops
Towards Routes
BL Barking
5, 15, 15B, 330 Barking Road, Greengate stop
HBBeckton or Stratford
276, 376
HCUpton Park and East Ham
276, 376
HD
Keir Hardie Estate, Beckton and City Airport
276, 376
HEIlford or Stratford
147, 262, 276, 300, 473
Underground: • Plaistow (District and
Hammersmith & City lines)• Bus from stop B towards
Newham Hospital, Canning Town or Custom House Routes 262, 473
By car: Car parking on site – payment required
Disabled parking: Blue badge parking available in car parks
East London Maternity BookletEast London Maternity Booklet
20 21
“We provide a full range of services and are able to offer women all four birth settings and a dedicated homebirth team. We aim to provide high quality individualised care and support to all women within a service responsive to the needs of our population”
The Royal London Hospital, Whitechapel Road, London E1 1BB
t: 020 7377 7000 w: www.bartshealth.nhs.
uk/maternity
Core and specialist services:
1:1 midwife support Alongside midwifery led service
Anaesthetic clinic Antenatal education Bereavement service Birth after c section Birth pools Breastfeeding support Car parking: Limited Diabetic specialist midwife Epidural service Fetal medicine service Homebirth service Labour ward Neonatal intensive care
Partner staying overnight Perinatal mental health support
Screening Access to smoking cessation services
Substance and alcohol misuse midwife
Telephone helpline Unit tours Vulnerable women’s service
Visiting hours: 2pm-6pm
Facilities for labour: 16 rooms
Birthing pools: 4 static pools (3 in alongside midwifery birth centre)
Homebirth services: Yes community homebirth teams
Barts Health NHS Trust
How to find The Royal London Hospital:
By bus:
Clifden RdClifden Rd
Ch
urch
ill Rd
Co
nisto
n W
alk
Stavely Cl
Ch
elmer R
d
Burnett Cl
Stavely Cl
Homerton University Hospital
Queen’sHospital
The Royal London Hospital
The Barkantine Birth Centre
WhitechapelRom Valley W
ay
Rom Valley W
ay
Raven Row
Sidn
ey StStepney Way
Cavell St
Milw
ard St
Whitechapel Rd
OldchurchPark
Brooksby’s Walk
Fulready Rd
Hospital Rd
Ambulance Rd
Back Rd
Hospital Rd
Homerton Grove
Homerton Grove Adventure Playground
Newham University Hospital
Belg
rave Rd
Crofton Rd
Wigston Rd
Wanlip Rd
Woodside Rd
Glen Rd
Prince R
egen
t Ln
Glen Rd
Greenway
Ambulance Rd
Barking Hospital
Upney Ln
The Dr
Edgefield Ave
Manor Rd
Westrow Dr
Goodey Rd
Helmore Rd
Ridley Cl
Stephen Jewe
rs G
ard
ens
Upney
The Quarter
deck
Sir JohnMcDougall
GardensJanet St
Alp
ha G
rove
Tham
es Path
Strafford
St
Westferry R
d
Moiety Rd
Bus stops
Towards Routes
AAldgate or Wapping
25, 205, 254, N205, N253
BBethnal Green and Hackney
25, 205, 254, N205, N253
H Wapping D3
L Bethnal Green D3
Underground and Overground: • Whitechapel (District and
Hammersmith & City lines) and London Overground. Hospital located opposite the station
By car: Limited parking in surrounding roads. NCP car park E1 7RA Whitechapel High Street
Disabled parking: Blue badge parking available outside main hospital entrance
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“We provide integrated hospital and community maternity services. Women can choose to birth at home supported by community midwives, in our co-located birth centre or in the obstetric led delivery suite. We will support you in making an informed choice that is personalised to your needs and safe for both you and your baby”
Whipps Cross University Hospital, Whipps Cross Road, Leytonstone, London E11 1NR
t: 020 8539 5522 w: www.bartshealth.nhs.
uk/maternity
Barts Health NHS Trust
Core and specialist services:
1:1 midwife support Alongside midwifery led service
Anaesthetic clinic Antenatal education Bereavement service/bereavement suite
Birth after c section (VBAC) Birth pools Breastfeeding support Car parking: Limited Community homebirth services Diabetic specialist midwife Epidural service Fetal medicine service
FGM service and clinic Labour ward Neonatal intensive care Partner staying overnight Perinatal mental health service and specialist perinatal midwife
Screening Access to smoking cessation services
Substance and alcohol misuse midwife
Unit tours Vulnerable women’s team
Visiting hours: 2pm-8pm
Facilities for labour: 22 rooms
How to find Whipps Cross Hospital:
By bus:
Bus stops Towards Routes
ELeytonstone or Walthamstow Village
257, N55, W12
HBakers Arms or South Woodford
257, N55, W12
JBakers Arms or South Woodford
357, W12, W15, W19
LLeytonstone or South Woodford
357, W12, W15, W19
Clifden RdClifden Rd
Ch
urch
ill Rd
Co
nisto
n W
alk
Stavely Cl
Ch
elmer R
d
Burnett Cl
Stavely Cl
Homerton University Hospital
Queen’sHospital
The Royal London Hospital
The Barkantine Birth Centre
WhitechapelRom Valley W
ay
Rom Valley W
ay
Raven Row
Sidn
ey St
Stepney Way
Cavell St
Milw
ard St
Whitechapel Rd
OldchurchPark
Brooksby’s Walk
Fulready Rd
Hospital Rd
Ambulance Rd
Back Rd
Hospital Rd
Homerton Grove
Homerton Grove Adventure Playground
Newham University Hospital
Belg
rave Rd
Crofton Rd
Wigston Rd
Wanlip Rd
Woodside Rd
Glen Rd
Prince R
egen
t Ln
Glen Rd
Greenway
Ambulance Rd
Barking Hospital
Upney Ln
The Dr
Edgefield Ave
Manor Rd
Westrow Dr
Goodey Rd
Helmore Rd
Ridley Cl
Stephen Jewe
rs G
ard
ens
Upney
The Quarter
deck
Sir JohnMcDougall
GardensJanet St
Alp
ha G
rove
Tham
es Path
Strafford
St
Westferry R
d
Moiety Rd
Underground Leytonstone (Central Line) 10 minute walk or bus Stop A towards Bakers Arms or Whipps Cross Bus W15, W16, W19
By car Pay and display parking on site
Disabled parking Blue badge parking available in car parks
Birthing pools: 1 pool
Homebirth services: Yes – dedicated homebirth teams
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Neighbourhood Midwives (Waltham Forest)
Neighbourhood Midwives is an NHS provider offering continuity of care to women having a straightforward pregnancy in Waltham Forest. You will have the same dependable, experienced midwives at your side throughout your pregnancy, birth and for up to six weeks of postnatal care. Your midwife is available to you 24 hours a day and all your antenatal visits will be at home. You can choose to give birth at home, in a birth centre or hospital obstetric unit.
