Your pregnancy, your midwife, your choice

Information

18 Mar

One to One Safeguarding Team fundraising for the NSPCC!

Did you know that over 57,000 children are identified as needing protection from abuse in the UK? (Child protection register and plan statistics for all UK Nations 2015)

The NSPCC estimate that for every child identified as needing protection from abuse, another 8 are suffering abuse. (NSPCC – How safe are our children, 2013)

These short videos give more information and statistics:

https://www.youtube.com/watch?v=XBp3QYZXG0Y

https://www.youtube.com/watch?v=vWdICYHS7q4

These are scary statistics but we can’t ignore them. The NSPCC work tirelessly to keep our children safe.

One to One midwives are in a privileged position to work closely with families, and get to know them. To support them when things aren’t quite as they should be and ensure the children get the support and protection they require.

The One to One Safeguarding Team have decided to raise some funds for the NSPCC this year. Two members of the team, Katie Wainwright and Jennifer Morrison are going to complete a 100-mile bike ride on the 24th September 2017 around the city of Birmingham.

To be able to do this, and support the wonderful work of the NSPCC they need to raise £800.

They have already raised £170, which is 21% of the target, but they are still a long way off.

This is a massive challenge for them both – Jennifer currently doesn’t have a bike, and Katie gets out of breath making a cup of tea!

They are up for the challenge and have got their training plans through and are ready to get going!

Please consider supporting us to raise the rest of the money needed. There is a just giving page set up to collect donations:

https://www.justgiving.com/fundraising/OnetoOneSafeguardingteam

Thank you to everyone who has already sponsored the team, and to those of you that go on to sponsor us.

The One to One Safeguarding Team


02 Jan

Changes to Midwifery Supervision – Piloting the new model

The 31st March 2017 looms the end of the statutory supervision of midwifery. Many midwives, women and indeed supervisors of midwives will be wondering what’s next? What does this mean for me?!

NHS England have set up an LSA national supervision taskforce who are leading on a pilot for the proposed new model of supervision – the A-EQUIP model –“Advocating and Educating for Quality Improvement”.

There are seven pilot sites for the model across England, with One to One being successful in our bid to become a pilot site. We have been warmly welcomed by Coventry NHS trust to complete the bridging course for the pilot and it has been wonderful to meet lots of new people. We all have the same goal of being involved in this groundbreaking change to midwifery supervision.

One to One are excited for the pilot, which officially starts in January 2017 and will run until March 31st 2017, where evaluation of the pilot will be collated and published, along with next steps for organisations.

For the A-EQUIP pilot, the Supervisors of Midwives trained to deliver the content will be known as Professional Midwifery Advocates (PMAs).

There are three main elements to the pilot:

1. Education and Development - aiming to develop and support practitioners with the knowledge and skills they require, and prepare them for appraisal, revalidation and develop leadership skills.

2. Personal Action for Quality Improvement – enabling practioners to make changes that make them more proactive at work, and ensure a safe proactive workforce, therefore enhancing safety.

3. Restorative Clinical Supervision (RCS) – This is a confidential space for practitioners slow down, take time, and restore. It is a space for reflection, thought processing and wind down, facilitated by the PMA. This is a fantastic tool, which is evidence based, showing a reduction in staff leaving, increase in staff morale, less sick leave and helping practitioners to recognise, prevent and alleviate stress. As part of the A-EQUIP training, the PMAs undergo sessions of RCS themselves, and it is a very valuable tool that I look forward to using with the staff.

There is a strong focus on midwives being advocates for women, and much of the role supervisors of midwives played in care planning and supporting complex care will be supported by the midwives within this model. One to One already operate in this way, and the new model will continue to support this advocating and empowering women to achieve their birth wishes.

The pilot sites will be evaluated and the details and further guidance will be sent out following March 31st 2017.

Keep your eye out for further updates and follow #midwiferysupervision on twitter.

Find out more at NHS ENGLAND: https://www.england.nhs.uk/ourwork/futurenhs/mat-transformation/midwifery-task-force/

Katie Wainwright, PMA for the Q-EQUIP pilot One to One.

22 Dec

One to One – Early help achievement

Sometimes, families can require support from one or more agencies to ensure that they live their lives to their full potential. Sometimes, this need only comes to light at such times in their lives as the journey to become parents or to expand their family begins.

Without early help and intervention, families can at times become overwhelmed and require a more formal assessment or support, which can often lead to referrals being made to social care.

Early help services, can offer support and guidance to help families get back on track, and stay on track with ongoing support, ensuring that all the family needs are met, without further intervention.

