Here at Homerton maternity unit, we recognise that pregnant women from BAME backgrounds, and their families, are likely feeling anxious about the news that coronavirus is more likely to affect people from BAME backgrounds more severely. As we have always been, the maternity team are committed to providing outstanding care to our families. It is likely that any routine antenatal appointments will be delayed until isolation ends. Hackney Mother and Baby Unit, Mermaid Ward, City and Hackney Centre for Mental Health, Homerton Hospital, Homerton Row North Middlesex Coombe Wood Perinatal Mental Health Unit, Coombe Wood Annexe, Park Royal Centre for Mental Health So, by any standard and contrary to Midwife Oluwofobi’s statement that the department was ‘busy’ – there being 2 patients in the maternity department – indicate that it was extremely quiet and certainly not busy. Hackney's Local Offer website is a free and impartial service provided by the London Borough of Hackney in partnership with the NHS, local education, health and community services. There are 2 ways of getting a test. However it has long been known that, whilst pregnant women are not necessarily more susceptible to viral illness, changes to their immune system in pregnancy can be associated with more severe symptoms. A “worrying” number of baby deaths at Homerton Hospital’s maternity unit has been revealed. Once you are in established labour and move to the delivery suite for one to one care, your second birth partner will be able to join you. Maternity - Covid 19 Looking After Yourself.pdf, During pregnancy, you will have time to think about your future as a parent and to consider some options for yourself and your baby, including decisions about the birth and about feeding your baby. Please let your Doctor or Midwife know if you have any concerns about your mental health so that they can help you access support. tel: 020 8510 7404 (1) When Ms Caulker arrived at Homerton Hospital by ambulance – there were 2 patients in the maternity department at that time. This midwife (Midwife X) was not responsible for Ms Caulker’s care prior to this time – but was simply passing by the room when asked by the doctor to chaperone him. A senior midwife is available 24 hours a day and is contactable via the hospital switchboard 020 8510 5555. If you have an appointment to see a consultant, you will get a phone call about rescheduling as we want to ensure that all face to face appointments are needed at this time. Mother and Baby Units enable the mother and her baby to remain together, supporting their attachment and bonding whilst the mother receives the care and treatment she needs to … If you feel that your symptoms are too much to cope with at home, particularly if you are feeling more short of breath or confused, then you should access the 111 service, preferably online, Your symptoms persist for more than 7 days (except for cough). (6) Based on your narrative determination – it appears that you were misled. It is known from other respiratory infections (e.g. If you cannot attend an appointment because you have symptoms or are self-isolating due to a household member then please call the Homerton Maternity Helpline on 0208 510 5955 10am - 8pm each day or email on: Flu vaccinations are now available in the scan department and in Picton suite. Instead you can get a note for your employer on the NHS website here. tel: 020 8510 7715 There are general principles you can follow to help prevent the spread of respiratory viruses, including: Should I still attend my routine antenatal appointments and scans in the community and at Homerton Hospital? Hackney, London, E9 6SR (020) 7655 4000. As of Wednesday 15 April 2020 the response times of the London Ambulance service are much improved and we have seen midwifery staff returning to work. When you and your maternity team decide you need to attend the maternity unit, general recommendations about hospital attendance will apply: Your baby and Coronavirus When you attend hospital or community appointments you will receive a text message beforehand advising you not to attend if you have symptoms of Covid-19. However – contrary to the narrative determination verdict – Midwife Oluwofobi was not the ‘midwife with care’ of the mother at the time of her death. We are pleased to inform you that we are able to recommence the homebirth service with immediate effect for the time being. This will help to promote social distancing and the safety of all in the scan department. No rating Visit CQC profile. If you have a planned admission to the hospital coming up, such as an elective caesarean section then you will be asked to come into the hospital a few days earlier for a test. These include slide-shows and videos containing all the information which would usually be taught in our antenatal classes. Pregnancy and birth are very significant events in a woman’s life and that of her family. There is also a weekly Zoom call taking place at 11am on Wednesdays during Covid-19, which is chaired by the Head of Maternity for East London along with the local commissioners and MVPs. (2) There is a 3rd midwife involved – but this was not disclosed to the coroner’s court. Maternity - Covid19 Planning Your Birth.pdf It’s a bit like exercising - they