It can be helpful to review events around pregnancy and birth. In South East London most maternity units have a birth reflection/listening service that can be accessed at any time after giving birth or when you return for subsequent pregnancies. To find out about how to access this service, speak to your community midwife.
Each maternity unit in South East London offers all three locations for birth: home, midwife led unit or obstetric led unit, however, if you are planning a homebirth, you will need to be booked with your closest maternity unit.
Greenwich Domestic Violence and Abuse Service (GDVA) , provides practical advice, emotional support and signposting to support survivors and professionals across London. The advice line can also help you to access refuge accommodation or other specialist domestic violence services.
The Gaia Centre, run by Refuge offers independent, confidential support and advice to any Lambeth resident experiencing domestic abuse (as well as other forms of gender based violence). It is a single point of access for women, girls and men experiencing violence and abuse. This means that anybody experiencing any form of gender-based violence in Lambeth can find all the tailored support they need under one roof.
They also have an early intervention service which supports young people aged 11 up.
There is also access to a number of refuges which offer safe accommodation to those fleeing domestic abuse, although you may need to access refuges in another area of the country for safety reasons.
Refuges can be accessed via the Gaia Centre or by calling the National Domestic Abuse 24/7 freephone helpline:
For more information and a list of support services you can also view Violence Against Women and Girls (VAWG) which lists all of Lambeth’s support services.
Lewisham
Athena, Lewisham
The Athena service, run by Refuge provides confidential, non-judgmental support to those living in the London Borough of Lewisham who are experiencing gender-based violence. It opened its doors in April 2015 and provides outreach programmes, independent advocacy, group support, refuge accommodation and a specialist service for young women.
Who can use Athena:
• Women and girls aged over 13
• Men aged 16 or older
• Transgender and identifies as male, female, as another gender, or is questioning gender identity
If you are experiencing any kind of domestic or sexual abuse, the Southwark Advocacy and Support Services (SASS) can help. They support people aged 16 and above, who live in Southwark, at risk of domestic or sexual abuse whether they choose to report the abuse to the police or not.
SASS offer support whether you choose to report the abuse to police or not
. They also provide a service for men, women and young people using violence within an intimate or family relationship.
Many of the NHS Trusts and hospitals in South East London have their own charities. These charities raise money via fundraising activities for patients and staff and by coordinating and receiving charitable donations. Money raised is re-invested into service improvement projects. To find out more about your local NHS hospital charity, follow the links below.
You can decide where in South East London you want to receive your maternity care during pregnancy, birth and beyond.
Your maternity choices in South East London
Women and their families are encouraged to provide feedback either via the individual Trust websites (listed below), Our Healthier South East London or SEL Clinical Commissioning Group. This information collected will be used to ensure continued improvement of services:
The South East London Local Maternity System meet quarterly and work together to drive maternity improvements across the sector. Workstream meetings are held bi-monthly to focus on individual areas of work and the Maternity Delivery Group monthly to monitor progress.
Visit the Our Healthier South East London website to find out more about how you can get involved in health improvement projects in your area.
This app, originally developed by North West London Local Maternity System, has been adapted for use in South East London by South East London Local Maternity System.
If you live outside of South East London, you can still use this app’s content and develop your personal care plans. To find your nearest unit follow this link:
In South East London, Oxleas NHS Foundation Trust (Oxleas) and the South London and Maudsley (SLaM) provide mental health services.
Oxleas NHS Foundation Trust has a new trust wide perinatal mental health service. The service is based at Queen Mary’s Hospital and consists of a multidisciplinary team of professionals including team manager, consultant perinatal psychiatrists, specialist perinatal nurses, clinical psychologists, nursery nurses, OT, Social worker and administrators.
These are divided into three small teams for Bromley, Bexley and Greenwich. Each team works closely with midwives, obstetricians, health visiting, other secondary mental health services and children’s social services. There are close links with GPs, IAPT and third sector organisations (including Cocoon, MIND, and Mums Aid).
The service offers specialist assessment, care and treatment for women who are planning a pregnancy, pregnant or up to 12 months postnatal. The team offers a range of specialist interventions, including advice to help women weigh up the risks and benefits of using psychiatric medication in pregnancy and breastfeeding.
SLAM – The Perinatal Mental Health Team is a multidisciplinary mental health service for pregnant and postnatal women with severe and complex mental illness.
The team aims to prevent, detect and treat perinatal mental health problems. We work to improve the experience of pregnancy and the postpartum period for women and their families, as well as early life experiences for babies.
Women at risk of relapse in pregnancy and following delivery are assessed early in pregnancy to allow them time to consider the treatment and care options available. The Perinatal Mental Health Team works collaboratively with women, their families and other professionals to plan care during pregnancy and the early postpartum period.
The Perinatal Mental Health Teams work jointly with adult mental health services already providing care for a woman when she becomes pregnant. We work in partnership with maternity services, children and families’ social services, primary care and other Trust mental health services.