Midwives working with families are in an opportune position to identify and react to early help needs and work with the families they care for to become the best they can be. They can use tools such as the Common Assessment Framework (CAF) to help them work with families to ensure the right services and support is available to them.

One to One Midwives have always been committed to support the effective delivery of Early Help and universal services and have embraced the opportunity of being involved in the common assessment Framework (CAF) in its various formats e.g. Team Around the Family (TAF).

One to One Midwives are proud to announce that Moira Ferguson, a member of the safeguarding team has completed an intense training programme and has recently graduated as a CAF champion. Her role will involve offering support to the midwives from One to One and be available for partner agencies, to assume the role of Lead Professional, when identified as the most relevant agency. This role will also support the midwives when they are involved in an open CAF/TAF, thus ensuring that the families that are under the care of One to One Midwives have the support and guidance, to be the best that they can be.

14 Dec

Personal Maternity Care Budget to be piloted in Liverpool

The 12th December 2016 saw the launch of the first pilot of the implementation of Personal Maternity Care Budgets by the Cheshire and Merseyside Pioneer. This is the first step in fulfilling one of the recommendations for the transformation of maternity services in the Better Births Report 2016. Better Births recommends that all women should have personalised care, centred on the woman, her baby and her family, based around their needs and their decisions, where they have genuine choice. Better Births also set out a vision that women should be able to choose the provider of their antenatal, birth and postnatal care and be in control of exercising those choices through their own NHS Personal Maternity Care Budget.

Initially the pilot is being rolled out by Liverpool Women’s Hospital with a handful of selected GP surgeries but the press launch has stated that other providers in the Pioneer will roll out PMCBs early in 2017. One to One Midwives, as a commissioned provider in Cheshire and Merseyside will be offered as a choice to women to use their PMCB but for One to One Midwives this will be ‘business as usual”.

One to One are already a choice option for women and their families – but what do One to One offer?

Quite simply One to One provides a service that is centred on the needs and choices of women and their families. We do this through our model of Continuity of Carer – every woman who books with One to One will be contacted by her named midwife and see her midwife for the vast majority of her antenatal visits.

One to One midwives see their women for 88% of their antenatal visits. 
One to One midwives attend 75% of the births of women that they know
One to One midwives see their women and babies for 80% of their postnatal visits.

This is what continuity of carer means to us.

What else can you expect from the One to One service?

As all care is based on your needs and choices, the number of visits is unlimited, both antenatally and postnatally and as well as face-to-face visits, you will also have access to your midwife 24 hours a day, 7 days a week by phone, text or email to discuss any concerns or advice that you may need.

The majority of visits take place in your own home, with the option to have your appointments in the evenings or at the weekend, which ensures that your partners can also participate in your care. One to One have three Pregnancy Advice Centres open in Cheshire and Merseyside and run local clinics and scan appointments out in the local community to ensure you have an additional choice of where to receive care, which will be as close to your home as possible.

One to One offers numerous social networking opportunities in our local community hubs and we also provide hypnobirthing and parent education and courses as standard.

We employ MaMAs (Mother and Midwife Assistants) to offer additional support in the antenatal as well as the postnatal period. Our MaMAs can support you with becoming more confident parents as well as providing you with practical advice and support regarding infant feeding and baby care.

Our midwives are trained to recognise and deal with any complications that occur and if necessary we can refer you to an obstetrician within a local hospital of your choice to ensure that you receive safe and appropriate care when needed.

If everything goes well with your pregnancy and you choose a homebirth, your One to One midwife will ensure that you have access to a pool (if you choose a waterbirth) and access to our KG Hynobirthing course, which can be booked directly via our One to One website.

After the birth your One to One midwife, with the support of your MaMA, will visit you at home as often as you need until at least 6 weeks after your baby has been born.

One to One Midwives are delivering what the pioneer is aiming to deliver across the rest of Cheshire and Merseyside in the future. If you want to know more about the One to One service or how you can access our care you can contact us via the following options:

o Send an enquiry via our website at: http://www.onetoonemidwives.org/enquiries 
o By telephone: 0330 3309 121
o Via your GP

To find out if One to One is available in your area, contact us on Facebook: https://www.facebook.com/OnetoOneMidwives or using any of the above contact methods.

14 Jun

One to One Midwives: June is breastfeeding awareness month

June is breastfeeding awareness month and we are celebrating the great benefits of breast milk for you and your baby.

As well as being convenient and perfectly designed for your baby, breast milk also protects your baby from infections and diseases. Breastfeeding can build a strong emotional bond between you and your baby and also provides health benefits for you too.

