Qoraalkani wuxuu sharraxayaa qaar ka mid ah dadaallada NHS ee dhowaan loogu talagalay in lagu xoojiyo nabdoonaanta, iyadoo la ilaalinayo tayada daryeelka xarunta adeegyada dhalmada. Tani waxay kaa caawin doontaa inaad fahanto sida daryeelka loo qaabeeyey iyo sida aad u raadsan karto taageero dheeri ah.
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:
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)
This report aims to improve safety for you through pregnancy and post-birth through:
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?