Our service consists of psychiatrists, psychologists, perinatal nurses, perinatal nursery nurses, midwives, occupational therapists and administrators.
The Maternity and Neonatal Safety Improvement Programme (MatNeoSIP)
This project aims to improve the safety and outcomes of maternal and neonatal care by reducing variation in practice and providing a high quality healthcare experience for all women, babies and their families across England.
PReCePT (Prevention of Cerebral Palsy in Preterm Labour)
The PReCePT programme aims to reduce the incidence of cerebral palsy in babies born prematurely by giving women a medication called magnesium sulphate during labour. This programme is being rolled out across South East London and other activities include improving care, strengthening staff capability across maternal and neonatal units and supporting mothers to become more involved with their care to improve quality of life of preterm babies and their families.
Private maternity hospitals
You can opt to have your baby in a private hospital. Find more information about private maternity units and locate specific private maternity units here.
Private maternity service within an NHS facility
Private rooms
All hospitals in South East London have the option of private rooms for after the birth, and these vary in cost. You can ask your midwife or doctor about this.
For research projects in South East London Local Maternity System, please see the related link section below.
Talking therapy services or IAPT services are offered throughout South East London, and in every London borough, providing support to those experiencing symptoms of anxiety or depression. Priority is given to pregnant women and new parents. You can either self-refer over the phone or online, or ask your midwife or GP to do it for you. The service is free and aims to be flexible around your needs.
Talking therapy/IAPT contact details in South East London:
‘Our ambition is for mothers, babies and their families in South East London to experience joined up, high quality care during and after their pregnancy. They should be supported to make choices that are right for them, and where risks or complications mean additional intervention is required the care is safe with a good outcome.
We will work in partnership to ensure women and their families are involved in making decisions about their care, are prepared for a healthy and confident pregnancy, received holistic great quality care and feel supported before and after birth.’
You will meet several midwives throughout your pregnancy, birth and beyond. Midwives are the main caregiver when your pregnancy and birth are straight forward. In South East London we are working hard to ensure each woman has a named midwife who is responsible for coordinating your maternity care.
Obstetrician
These are doctors who specialise in caring for women during pregnancy, birth and in the period immediately after birth (whilst in the maternity unit). You may see an obstetrician during pregnancy if you have any issues which require review or more specialised management and they will be involved if you have a caesarean or assisted birth.
Paediatrician/Neonatalogist(baby doctor)
Paediatricians or neonatologists are doctors specialising in the care of newborn babies and children. They will be involved in your care if early (premature) delivery is anticipated or if there are likely to be concerns about the health of your baby during or after the birth.
Sonographer
These are professionals who undertake your ultrasound scans. They are specially trained to undertake scans during pregnancy.
Maternity support worker
You may meet maternity support workers during pregnancy, birth or beyond. They support the maternity team and provide some of your care throughout the journey.
Student midwife
Maternity units in South East London work closely with local universities to support midwives and doctors in training. These students will work alongside their midwife ‘mentor’ and will ask for your consent before providing you with any care.
Health Visitor
Health visitors work in teams. They work closely with the other professionals listed above, including GPs and organisations that support families where you live. Most families in England will be offered several review contacts and additional support depending on the individual needs of your family.The health promoting visit at 28 weeks of pregnancy, is the first time that the health visitor meets parents. A health needs assessment will be agreed, covering physical, mental and emotional health and wellbeing. The health visitor will also discuss a number of issues, including transition to parenthood, how to enhance the parent-child bonding experience and how parents can help their baby’s early development.
Other staff members
You may meet other members of staff or medical students, depending on your pregnancy needs and where you choose to have your care.
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If you are having your baby at Watford Hospital and approaching or after 30 weeks of pregnancy, then sign up to our Antenatal Breastfeeding Workshop using the password: breastfeeding.
It can be helpful to review events around pregnancy and birth. In Herts and West Essex all maternity units have a birth reflection/listening service that can be accessed at any time after giving birth or when you return for subsequent pregnancies. To find out about how to access this service, speak to your community midwife.
Essex
Central contact and information for all the Essex Birth Registration Centres listed below:
This is a decision you will make following discussion with your midwife or doctor at around 34-36 weeks of pregnancy, but it is helpful to start thinking about your preferences before this time.
Each maternity unit in Herts and West Essex offers three locations for birth: home, midwife led unit or obstetric (consultant unit. You may also choose to access a free-standing midwifery unit outside of our area. Please talk to your midwife to discuss your choice.
Each maternity unit in Herts and West Essex is linked to its hospital trust’s charity. Hospital charities raise money via fundraising activities for parents and staff and by coordinating and receiving charitable donations. Money raised is re-invested into service improvement projects. Find out more about your local NHS hospital charity.
Women and their families are encouraged to provide feedback via our purpose-built feedback websites (links below) to help us continually improve our services. You can also give your feedback to your maternity teams via the following methods:
Face-to-face if you are currently in hospital
Telephone
E-mail
Letter
Local Maternity Voices Partnership group
Please ask your midwife for further information.