Here at One to One we have dedicated midwife and mothers assistants (MaMAs) on hand to offer advice on breastfeeding before your baby arrives and for six weeks after as part of our unique post-natal care, as well as your dedicated midwife who is with you throughout your pregnancy.

Two of our MaMAs, Julie and Sarah, have given us their top tips for breastfeeding:

Research and speak to a MaMa before you have your baby – ask your midwife
Understand how small your baby’s tummy is: http://www.ameda.com/breastfeeding/the-first-12-months
Get off to a good start, eat well and keep hydrated
Take a vitamin supplement that contains vitamin D
Understand when growth spurts stages are and why your baby is doing them: http://kellymom.com/bf/normal/growth-spurts/
Good positioning and attachment
Sleep when baby sleeps
Know about feeding cues and being baby lead
Effective sucking/supply and demand: http://youtu.be/Zln0LTkejIs
Ask for support: One to One Mama support/breastfeeding groups.

Breastfeeding reduces the risk of:

• Infections, with fewer visits to hospital as a result 
• Diarrhoea and vomiting, with fewer visits to hospital as a result 
• Sudden infant death syndrome (SIDS) 
• Childhood leukaemia 
• Type 2 diabetes 
• Obesity 
• Cardiovascular disease in adulthood

For mums breastfeeding and making breast milk also has health benefits. Breastfeeding lowers your risk of:

• Breast cancer 
• Ovarian cancer 
• Osteoporosis (weak bones) 
• Cardiovascular disease 
• Obesity

One to One breastfeeding facts and figures:

Initiation rate for all women: One to One: 79% England: 73.9% 
Initiation rate for homebirth: One to One: 91% 
Still breastfeeding at 14 days: One to One (All Women): 69% England: NA 
Still breastfeeding at 14 days home birth: One to One: 81% 
Still breastfeeding on discharge (6weeks): One to One: 57% England: 47.2%
Still breastfeeding for home birth: One to One: 67%

* Figures taken from One to One’s Quality Report 2014/2015
** Breastfeeding information taken from www.NHS.uk

The Liverpool One to One Team will be joining the Breastfeeding Celebration Parade on Monday, June 20, to celebrate Breastfeeding Feeding Awareness Week. The Parade will assemble at St Georges Hall at 11:30AM and will officially start at 12:00PM. It will end at Chavasse Park close to 12:30pm. There will then be a picnic in Chavasse Park (weather permitting) and if it rains we would love to see you at John Lewis Café for cake and coffee! Midwife Lorna and Mama Michelle will be there.

To find details of Wirral breastfeeding events please visit: http://www.wirralct.nhs.uk/news-campaigns/news/latest-news/celebrate-breastfeeding-awareness-month-with-us

16 Aug

Eating Dates During Pregnancy

Are you expecting? Congratulations!!

Pregnancy is a time of various cravings and food indulgences. As an expectant mommy, you want to be sure that what you eat is indeed healthy for you and the baby. Once you are pregnant, almost everyone starts advising you on what to eat and what to avoid. One such food item that has a lot of confusion surrounding it is dates. It is important to know the positives and negatives about eating dates in pregnancy that will help you make an informed choice.

A Sneak Peek At The Nutritional Value Of Dates:

Per 100 grams, *% of daily value

Energy 282 Kcal
Proteins 2.5 g
Fiber 8 g
Fat 0.4 g
Folate 19 mu gs
Iron 1.09 mg
Vitamin K 2.7 mu g
Magnesium 43 mg
Potassium 656 mg

Eating Dates During Pregnancy:

There is no clear study to indicate that dates should not be had during pregnancy. In fact, they are loaded with nutrients that can benefit both you and your baby.

Benefits Of Eating Dates:

Dates are rich sources of proteins, fiber and many vitamins, while being very low in fat. They contain a combination of soluble and insoluble fiber and thus are helpful in maintaining your digestive system. Dates have a good amount of natural sugars. They are rich in potassium and low in sodium, and thus help regulate the nervous system.

Here are some of the most important benefits of eating dates:

1. Good Sugars: During pregnancy your body needs a lot of energy. Sugar is the fastest energy provider.

2. Protein: Protein consists of amino acids, which are the building blocks of your body. Even as your body stretches and grows to accommodate the baby, so does the fetus. To support this growth, your body needs an adequate amount of proteins.

