Florence Wilcock and Emma Crookes talk about #MatExp, Maternity Voices Partnerships and all things #MatExp Whose Shoes at the World RCOG Congress June 2019.

1. Improving Women’s Experience of Maternity Care
Florence Wilcock, Consultant
Obstetrician & Emma Crookes, RCOG
Women’s Network
RCOG World Congress
19th June 2019
@Fwmaternity @thedivinemiss_p

2. #HelloMyNameIs…

3. Links between experience and safety are clear
Each Baby Counts & Mbrrace
demonstrate the importance of
listening to women and their
families’ concerns

4. The National Maternity and Perinatal Audit
www.maternityaudit.org.uk.
▪ Organisational Survey
▪ Clinical Audit Report
▪ A series of periodic Sprint Audits
▪ Measures provision, processes and outcomes of individual hospitals
against their peers and opens up conversations

5. Build relationships with women and families as
part of the maternity team: #Coproduction

6. #MatExp was ‘born’
Maternity experience five pilot workshops across
London

7. A tool to ignite conversations
Whose Shoes® board game as a tool for dialogue
Scenario
sparks
conversation
Solutions
captured by
graphic
facilitation
Multi-
disciplinary
team and
users
• All resources genuine
crowd sourced
material.
• Lived experience of
women, families, staff

8. Copyright © Nutshell Communications Ltd. All rights reserved.
Whose Shoes?® workshop in action

9. #MatExp
A grassroots movement aimed at improving maternity
experience for families and the staff who care for them.
Graphics by New Possibilities

10. “I gave BIRTH
to my baby.
YOU DID NOT
deliver him –
he's not a
pizza”
“What’s ‘normal’ for you,
isn’t for me”
“Midwifery and Obstetrics mean ‘with
woman’ and ‘areas of health concerned with
childbirth’ – I’m not interested in Dads or
partners”
“Saying, ‘I want to
examine you’, isn’t
gaining MY consent”
“I didn’t know
which person was
the doctor”
“I want to know the pros
AND the cons of my options”
#MatVoices
“I didn’t know I
had a choice”
“What’s
happening
with feeding
– you need
to make a
decision.”
“I can’t attend my scan as my child isn’t allowed
in the scan room & I don’t have childcare”
“I know you want a clip on the
baby’s head but I don’t think it’s
necessary”
“I wasn’t allowed
a water birth”
“Why wasn’t I
told about
GBS?”
“You should try
harder to breastfeed
your baby who has a
tongue tie”
“Does your Mummy not know what contraception is?”
Graphics by New Possibilities.

11. Successful use as catalyst for improvement
in sensitive subjects
#MindNBody:
Perinatal Mental Health
Nobody’s Patient: Women who
fall between gaps in services
Graphics by New Possibilities

12. Latest Topics
Smoking
New Possibilities
Lewisham and Greenwich leading the way …

13. Down
Syndrome
Nicola Enoch – Positive About Down Syndrome (PADS)
Latest Topics

14. London – lots…
Guernsey
Cumbria
Colchester, Cambridge
Leeds, Barnsley, Hull
Liverpool, Manchester, Oldham,
Warrington, Nottingham
South West – lots!
West Midlands – lots!
East and South of England! – lots!
Ireland – Galway, Limerick, Portiuncula
Scotland – Dundee
And many more planned…
60 Whose Shoes? maternity / neonatal sites … and growing

15. www.bournemouth.ac.uk 15
Using board games with men
to facilitate uptake of
maternity services in Uganda
Perceptions about game
“For me, I have loved the game, it is
wonderful and educative. This is a
very good tool to sensitise men to be
there for their wives”
quote from focus groupAlice Ladur PhD candidate
aladur@bournemouth.ac.uk
Reference:
Ladur AN, van Teijlingen E, Hundley V `Whose Shoes?’ Testing an educational board game with men of African descent living in
the UK, BMC Pregnancy & Childbirth 2018;18:81. http://rdcu.be/JXs0