Our midwives currently offer a caseload service (where a woman receives all of her care form one midwife and her practice partner) to women in Waltham Forest only. We work closely with our NHS colleagues in the local hospitals and, if you or your baby need additional medical attention, we will refer you to the relevant clinicians and remain involved in your care.
If you live in Waltham Forest, you can choose Neighbourhood Midwives as your choice of provider.
www.neighbourhoodmidwives.org.uk/nhs-care/
Neighbourhood Midwives Cyberlink childrens centre, 51 Beaumont Road, E10 5DE
t: 020 8874 6624 w: www.neighbourhood
midwives.org.uk/NHS-care/
Core and specialist services
1:1 midwife support All home visits Alongside midwifery led service: Access if required
Antenatal education Birth pools: Women provide their own at home
Breastfeeding support Care for whole pregnancy pathway Freestanding midwifery led service: Access if required
Homebirth service Labour ward: Access if required Perinatal mental health support Postnatal care for women for 4-6 weeks after birth
Screening Access to smoking cessation services Substance and alcohol misuse midwife
Telephone helpline Transfer time: As required Vulnerable women’s service
Maternity service providers
What is important to me during my pregnancy?
What is important to me for my baby’s birth?
Frequently asked questions
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Who will be my midwife and will I see the same one all the time?
What is important to me after my baby is born? Things to discuss with my midwife
29
Pregnancy and baby guide www.nhs.uk/conditions/pregnancy-and-baby/pages/pregnancy-and- baby-care
Maternity rights (financial advice) and registering baby’s birth www.gov.uk
Which website – information on maternity providers www.which.co.uk/birth-choice/where-to-give-birth
MyhealthLondon – maternity pages for London www.myhealth.london.nhs.uk/maternity
Quick provider website links:Barking Havering & Redbridge Hospitals (Queen’s) www.bhrhospitals.nhs.uk/maternity-services
Homerton University Hospital www.homerton.nhs.uk/our-services/services-a-z/m/maternity-services/
Barts Health – Royal London, Newham and Whipps Cross Hospitals www.bartshealth.nhs.uk/maternity
Neighbourhood Midwives www.neighbourhoodmidwives. org.uk/nhs-care/
Information links:
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Glossary
Antenatal screening – tests that will be done whilst you are pregnant and before birth.
Birth/birthing centres, which include rooms with birthing pools, holistic care and is staffed by midwives 24 hours a day.
Delivery suites (these are sometimes referred to as labour wards) with specialist maternity services for giving birth and specialist theatres for women needing caesarean sections.
Epidural – Epidural anesthesia blocks pain in a particular region of the body. The goal of an epidural is to provide pain relief, rather than anesthesia, which leads to total lack of feeling. Epidurals block the nerve impulses from the lower spinal segments.
Friends and Family Test (FFT) – The Friends and Family Test (FFT) is a feedback tool that supports the principle that people who use NHS services should have the opportunity to provide feedback on their experience. It asks people if they would recommend the services they have used and offers a range
of responses. The FFT provides a method to highlight both good and poor patient experience. This kind of feedback is vital in transforming NHS services and supporting patient choice.
Holistic care – means consideration of the complete person, physically, psychologically, socially, and spiritually, in the management and prevention of disease as there is a link between our physical health and our more general ‘well-being’.
Increased consultant care for women who need more complex care and support.
Midwife-led care for women by a highly experienced team of midwives 24 hours a day, seven days a week.
Newborn screening – tests that will be done for your baby after birth.
NHS Choices – NHS Choices is an NHS website that provides information on services and for maternity, it provides patient information, advice and support for women and their families.
It also includes reviews and ratings from members of the public and this is the data that we have used for the birth centres within this leaflet www.nhs.uk
Recovery areas or maternity HDU for women who have given birth in theatre or have very complex care needs.
Special Care Baby Units and intensive care units/neonatal units for babies requiring continuous medical and nursing care due to prematurity or complex needs.
Specialist midwife – A Clinical Midwife Specialist is a highly skilled and experienced registered midwife who has an extended level of independence and works closely with managers and senior clinicians.
Vitamin K injection for babies – In the UK, parents of new babies are routinely asked if their baby is to have supplementary vitamin K by injection or oral supplement, which is needed to make blood clot and prevent excessive internal bleeding, if required.
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This resource was co-produced with women and their families, healthcare professionals and commissioners in East London and all participants were thanked for their input on development.
We would also like to thank colleagues in South West London and North West London for the use of their resources in developing this content.
Resource production date: February 2018 Publication date: March 2018 Review date: March 2019