3. Fibre: It helps in maintaining a healthy digestive system and helps in dealing with pregnancy related constipation. It reduces the cholesterol levels and keeps you protected from infections. There is always a chance of developing pregnancy related blood pressure and diabetes and this is where fibre helps. It helps in maintaining a healthy weight during pregnancy. You will often feel hungry and the fibre in dates will provide a feeling of fullness for a long time.

4. Folate: Folate or folic acid aids in the formation of new cells and prevents a form of anaemia. It helps in the prevention of dangerous birth defects, which may damage the brain and spinal cord of your new-born, like Spina bifida and Anencephaly.

5. Vitamin K: Vitamin K plays a key role in blood clotting and keeping the bones strong. Babies are generally born with low levels of Vitamin K and thus the need for compensation during pregnancy. Deficiency of Vitamin K in infants can be hazardous since it affects the blood clotting and can lead to a life-threatening situation. It also aids in bone development of the baby.

6. Iron: Iron plays an important role in a number of metabolic processes. Along with globin molecules, iron helps in making oxygen reach all the cells of the body. It is particularly important during pregnancy because iron is an integral part of myoglobin, collagen and enzymes. It prevents anaemia in the child and makes immunity stronger.

7. Potassium: Potassium is one of the most important electrolytes in the body. It helps in maintaining the blood pressure. Potassium also helps in maintaining water balance during pregnancy. It helps in maintaining heart health, digestive tract and optimal muscle functioning. During pregnancy, consumption of adequate amount of potassium helps in your nerves and muscles function. A deficiency of potassium causes kidney problems and can also lead to death.

8. Magnesium: Magnesium helps in the active transport of calcium and potassium ions across the cell membranes, which help in muscle contraction and normal heart rhythm. It helps in the formation of teeth and bones and also maintains blood sugar levels. Research suggests that inadequate intake of magnesium during pregnancy can lead to elevated blood pressure, liver and kidney abnormalities, poor vision, etc. A study from Journal of Obstetrics and Gynaecology, 2011 suggests that dates can help in easy delivery since it causes cervical dilation and also reduces the duration of labor.

It is always essential to remember that anything you consume should be held in moderation. The same applies to dates, and you should only have a handful a day, not more.

Post by Renee, One to One midwife

11 Aug

The Newborn and Infant Physical Examination (NIPE)

Shortly after birth, your baby will be offered a number of tests and examinations to screen for any health conditions that may be present. The Newborn and Infant Physical Examination (NIPE) is one of the tests offered and as the name suggests, consists of a physical examination of your baby. It will be offered to you within 72 hours of birth and again between 6-8 weeks of age.

The main purpose of the NIPE is to identify babies born with heart, hip and eye problems so that any necessary treatment can be started quickly. For baby boys, it also screens for problems with the testes. In addition, the health professional carrying out the examination will be looking for anything unusual about your baby’s general appearance and wellbeing that may indicate an underlying problem.

Before the start of the examination, you will be asked a few questions around your pregnancy, your own health and any medical conditions that may be present in any of your baby’s immediate family members. You will also be asked about your baby’s behaviour and feeding pattern since birth and should be given the opportunity to discuss any concerns you may have about your baby’s health and behaviour. Your baby will need to be undressed for part of the examination and although your baby may cry, the examination is not painful for your baby. You will be told the results of the examination immediately. If a problem has been found, a referral to a specialist may be necessary for further investigations and to confirm a diagnosis.

Although it is recommended that every newborn baby has a NIPE examination, you have the right to decline it, or part of it. If you have any worries or concerns about the examination then please speak to your midwife or other health professional. It is also important to know that not every condition will be identified during the NIPE, as some conditions don’t develop or show symptoms immediately. If you notice anything about your baby that you are worried about, you should therefore speak to your midwife, health visitor or a doctor without delay.

Post by Jo, One to One midwife

26 Jun

Campaign for a normal birth

As a case loading midwife I love being able to empower women and families to make informed decisions about their pregnancy, birth and care they receive during and after this time. One of the tools I like to use is the Royal College of Midwives (RCM) – Campaign for normal birth: Ten top tips for midwives.

Normal is specific to each individual and my aim as a caseloading midwife is to help women and their families have a positive experience during their pregnancy, labour and birth. The RCM’s Campaign for normal birth has information for both midwives and women and can be adapted to all care settings.

One of the ten top tips is “build her a nest” and this promotes the midwife/partner/woman creating a safe environment for the woman to birth in. Regardless of whether you are birthing at home, in a midwifery led unit or obstetric unit; certain aspects can be used to help support physiological labour in all settings.

