Nabdoonaanta adeegyada NHS

Qorshaha Muddada Dheer ee NHS (2019) oo ujeedadiisu ay tahay:

• Fududeeynta helitaanka taageerada caafimaadka maskaxda si deg deg ah sida caafimaadka jirka ee hooyooyinka oo kale, lammaanahooda iyo qoysaskooda. Ka raadi app-kan macluumaadka goobta aad joogto ama la hadal agaasimahaaga daryeelka caafimaad.
• Fududeynta badqabka ilmaha iyada oo loo maraayo halbeegyada barnaamijka “NHS England Saving Babies’ Lives Care Bundle” oo ah:

• 1. Bixinta daryeel shaqsiyeed ah iyadoo la eegayo madax-bannaanida iyo go’aannada shaqsiyeed.
• 2. Bixinta taageero si loo yareeyo sigaar cabista.
• 3. Fahanka qiimeynta halista iyo maaraynta ku habboon dhallaanka halista ugu jira koritaanka daaha (koritaanka gaabiska ah).
• 4. Lasocodsiinta habeenka uurka leh muhiimadda ay leedahay in si dhakhso ah looga warbixiyo dhaqdhaqaaqa ilmaha oo yaraada.
• 5. In la sameeyo kormeer wax ku ool ah oo ku saabsan caafimaadka ilmaha inta lagu jiro foosha iyo dhalmada.
• 6. Yareynta tirada dhalashada kahor sagaal bilood iyo hagaajinta daryeelka marka dhalmada sagaal bilood kahor aan laga hortagi karin iyadoo loo maraayo:

a) Saadaalin

• Qiimee halista oo tixraac dariiqa hoose, dhexe ama khatarta sare kadibna hagaaji qorshe daryeel shaqsiyeed ah oo ku saabsan hooyada.

b) Ka hortagga

• Qiimee haddii asbiriin loo baahan yahay wixii ka bilaabada toddobaadka 12aad ee uurka.
• Support to stop smoking.
• Offer a urine test at the first antenatal appointment (Booking appointment) to screen for urine infection. If treatment is indicated, a repeat urine test should be taken to ensure infection has cleared up.

c) Preparation

• Optimise place of birth to ensure that birth occurs in a maternity unit that has the appropriate neonatal care services to support your baby.
• Birthing people are offered corticosteroid injections between 24 and 33+6 weeks, optimally at 48 hours before birth. This is to reduce the risk of your baby having breathing difficulties, gut problems, or bleeding in the brain.
• Birthing people who are in established labour, or who are having a planned preterm birth within the following 24 hours, are offered magnesium sulphate infusion between 24+0 and 29+6 weeks of pregnancy (or considered for this infusion between 30+0 and 33+6 weeks of pregnancy) to reduce the risk of cerebral palsy in babies.
• Improving general health outcomes for you and your baby. NHS England is funding a 6-8 weeks mother’s health check with your General Practitioner (GP)in addition to the baby check to assess your ongoing health and wellbeing needs.

Ockenden Report (2020)

• Enhanced safety in maternity units by undertaking a risk assessment at each contact with the birthing person to ensure that care is tailored to your needs.
• Maternity services must ensure that birthing people, their partners and their families are listened to.
• Care in complex pregnancies is managed with appropriate expertise and discussion and referrals made to specialist centres where necessary.
• Maternity services follow best practice in monitoring of the baby in labour.
• Provide access to accurate information to facilitate informed choice of intended place of birth and type of birth.
• Ensure there is access to translation services if communication in English is difficult.

Shared decision making

• All professionals should support you to make informed, value-based decisions by:
introducing you to the options available, including their advantages and disadvantages
helping you to explore these in the context of your preferences
empowering you to make decisions – all professionals should support you to make informed, value-based decisions by:

• Ask yourself these three questions:
What are my options?
What are the pros and cons of each option for me?
How do I get support to help me make a decision that is right for me?