Women maternity_care, Newham

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Summary of report content

Aim: This report aims to provide a general picture of the pregnancy journey of mothers living in Newham or using out-of-borough maternity services, and to give a glimpse of how maternity care is being experienced among mothers in Newham. A survey was developed by Healthwatch Newham staff and a Healthwatch volunteer, and focussed on choices of birth, antenatal and post-natal care, breastfeeding support, and community services. General care, findings included: Information was not consistently provided to mothers at time of emergency, delays or non-clarity. Mothers may have had a named midwife during their pregnancy, but were seeing different midwives. This experience was often described as ‘difficult to build a relationship’. Postnatal care of community midwives and health visitors: They were described generally as ‘very good’ and ‘caring’, but often ‘rushed’. Some midwives were described as ‘refused to help’, ‘noted down inaccurate information’, or ‘advised to go to a drop-in clinic for advice’. Breastfeeding support: It was often either limited or not provided Hospital care; hospital midwives: 57% contacted a midwife or birth unit at the start of their labour, while 43% did not. There is a mixed experience of midwives. At Newham Hospital Delivery Suite, they were described either as ‘good’ or ‘rude’. At Newham Hospital Birth Centre, generally they were described as ‘good’ or ‘supported mother’s decision’. At both Newham and Royal London, student midwives were described as ‘great’. At Homerton Hospital, midwives were ‘supportive’ Recommendations include; ensuring that community support is an integral part of the postnatal support and defined within the service specification, for example, breastfeeding support, signposting, information and advice after the birth and home visits.

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General details

Report title 
Women maternity_care, Newham
Local Healthwatch 
Healthwatch Newham
Date of publication 
Tuesday, 6 June, 2017
Date evidence capture began 
Friday, 9 September, 2016
Date evidence capture finished 
Sunday, 1 January, 2017
Type of report 
Service evaluation
Key themes 
Communication between staff and patients
Information providing
Medication
Quality of care
Staff attitudes
Staff levels
Staff training
Support
Healthwatch reference number 
Rep-6503

Methodology and approach

Was the work undertaken at the request of another organisation? 
Not known
Primary research method used 
Survey
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Not Known

Details of health and care services included in the report

Secondary care services 
Maternity

Details about conditions and diseases

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 
77
Age group 
25-64 years
Gender 
Female
Ethnicity 
Mixed / multiple ethnic groups
Sexual orientation 
Heterosexual
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
No
Types of health and care professionals engaged 
N/A
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? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Not known
Is there evidence of impact external to the report? 
Not known

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.