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Early Labour Lounge
Early Labour Lounge
Early Labour Lounge
Early Labour Lounge
Early Labour Lounge
Early Labour Lounge
Early Labour Lounge
Early Labour Lounge
Early Labour Lounge
Early Labour Lounge
Early Labour Lounge
Early Labour Lounge
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Early Labour Lounge

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  • Mention that we presented at LSA conference a couple of years ago about the whole improvement project, but this presentation will concentrate on the role of the SOM in working together with women and staff to address poor behaviours and improve women’s experience. Need to say a little here about the initial joint review – commissioned by Tower Hamlets and BLT based on user feedback through 3 rd sector organisations and our own understanding that all was not well - looked at benchmarking service against all known national standards at the time and gathered extensive stakeholder feedback – midwives, obstetricians, women and GP’s HCC review echoed what we had identified locally Joint improvement project set up with commissioners, BLT and 3 rd sector with clear action plan The overwhelming feedback was that there were issues with staff attitude. For this presentation we will be focusing on work done to improve women’s experience and how as a group of supervisors we worked with staff and women
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    • 1. NORMAL BIRTH PROJECT EARLY LABOUR LOUNGE Ali Herron – Consultant Midwife NECLEs HIEC Optimising opportunities for normal birth
    • 2. <ul><li>Local reviews of maternity services – MSLC and ward surveys </li></ul><ul><li>User group - Responding and designing services in response to local needs and care provision </li></ul><ul><li>Research results and recommendations </li></ul><ul><li>Acknowledgement that the service was not meeting local needs – in particular </li></ul><ul><ul><li>Poor User Experience </li></ul></ul><ul><li>Relating to Antenatal Ward </li></ul>History and Background
    • 3. Key issues <ul><li>Poor user experience: </li></ul><ul><li>Environment </li></ul><ul><li>Staff attitude </li></ul><ul><li>Accessibility </li></ul><ul><li>Service perspective: </li></ul><ul><li>Local population who access services early </li></ul>
    • 4. Antenatal Ward <ul><li>Provides maternity triage </li></ul><ul><li>Long stay in patient services </li></ul><ul><li>Induction of labour </li></ul><ul><li>Overwhelmed with activity </li></ul><ul><li>Poor staff attitude </li></ul>
    • 5. Ward Changes <ul><li>Reduction in inpatient beds </li></ul><ul><li>IOL suite </li></ul><ul><li>Consolidated triage – women with ?labour and ?SROM </li></ul><ul><li>Main triage moved to MFAU </li></ul><ul><li>Early labour suite </li></ul>
    • 6. Early Labour provision <ul><li>Comfortable and homely </li></ul><ul><li>Provides safe but “hands off” space for women in early labour </li></ul><ul><li>Soft furnishings, bean bags, low lighting, music, complimentary therapies </li></ul><ul><li>Privacy with screens </li></ul><ul><li>Supports the normal birth project </li></ul><ul><li>Key to reducing caesarean section rates </li></ul>
    • 7. Guidance and teaching <ul><li>Early labour care bundle </li></ul><ul><li>Teaching of latent phase on in house study days </li></ul><ul><li>Normal birth and active birth training </li></ul><ul><li>Updating/reminders at hand over </li></ul><ul><li>Green rules </li></ul>
    • 8. User Feedback <ul><li>Picker Survey commissioned by the Care Quality Commission </li></ul><ul><ul><li>81% antenatal (excellent, very good or good) </li></ul></ul><ul><ul><li>85% labour (excellent, very good or good) </li></ul></ul><ul><ul><li>67% post natal (excellent, very good or good) </li></ul></ul><ul><li>Real Time Hospital Surveys in clinical areas </li></ul><ul><li>User Group Reflections – more positive </li></ul><ul><li>Reduced number of complaints re attitude </li></ul>
    • 9. Future service
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