Midwifery Led Care

Welcome to Midwifery Led Care

The midwives of Tameside would like to welcome you to the Midwifery Led Care scheme (MLC).

This scheme should have been discussed with you by the midwife you saw at the G.P.'s surgery. In most cases this is your named midwife. This information is to clarify how this scheme operates.

When you first see the midwife at the surgery, she will have carried out an assessment to enable her to offer you thius type of care. Alternatively you may have requested to join this scheme. Previously this was known as the Domino Scheme and Home Births. This has now joined together under one name of Midwifery Led Care.

What is a Midwife?

"A midwife is a person who, having been regularly admitted to a midwifery educational programme, duly recognised in the country in which it is located, has successfully completed the prescribed course of studies in midwifery and has acquired the requisite qualifications to be registered and/or legally licensed to practise midwifery.

The midwife is recognised as a responsible and accountable professional who works in partnership with women to give the necessary support, care and advice during pregnancy, labour and the postpartum period, to conduct births on the midwife's own responsibility and to provide care for the newborn and the infant.

This care includes preventative measures, the promotion of normal birth, the detection of complications in mother and child, the accessing of medical care or other appropriate assistance, and the carrying out of emergency measures. The midwife has an important task in health counselling and education, not only for the woman, but also within the family and the community. The work should involve antenatal education and preparation for parenthood and may extend to women's health, sexual or reproductive health and child care.

A midwife may practise in any setting including the home, community, hospitals, clinics, or health units."

International Definition of Midwife as accepted by FIGO, WHO and ICM 2005.

Antenatal care

Throughout your pregnancy your named midwife will be supported by other members of the team and the midwifery led care leader.

You will attend the hospital for two routine appointments:-

  • Booking scan, where you will also have all your routine booking bloods taken and relevant leaflets.
  • Anomaly scan, where you will also see a midwife who will ensure that all the results for your blood tests are present in your main case notes. Providing all the results are satisfactory the main notes are then given to you. These must be kept safe and taken with you for all future appointments with the midwife, and if attending the hospital for any reason.

If there are any problems during your pregnancy your midwife will refer you to a consultant for their opinion.

If the problem is ongoing you will remain under the care of the consultant for the rest of your pregnancy and delivery. If the problem is resolved the consultant will refer you back to midwifery led care.

Information about the Triage System will already have been given to you and you may use this scheme whilst on the MLC system. If you wish to speak to anyone you are welcome to contact the MLC office on 0161 922 4921. Please be aware this number is not manned every day and if you leave a message you will receive a reply, but possibly not for a few days.

As you become 36 weeks pregnant, if you have chosen to have your baby at home the midwife will discuss the arrangements to deliver the equipment. Throughout your pregnancy

Labour

If labour should start before you reach 37 weeks you will be transferred to consultant care.

How to contact your midwife when in labour

Between 8.30am-5.00pm

  • contact your named midwife via her mobile phone or
  • contact MLC unit on 0161 922 4921

Out of hours -

  • contact the labour ward midwives on 0161 922 6173 and they will contact an alternative midwife.

Please be aware if your midwife is off duty her phone will be switched off.

When informing the midwives at the hospital always tell them you are booked to have your baby on the Midwifery Led Care scheme. You should give the midwife the following information:

  • Your name
  • Your address
  • Your telephone number
  • Your due date
  • Your midwife's name
  • You should also be prepared to give a history of your labour so far.

You will be asked to either attend Tameside Hospital or to await assessment at home from a team midwife. This option is not available throughout the night unless you are having your baby at home.

Pain relief

During the labour all formas of pain relief are available except an epidural, this is because a doctor is required for this procedure. If however you feel this is now required, the midwife will transfer you to consultant care and the epidural will be performed.

Monitoring

women on ballDuring the labour you will be monitored by the midwife at regular intervals. The baby's heart beat will be recorded by the midwife listening with a Pinard's stethoscope (trumpet) or a hand held Doppler machine, similar to the ones used at the G.P. surgery.

You will be encouraged to be as mobile as possible and various aids will be available for your use i.e. pool, birthing ball, tens machines.

Length of stay

Following the birth of your baby, providing everything is satisfactory, you may go home directly from the labouur ward after a few hours. Alternatively you may be transferred to Ward 27 if you prefer to stay in hospital to stay in hospital for a while.

Post-natal

Post-natal visits will be carried out by your named midwife or a member of her team.

The baby will need a neonatal check to assess the eyes, heart, hips etc. and this will be carried out by a midwife who is trained to complete these examinations. This may not be your own midwife or a member or her team.

We hope you will find this information useful and enjoy the Midwifery Led Care scheme.

Newborn Hearing Screening

The NHS Newborn Hearing Screening Programme (NHSP) offers all new parents the opportunity to have their baby's hearing screened within the first few weeks of life.

Tameside Newborn Hearing Screening is based in Maternity Unit, Charlesworth Building, Tameside General Hospital.

Screeners offer a daily screening service on ward 27 and NICU (closed xmas day and new year’s day).

A weekly drop in clinic is available every Friday afternoon (except bank holidays) 12.30 to 3.00 in the Children’s Outpatient Department.

Contact the team on: 0161 922 6994

For further information about newborn hearing screening please visit the National screening website (www.hearing.screening.nhs.uk)

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