Please find below the link to the RCM Campaign for normal birth website and a short poem I have created capturing “building a nest” in labour.

Your journey is starting and instincts kick in,
Peacefully find a dark place to relax in.
Warm and secure surrounded by love.
Allowing your hormones to blossom and bud.
Privacy and quiet you must be allowed,
In your nesting environment as calm as a cloud.
Feel the support that your body can do
Confidently ending your journey
Baby and you!!!!

http://www.rcmnormalbirth.org.uk/

Post by Sarah Jurd, One to One Midwife

18 Jun

Induction of labour

There are so many discrepancies in hospitals across the UK as to when is the best time to offer an Induction of Labour (IOL). It is important to understand that an IOL is just an offer of care and like every choice you make in pregnancy, you do not have to accept it.

Your One to One midwife will talk to you about the risks and benefits of this option towards the end of your pregnancy. Your midwife can also discuss what plan of care can be put in place to reassure you if you chose to decline an IOL. We call this 'conservative management'.

An IOL is performed in hospital and can be done in many ways. The main types of induction are:

1. A pessary (a small vaginal tablet) 
2. A gel (inserted vaginally) 
3. Artificial Rupture of Membranes (breaking the waters) 
4. Intravenous Syntocinon (hormone drip given through a cannula).

The main aim of types 1 and 2 IOL is to soften and "ripen" the cervix so that your body will begin to labour and dilate the cervix without further assistance. Sometimes if this is unsuccessful in producing spontaneous tightening’s/surges you may be offered type 3 IOL, if this is unsuccessful in producing spontaneous tightening’s/surges you may be offered type 4 IOL.

IOL is a long process sometimes spanning over a 1-2 days depending on how many different stages/types of IOL is required. It is important in this time to mobilise as much as possible, eat and hydrate so that you can prime your body for labour and birth.

What are your experiences or thoughts on IOL? What are your experiences or thoughts on conservative management?

Post by Lorna, One to One midwife

11 Jun

One to One Midwives supporting Tommys

Charlie was born in September with a wonderful One to One experience. Labour was quick at only 2 hours 40 minutes, getting used to being a mum to a new born again happened pretty quickly too and he is just growing up too fast!

The one thing that is taking far too long however, is me getting my body back into shape! Now I have never been slim (I love chocolate far too much) but pre-baby, I was healthy and enjoyed exercise.

With my first son (now 5 years old) I was straight back to Buggyfit for my 6 week post natal check. This time, the desire to exercise didn't return so easily! It is now 8 months on and while I have lost 'some' of the baby weight, this has been down to a “healthy-ish” diet and certainly not because of any exercise. I do not however feel any pressure to return to my 'normal' body size but I do feel some exercise with baby would improve my motivation, get the blood pumping and perhaps meet some other mums along the way.

So back to Buggyfit I go (once I have dug out my trainers from under the bed). The fresh air, adrenaline and opportunity to mix with other local mums is actually really enjoyable!

It was at my first session back this week that I heard about the 'Baby Race' being run by BuggyFit instructors across the country in aid of the fantastic Tommy's charity (www.Tommys.org/babyrace).

Anyone can participate in the Baby Race and it can be completed at your own pace. The event will be held in the park (I'll be going to the Cheshire Baby Race in Northwich) and it will be a great event to meet other mums, dads and carers, have some fun and support a great cause. Tommy's are hoping to invest the sponsorship raised to open a new research centre dedicated to preventing miscarriage, which affects 1 in 4 parents.

So I've signed up and now have no excuses! Charlie and I will be crossing the finish line (hopefully without the rain) with a full heart, great satisfaction and a renewed enthusiasm for exercise.

One to One Midwives will be at the Cheshire event to cheer us all on and offer their support to Tommy's with a donated raffle prize.

I urge everyone reading this to sign up to the Baby Race and join 'Team One to One'; it is a great opportunity to have some fun, exercise (without the pressure), meet some new friends and have a feel good factor for helping such a great charity that is close to our hearts.

Can we expect to see you there?

Post by Lucy Hughes, Marketing Supervisor and Brand Ambassador


Blog Topics

Pregnancy

Last Posted: 07-Apr-2016 | Total Posts: 2

Birth

Last Posted: 04-Jun-2015 | Total Posts: 2

Baby

Last Posted: 10-Oct-2015 | Total Posts: 2

Health-Nutrition

Last Posted: 04-Jun-2015 | Total Posts: 3

Information

Last Posted: 18-Mar-2017 | Total Posts: 22

Midwives

Last Posted: 28-Apr-2017 | Total Posts: 12