make your immune system stronger! In Homerton’s July 2015 Board Papers – it was reported that the coroner “did not provide a Prevent Future Deaths (PFD) notice against the Trust” in relation to this maternal death in January 2015. What effect will coronavirus have on my baby if I am diagnosed with the infection? It is unclear whether coronavirus caused this or the doctors made the decision for the baby to be born early because the woman was unwell. If you do not have symptoms, you can only get a test if your hospital has told you to. To facilitate this, care provision must include evidence based information, education and counselling support to enable the woman to make informed choices. It is reassuring that there is as yet no robust evidence that pregnant women are more likely to become infected than other healthy adults. Maternity Risk Managment Midwife Please do not let worries about charges put you off seeking maternity care. If attendance at the maternity unit or hospital is advised, pregnant women are requested to travel by private transport (a private car or taxi), Going into labour with suspected or confirmed coronavirus. We cannot accommodate more than one visitor, including any children, on the ward at present. Your antenatal care whilst in self-isolation, You should contact the maternity unit to inform them if you are self-isolating. email: shirley.peterson@nhs.net, Sarah Latham When you arrive home please discard it in the bin. Please see the “Welcome to our Maternity Unit” section for more detailed information on this issue. Join the community and keep up to date on maternity services through Facebook and Twitter: City & Hackney MVP Facebook Page - a place to get up to date, reliable information on maternity services in City & Hackney. Prevent you becoming seriously unwell with flu. Only call 111 if you cannot get help online or you do not have access to a computer. MBUs are the best setting for treating Postpartum Psychosis. Lead Clinical Midwife Specialist, Fetal Medicine Unit (4) There is evidence that as far back as 2012 – serious patient safety concerns were raised by a former Senior Labour Ward Sister – about Midwife Tayo Oluwofobi, regarding her (Tayo’s) failure to recognise and refer an urgent clinical situation to a doctor – whilst caring for a pregnant mother. Back to top of page What effect does coronavirus have on pregnant women? If you notice any signs of pain, swelling and tenderness in one leg, usually at the back of the lower leg (calf), a heavy ache or warm skin in the affected area or red skin, particularly at the back of your leg below the knee) then contact Delivery suite immediately by phone. Please do not contact your named midwife as we anticipate a number of staff may be absent from work over the next month or so and we want to ensure the message is received. If you need to attend your pharmacy or GP, try and arrange for an online consultation and for your medicines to be delivered to your house. Associate medical director, Consultant Cbstetrician/Gynaecologist and lead consultant for fetal medicine Which begs the question – what were these members of staff told at this private meeting? Please see the link below to share with colleagues, local women and your social media platforms: https://forms.office.com/Pages/ResponsePage.aspx?id=kp4VA8ZyI0umSq9Q55Ctv8-cdBeVcUdGq0fmWAvPz8FUOEtIQUtENklNQzZJSEZEN0g5TDhLQUxIRiQlQCN0PWcu. We will continue to assess the service constantly depending on whether we have midwives available and communications from the London Ambulance service as to their ability to respond to a category 1 call: this is where we have concerns regarding the mother or baby’s condition that warrants an urgent transfer to hospital. Do not leave your home during this period. They are especially concerned about the avoidable deaths of mothers and babies within their maternity unit. Please email elhcp.enquiries@nhs.net, For anyone that would prefer to send in written feedback please use elhcp.enquiries@nhs.net. We provide a home birth service and hospital-based care during labour and birth. We appreciate your cooperation and patience during this very strange time. This is available via remote services; both through self-help resources and through referral to the IAPTs service (Improving Access to Psychological Services) as well as through professionals at Homerton Hospital if appropriate. email: paula.griffin1@nhs.net. Disclaimer-important information about the Hackney Local Offer. Professional Midwifery Advocate & Practice Educator ‘Dicharged’ meaning – that after the doctor reviewed her – he found her to be medically fit to be discharged. Babies and children under two should not wear masks or other face coverings, as they may risk suffocation. The Maternity Department overall is rated ‘Good’. If you are infected with Covid-19 you are still most likely to have no symptoms or a mild illness from which you will make a full recovery. All women will be offered a dating scan at around 12 weeks and an anomaly scan at around 20 weeks. Provided your baby is well and doesn’t require care in the neonatal unit, you will be kept together after you have given birth and will be able to have skin-to-skin contact. We understand that hearing about these risks will be very worrying, and