Maternity Services

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Maternity Services
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National Policy Context

• Standard 11 of the National Service Framework for
  children, young people and maternity services (DH
  2004)
• Maternity Matters Choice, Access and Continuity
  of care
• Making Normal birth a reality
• Healthier People, Excellent Care
• Safer Childbirth
• Towards Better Births
• Saving Mothers Lives
• Perinatal Mortality
• Safe Births Everybodys Business

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South East Coast Pledges Healthier people,
Excellent care

• By 2011 90 of pregnant women will see a midwife
  within 12 weeks of confirmation of pregnancy.
• By 2010 everywoman will be able to make an
  informed choice about place of birth
• By 2010 there will be a consultant present for at
  least 60 hours of every week on the labour ward
  in every consultant led obstetric unit (with the
  exception of units with fewer than 2500 births a
  year where 40 hours will be the minimum)
• By 2010 all women will be individually supported
  by a midwife throughout their labour and birth
  following confirmation of established labour.
• By 2010 we will ensure that all mothers and
  babies receive high quality postnatal care , for
  example support with breastfeeding for at least 6
  weeks
• By 2011 all pregnant women and new mothers will
  be able to get the help they need with mental
  health problems

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Local Vision for Maternity services

• The vision for maternity services in Brighton
  and Hove is to achieve a world class maternity
  service and to ensure that the service is woman
  centred and needs led.
• Maternity services in Brighton and Hove will
  promote choice, access and continuity of care. It
  will ensure direct and early access to midwifery
  services and at the heart of the service, safety
  and innovation are the main drivers for improved
  quality within the service .

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Local Demographic profile

• Brighton and Hove has a relatively high
  proportion of 20-44 year olds compared to England
  as a whole, making it a relatively young city
• It also has relatively high levels of
  deprivation, concentrated in the East of the
  city, and an unemployment rate that is higher
  than both the regional and national average.
• It has more lone parent households with dependent
  children, more lone parents out of work and more
  children living in households where all adults
  are out of work, than in the South East or
  England as a whole.
• The general fertility rate in Brighton and Hove
  is lower than that of England and Wales but
  follows a similar upward trend. The age specific
  rates are lower in the younger age groups and
  higher in the older age groups (particularly the
  35-39 year old band) than in the South East and
  nationally.
• Rates of caesarean sections are high compared to
  national averages and spend on maternity services
  is low on average while outcomes are good

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Initiatives for Maternity services 2009

• Initiative 1 We will ensure that pre-conception
  and pre-natal education is available to maximize
  healthy foetal development and normal childbirth
• By 2011 90 of pregnant women will see a midwife
  within 12 weeks to discuss their individual needs
  and preferences about how and where to give
  birth. We will focus in particular on making
  contact with women from vulnerable groups
• Initiative 2 By 2010 every woman will be able to
  make an informed choice about place of birth in
  the knowledge that the NHS will be able to meet
  her preference for a home birth, birth in midwife
  led unit or birth in a consultant led unit
• Initiative 3 By 2010 all women will be
  individually supported by a midwife throughout
  their labour and birth following confirmation of
  confirmed labour.

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Initiatives for Maternity services 2009

• Initiative 4 By 2011 all pregnant women and new
  mothers will be able to get the help they need
  with mental health problems.
• Initiative 5 We will aim to reduce elective
  caesarian sections by education and improved
  midwifery support, promoting normal birth.
• Initiative 6 We will maximize the initiation of
  breastfeeding to enable prevalence targets to be
  achieved (refer to Childrens PTP).