The friends and family test has been paused at West Hertfordshire Hospitals NHS Trust and The Princess Alexandra Hospitals NHS Trust during the response to COVID-19.
This app, originally developed by North West London Local Maternity System, has been adapted for use in the Herts and West Essex LMNS area.
If you live outside of Herts and West Essex LMNS, you can still use this app’s content and develop your personal care plans. To find your nearest unit follow this link:
The Herts and West Essex Local Maternity and Neonatal System, in partnership with other services, support our women and families with their mental health, emotional wellbeing and mental health awareness. We consider your mental health and emotional wellbeing to be just as important as your physical health.
Please speak to your midwife or obstetrician if you need support with your mental health.
The following websites and telephone numbers can also be used to access advice and support:
Hertfordshire
If you need urgent support please contact our Single Point of Access number.
National maternal and neonatal programmes in Herts and West Essex
The Maternity and Neonatal Safety Improvement Programme (MatNeoSIP)
This project aims to improve the safety and outcomes of maternal and neonatal care by reducing variation in practice and providing a high quality healthcare experience for all women babies and their families across England.
PReCePT (Prevention of Cerebral Palsy in Preterm Labour)
The PReCePT programme aims to reduce the incidence of cerebral palsy in babies born prematurely by giving women a medication called magnesium sulphate during labour. This programme is being rolled out across BOB and other activities include improving care, strengthening staff capability across maternal and neonatal units and supporting mothers to become more involved with their care to improve quality of life of preterm babies and their families.
You can opt to have private healthcare during your pregnancy and birth. Find more information about private maternity units and locate specific private maternity units here.
Private rooms
All hospitals in Herts and West Essex have the option of private rooms for after the birth, and these vary in cost. Please ask your midwife for more information.
Some Herts and West Essex maternity units participate in research projects.
To find out how you can participate in a research trial go to:
We strive for continuous improvement ensuring women and families have a safe and positive, personalised care experience.
Women and staff will work within a culture of kindness and trust to develop pathways that empower families to have proactive involvement, positively impacting health and wellbeing for the future.
We will develop and invest in our workforce supporting them to provide quality care.
Digital improvements will be utilised to share information across the LMNS and provide choice to service users in an accessible way.
Depending on how many weeks pregnant you are, you may be offered medicines to try and slow down or stop your labour, antibiotics to reduce the risk of developing an infection, and steroid injections that are given to you, to help your baby’s lungs develop and prepare for life outside the womb should they be born early. If your baby is extremely preterm (less than 28 weeks) you may need to be transferred to a maternity unit with a neonatal intensive care unit.
In Herts and West Essex, each maternity unit has a local neonatal unit/special care baby unit caring for babies who need additional support. If your baby requires neonatal intensive care they may need to be transferred to a more specialist hospital. Please speak to your midwife or obstetrician for more information.
You will meet several midwives throughout your pregnancy, birth and beyond. Midwives are the main caregiver when your pregnancy and birth are straight forward. In Herts & West Essex you will have a named midwife as part of a team to organise your maternity care.
Obstetrician
An obstetrician is a doctor who specialise in the care of women during pregnancy, labour and after birth. You may be referred to an obstetrician if your midwife has any concerns about your pregnancy – for example, if you had a previous complication in pregnancy or if you have a long term illness. You can ask to see an obstetrician if you have any concerns you would like to discuss.
Paediatrician/Neonatalogist(baby doctor)
Paediatricians or neonatologists are doctors specialising in the care of newborn babies and children. They will be involved in your care if early (premature) delivery is anticipated or if there are likely to be concerns about the health of your baby during or after the birth.
Sonographer
These are professionals who undertake your ultrasound scans. They are specially trained to undertake scans during pregnancy.
Maternity support worker
You may meet maternity support workers during pregnancy, birth or beyond. They support the maternity team and provide some of your care throughout the journey.
Student midwife
In Herts and West Essex we work closely with local universities to support midwives in training. These students will work alongside their midwife ‘mentor’ and will ask for your consent before providing you with any care.
Health Visitor
Health visitors work in teams. They work closely with the other professionals listed above, including GPs and organisations that support families where you live. Most families in England will be offered several review contacts and additional support depending on the individual needs of your family.The health promoting visit at 28 weeks of pregnancy, is the first time that the health visitor meets parents. A health needs assessment will be agreed, covering physical, mental and emotional health and wellbeing. The health visitor will also discuss a number of issues, including transition to parenthood, how to enhance the parent-child bonding experience and how parents can help their baby’s early development.
Other staff members
You may meet other members of staff or medical students, depending on your pregnancy needs and where you choose to have your care. Please click here for more information.
Our objective
Herts and West Essex are committed to implementing the recommendations from Better Births, which aims to provide care that is "safer, more personalised, kinder, professional and more family friendly; where every woman has access to information to enable her to make decisions about her care; and where she and her baby can access support that is centred around their individual needs and circumstances".
Visit A Healthier Future to find out more about how you can get involved in health improvement projects in Herts and West Essex.
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