want to tell you what we are doing to try to ensure you and your baby are safe and well. We are extremely proud of this recognition and acknowledgment of the quality of services we provide to all patients. In order to promote social distancing we have put into place new measures to reduce the number of face-to-face appointments during pregnancy and the postnatal period. We will be gradually restarting visiting on the postnatal ward, starting with a single visitor, who must be your primary birth partner, between 2pm and 6pm daily. Email this page If you live with others, they should stay at home for 14 days in case they develop symptoms. Pregnant women are strongly advised to follow the latest Government guidance on measures that we should all be taking to reduce the transmission of coronavirus (Covid-19) as much possible. (3) Evidence proves that at the inquest, Midwife Tayo Oluwofobi was untruthful in her statement that the maternity department was ‘busy’- when this again was not the case. GP REFERRAL ACCEPTED Matron for Community Midwifery and Homerton Birth Centre Inpatient beds are available at the Homerton Mother and Baby Unit. This family-centred specialist Mother and Baby Unit cares for mothers who experience severe mental health difficulties during and after pregnancy. I will now provide you with the full details of the occurrences and circumstances leading to the death of this mother- in the early hours of the morning on 17th January 2015. They raised serious patient safety concerns about Homerton’s maternity unit – to many influential organizations, such as, CQC, LSA, DoH, and the NMC (to name a few) – without any success. Pregnant persons are still required to attend dating scans (11-13 weeks) and late gestation scans alone. The following changes to visiting restrictions in the maternity unit will go live on Wednesday 21st October: We are very pleased to be able to start easing the visiting restrictions that were put in place for the protection of both our patients, their families and our staff during the pandemic. The Other Side of Waiting’ is a series of six interconnected artworks for a range of spaces in the new Mother and Baby Unit being built at Homerton Hospital in East London. Note: Questions marked by * are mandatory. Wash your hands before touching your baby, breast pump or bottles. Regularly auditing our outcomes via ethnicity so that we can identify areas for increased focus and service development. As a concerned member of the public who has worked closely with a group of whistleblowing midwives from Homerton Hospital – known as the Unhappy Midwives – I am writing to bring a matter which is in the public interest to your attention. Homerton MBU Website:https://www.elft.nhs.uk/service/182/Margaret-Oates-Mother-and- Baby-Unit. For your ease of reference – the narrative determination verdict can be found in the link below: LINK: CLICK HERE FOR NARRATIVE DETERMINATION. Women and their accompanying adult will be screened (temperature check and risk assessment questions) at the hospital entrance prior to admittance. Chief Nurse Jane Clegg visits the Mother and Baby Unit at Homerton Hospital to find out more about how they care for mothers, babies and their families following a … A recent response from Homerton to an FOI request – stated that there were 12 maternal deaths linked directly to Homerton Hospital maternity department. New evidence from America suggests a similar pattern of disease severity to the general population. It is particularly important that you do not delay seeking help if you notice any emergency signs, such as significant changes in the baby’s movement, pain, swelling, redness, ache or tenderness in one leg, and fluid leakage or bleeding, significant itching, heart palpitations, persistent headache, blurred vision, flashing lights or pain under the ribs. The main risk of breastfeeding is close contact between you and your baby, as you may share infective airborne droplets, leading to infection of the baby after birth. If you have an underlying condition, such as asthma or diabetes, you may become more unwell if you have coronavirus. For this reason it is essential that you attend any face-to face care which is scheduled for you. This experienced and diverse team has particular experience in the care and treatment of women from diverse cultures. Pregnant persons are still required to attend all other scans alone, Children are not permitted at any appointments unless, Antenatal inpatients can have one visitor daily between 2-6pm (same person each day), Postnatal inpatients can have one visitor daily between 2-6pm (same person each day), Keep your distance if you go out (2 metres apart where possible). I said one thing to a nurse and they sectioned me and separated me from my baby boy. tel: 07747 457 354 A lot of blame has been apportioned on to the London Ambulance Service (LAS) – but Homerton discharged her home and should take responsibility for this. We follow Public Health England infection prevention and control guidance stringently, use appropriate PPE and have made significant changes to both the environment of the hospital and visiting arrangements promote social distancing. Prevent you passing on flu to your newborn. Re:  Urging Action by the Coroner’s Court against