16. Better Births: National Maternity Review 2015
Audience Question: How
many professionals on
average does a UK woman
meet during her maternity
journey?
A. <5
B. 6-10
C. 11-15
D. 15-20
E. >20

17. The average was 20 professionals, plus a
countless number of other staff
GP
Pharmacist
Community
Midwives
Sonographer Hospital
Clinic Midwife
Obs Consultant
Homebirth
Midwifery
Team
Women’s
Physiotherapist
Wellbeing Midwifery
Team (smoking
cessation, MMH etc)
Obs Registrar
Students
Triage midwives
Early
Pregnancy
Unit MidwivesHealth Visitor
Infant Feeding
Midwifery Team
Neonatal
Nurse
Paediatrician
Anaesthetist
A & E nurse
A & E doctor
Antenatal Class
Midwives
Theatre staff
Labour Suite
midwives
Antenatal
Day Unit
midwives
Practice Nurse
Ante/Postnatal
Ward midwives MCAs

18. Our Role as Obstetricians
◼ Shift of power from
paternalism to
partnership
◼ Understanding the
person in the
context of their life
& what is important
to them
◼ Challenge your
assumptions
◼ Teamwork

19. Take it a step further; put yourselves in
women’s shoes…
Have you done the Lithotomy Challenge?
How did it feel? Reflect & share your solutions!

20. Birth Environment
Theatre
◼ Demystify theatres
◼ Baby straight to parents
◼ Delayed cord clamping
◼ #SkintoSkin
Obstetric unit
◼ Complex women deserve a nice birth
environment too!
◼ Birthing pool
◼ Balls & mats
◼ Telemetry

21. Homebirth
What do you say about homebirth?
Audience question:
Have you been at a home birth?
A. Yes, more than once
B. Yes, once only
C. No, but would like to
D. No

22. Get involved, make a difference!
Audience question:
Are you already involved in effective
co-production?
A. No or not interested
B. No but would like to be
C. Some involvement but interested to
do more
D. Already actively involved
Opportunities:
◼ Maternity Voices Partnerships
◼ RCOG Women’s Network
◼ Charities and parents groups

23. RCOG Women’s Network
Twin Animators and The Satrun Sisters
@DoulaGeorgie
◼ 14 lay members, 3 clinicians, 1 trainee, 1 VP
◼ Women’s Voices Involvement Panel – virtual
group of over 500 #ExpertsByExperience
◼ Ensures women are at the heart of
everything the College does
◼ Champions the best in women’s health care
◼ We work in collaboration with clinicians on a
wide range of committees and projects
◼ YouTube channel:
https://www.youtube.com/channel/UCw2Pu
UQH9JY1PWYHlRASjkQ

24. Spreading good ideas…
Three sets of ‘Best
Practice’ case studies can
be downloaded with
simple ideas to replicate
◼ http://www.londonscn.nhs.uk/publ
ication/maternity-co-designed-
case-studies-nobodys-patient/
◼ http://www.londonscn.nhs.uk/publ
ication/co-producing-maternity-
solutions-case-studies/
◼ https://www.healthylondon.org/r
esource/mindnbody-co-
designing-perinatal-mental-
health-services/

25. Thank you!
Resources
MindNbody project video https://www.youtube.com/watch?v=rP4Ue7hSwOo
London Clinical network film & training pack http://www.londonscn.nhs.uk/wp-
content/uploads/2014/11/mat-training-brief-062015.pdf
Slide show of ideas of little things that can make a difference given at Picker
Maternity workshops UK Nov/Dec 2017
https://www.slideshare.net/WhoseShoes/picker-nov-17-matexp-simple-things-
fwgp-final
Find out a little more about #MatExp
https://www.youtube.com/watch?v=_NfWPWcHuak&feature=youtu.be
NMPA website www.maternityaudit.org.uk
Join us!
@FWmaternity @thedivinemiss_p
#MatExp #MatVoices #RCOGWN #WomensVoices