Antenatal Services (Care during pregnancy) project report

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Summary of report content

The Royal Oldham Hospital invited Healthwatch Oldham to undertake a review of the experiences of pregnant women and their partners/birth partners attending their Antenatal Clinics. They undertook interviews with 66 pregnant women and surveyed 25 partners/birth partners n May and June 2018.

Overall most of the women who took part in the survey were very happy with the level of antenatal care they received with 92% feeling that their concerns were listened to and that they were involved in choices and decisions about their care. However, there were a small number (7%) of women who felt their choices were not listened to.  The midwives at both the ROH and in the community received particular praise for their friendly approach. Overall most of the fathers/partners who took part in the survey were also happy with the level of care offered to the expectant mothers. In terms of adopting a healthier lifestyle 32% of fathers/partners said they already had a healthy lifestyle and 36% said they had made changes as a result of their partner’s pregnancy.

Areas highlighted for improvement included women seeing the same consultant at each appointment, clearer explanations by doctors, a phone call or text message to say when results had been received and that all was well, understanding how long they would be waiting for appointments, and lack of car parking spaces. A significant finding from the survey was that 30% of pregnant women did not attend their first antenatal appointment within the recommended timescales of 8 to 12 weeks. This can be significant as some tests such as sickle cell and thalassaemia need to be carried out within the first 10 weeks. Most women at the time of interview had not been asked about all 11 topics covering lifestyle issues, antenatal classes, birthing options and breastfeeding that should be covered at antenatal appointments. Whilst most fathers/partners were happy with the level of care, the level of satisfaction about their concerns and questions being listened to was lower than that reported by the women. Nearly 50% of partners said they would welcome information specific to them.

There were 8 recommendations aimed at addressing the concerns raised by the research.

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General details

Report title 
Antenatal Services (Care during pregnancy) project report
Local Healthwatch 
Healthwatch Oldham
Date of publication 
Monday, 20 July, 2020
Date evidence capture began 
Tuesday, 1 May, 2018
Date evidence capture finished 
Saturday, 30 June, 2018
Type of report 
Report
Key themes 
Building and facilities
Car parking access
Communication between staff and patients
Information providing
Lifestyle and wellbeing
Quality of appointment
Quality of care
Quality of staffing
Staff attitudes
Staff levels
Waiting time to be seen once arrived at appointment
Healthwatch reference number 
Rep-7678

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
Service Provider
Primary research method used 
Structured interview
Survey
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Secondary care services 
Maternity

Details about conditions and diseases

Conditions or diseases 
Fertility, pregnancy and childbirth
What type of pregnancy or maternity themes are included in the report 
Pregnant

Details of people who shared their views

Number of people who shared their views 
91
Age group 
All
Gender 
All
Ethnicity 
All
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
No
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
Not known
What type of impact was determined? 
Implied Impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.