Homerton Hospital for Suppression of Crucial Evidence and for Serious Misleading of the Coroner’s Court. If you have suspected or confirmed coronavirus at the time your baby is born, your baby will be tested for coronavirus. Information on number of applications and admissions to prison Mother and Baby Units, 2013 to 2015. (5) The serious question which requires an answer is – why didn’t Homerton disclose the important fact that this mother was discharged? During this period the hospital continued to expand and more buildings were bought. Hannah, Homerton Hospital, Mother and Baby Unit Hi Gosia, I just wanted to thank you for a couple of mindfulness groups I attended at the mother and baby unit last year. It is highly questionable as to why Midwife Oluwofobi was deemed  by Homerton as the ‘midwife with care’ when this was not the case – and what’s even more concerning is why the  genuine and correct ‘midwife with care’ was not mentioned in your verdict – neither did this particular midwife give evidence at the inquest. You may be affected by concerns about the virus itself, by reduced social interaction, support and interaction with family and friends as well as by financial, career and housing concerns, bereavement or circumstances within your home environment. As I understand it – you are the coroner in charge of deaths in Camden, Islington, Hackney and Tower Hamlets since May 2013. After 7 days, if you no longer have a fever you can end self-isolation. Named Midwife for Safeguarding If you live by yourself, you will be required to self-isolate for 7 days. It is very important to ensure that the Midwife has the correct phone number for you and that you answer all calls, especially those from a withheld number. Welcome to Homerton University Hospital NHS Foundation Trust's website where you can discover the services we offer at hospital, in the community and in your home, clinic times and other information. Following all social distancing advice from the UK Government closely. In order to minimise face-to-face contact we have conducted a risk assessment and cancelled some appointments and transferred some others into telephone only. But it will cause your body to create a defensive immune response that will be activated and protect you if you come into contact with the flu virus. City & Hackney Maternity Voices Partnership (MVP) is a committee chaired by local mums and consists of local parent reps and health professionals, which advises NHS in City & Hackney on the care they provide to women, their partners and their babies, during pregnancy, birth and in the weeks after the baby’s arrival. Topic: Coronavirus - What are your thoughts and feelings with regards to maternity care? After you have had the baby, we will call you at home before each visit to talk about any symptoms or exposure that you might have had. The involvement of the 3rd midwife appears to be conveniently absent from the inquest/report. (3) Ms Caulker was discharged from the department that night. Who we are. email: philippacox1@nhs.net, Tamsin Bicknell We will do all we can to maintain the service but we are also required to ensure the safety of all women and our midwives. During and after pregnancy, we offer both midwifery-led and consultant-led care and our teams are multidisciplinary which means all the care you need is provided within the maternity wards. Matron for Maternity Wards, Antenatal Clinic, Antenatal and Newborn Screening RCOG Information for pregnant women and their families: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancy/covid-19-virus-infection-and-pregnancy/, https://www.gov.uk/government/collections/coronavirus-covid-19-list-of-guidance. However, this crucial piece of evidence was suppressed by Homerton Hospital. I believe that this matter needs to be readdressed – as vital and crucial information was suppressed and withheld by Homerton – thus the coroner’s court was misled. One of the later new developments was a mother-and-baby home called 'Cotland', based at 11 Springfield Road, Upper Clapton. We cannot accommodate more than one visitor, including any children, on the ward at present. If you can advise or help us, or would like to share your experience, please get in touch via any of our social media channels, Instagram: @homerton.maternity / @homerton_birthcentre / @homerton_homebirth, Book early for maternity care and keep all your appointments – whether in person or virtual. (2) Midwife Tayo Oluwofobi delayed for about 2 hours in referring the mother to the doctor and failed to progress the case urgently – despite the case being deemed as an urgent one by the triage midwife. They really helped me and I wish I lived closer to be able to attend. Also, reliable evidence – contradict the Trust’s information on these deaths. Those undergoing induction of labour on the antenatal ward will, as has been the case throughout the pandemic, be able to have a single birth partner with them from the beginning of the process. There is no evidence that the use of Entonox (gas and air) is an aerosol-generating procedure (AGP) and so we are continuing to offer it.The labour ward team will discuss all the options with you in early labour to ensure you are aware of the pain relief options available to you. The appointments and scans which remain face-to-face are vitally important for us to be able to ensure the health of you and your baby so please continue to attend them if you are well. Archant Facilty will provide care for premature and at-risk babies from across north and east London Please note we are a teaching hospital and as such students work alongside qualified practioners in providing your care. What the updated guidance means for you and your pregnancy She may have been physically present in the department – but only for the reasons stated above. Deputy chief nurse and head of midwifery This vital information in relation to previously raised patient safety concerns about this midwife – was suppressed from the inquest. You can: If you test positive for coronavirus, you should contact your midwife or antenatal team to make them aware of your diagnosis. GP REFERRAL VIA CONSULTANT Leeds Partnership NHS Foundation Trust Mother and Baby Unit The Mount, 44 Hyde Terrace,Leeds,LS2 9LN Tel: 0113 8555509 – NOT for General Public to call. Some babies born to women with symptoms of coronavirus have been born prematurely. When you are called for your appointment you can call or text them giving them the room number that you will be in. .Olympic gold medallist Diane Lewis meets mum Evelyn Barnett and her new-born twins ,D'arcy and Annabelle at Homerton Hospital''s newly-opened mother and baby unit. Pregnant women do not appear any more likely to contract the virus than the general population. The ‘safe’ rating from maternity has moved from ‘Good’ to ‘Requires Improvement’. We provide maternity care for nearly 6000 women and their babies each year, during pregnancy, labour, birth and up until one month after birth. Address:City and hackney centre for mental health, Homerton Row, London, E9 6RS. Washing your hands more often - with soap and water for at least 20 seconds or use a hand sanitizer when you get home or into work, when you blow your nose, sneeze or cough, eat or handle food, Avoid touching your eyes, nose, and mouth with unwashed hands, Avoid close contact with people who have symptoms, cover your cough or sneeze with a tissue, then throw the tissue in a bin and wash your hands, Clean and disinfect frequently touched objects and surfaces in the home, Partners can attend 20 week scans. Staff at Homerton follow Public Health England infection prevention and control guidance stringently and use appropriate PPE in order to promote a safe environment. However, if the sonographer finds important clinical information that you would like another adult to be aware of, you will be supported to call them so that they can be in attendance virtually when the relevant information is being discussed. influenza, SARS) that pregnant woman who contract significant respiratory infections in the third trimester (after 28 weeks) are more likely to become seriously unwell. Care Quality Commission inspection ratings. If you have no symptoms, or mild symptoms, you will be advised to recover at home. The Other Side of Waiting’ is a series of six interconnected artworks for a range of spaces in the new Mother and Baby Unit being built at Homerton Hospital in East London. The mental-health difficulty may be pre-existing, have started during pregnancy or started after childbirth. Women with suspected or confirmed coronavirus are advised not to use the pool during labour as it is an infection risk. You would therefore be aware of the numerous maternal deaths linked to Homerton Maternity department since July 2013. They are especially concerned about the avoidable deaths of mothers and babies within their maternity unit. This means it does not contain live virus: the virus cells are “inactivated” (killed), so they cannot cause illness, in this case flu. If anyone at home or in your support bubble develops symptoms, they should continue to self-isolate for 7 days from when their symptoms began. If you do not fulfil the criteria above we will arrange for you to speak to our Consultant Midwife to discuss your options. The exact period of these deaths are now under scrutiny – as there have been seriously conflicting information provided by Homerton Trust regarding these deaths. It is important that you continue to attend all of your planned care as long as you remain well. If you cannot attend an appointment because you have symptoms or are self-isolating due to a household member then please call the Homerton Maternity Helpline on 0208 510 5955 10am - 8pm each day or email on: huh tr.maternityhelpline@nhs.net. Please click the following link for details, https://www.homerton.nhs.uk/parentcraft-sessions. The Trust has now received its CQC report following an inspection earlier … Your birth partner(s) will be able to stay with you throughout. Telephone:020 8955 4495. As we learn about the risk of pre-term birth and coronavirus infection, we will update this information. Our midwives look after women at the hospital antenatal clinic, at local GP surgeries and children’s centres. All antenatal classes have been suspended at the current time but resources for you to read and watch at home are available on the Homerton website. Please see www.nhs.uk, www.gov.uk or www.patient.co.uk for further information. 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