Local Maternity System

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LMS Guidelines 

The LMS Guidelines Group is developing a suite of guidelines to be used by colleagues at Hull University Teaching Hospitals NHS Trust, York Teaching Hospital NHS Foundation Trust and Northern Lincolnshire and Goole NHS Foundation Trust. These guidelines have been approved by Trust Governance Leads. 

Guideline  Publication Date 
PReCePT Guideline - Magnesium Sulphate Protocol

16 November 2020 

Links to key national safety documents/websites

Maternity and Neonatal Safety Improvement Programme

The Maternity and Neonatal Safety Improvement Programme (formerly known as the Maternal and Neonatal Health Safety Collaborative) supports improvement in the quality and safety of maternity and neonatal units across England.

Maternity Incentive Scheme - Year 3

NHS Resolution is operating a third year of the Clinical Negligence Scheme for Trusts (CNST) maternity incentive scheme to continue to support the delivery of safer maternity care. The maternity incentive scheme applies to all acute trusts that deliver maternity services and are members of the CNST. As in year two, members will contribute an additional 10% of the CNST maternity premium to the scheme creating the CNST maternity incentive fund. The scheme incentivises ten maternity safety actions. Trusts that can demonstrate they have achieved all of the ten safety actions will recover the element of their contribution relating to the CNST maternity incentive fund and will also receive a share of any unallocated funds.

Neonatal Critical Care Transformation Review

An action plan has been developed to implement the recommendations of the Neonatal Critical Care Transformation Review which sets out how the NHS will further improve neonatal care with the support of funding set out in the NHS Long Term Plan.

The National Neonatal Audit Programme 2020 Annual report on 2019 data is available here

Saving Babies' Lives Care Bundle Version Two (SBLCBv2) 

SBLCBv2 has been produced to help reduce perinatal mortality across England. It provides detailed information for providers and commissioners of maternity care on how to reduce perinatal mortality across England. The second version of the care bundle brings together five elements of care that are widely recognised as evidence-based and/or best practice, these are:

  • Reducing smoking in pregnancy
  • Risk assessment, prevention and surveillance of pregnancies at risk of fetal growth restriction (FGR)
  • Raising awareness of reduced fetal movement (RFM)
  • Effective fetal monitoring during labour
  • Reducing preterm birth.

MBRRACE-UK Reports

Saving Lives, Improving Mothers’ Care , from the Maternal, Newborn and Infant Clinical Outcome Review Programme, delivered by MBRRACE-UK, details the lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2015-17. Learning from Standardised Reviews When Babies Die is the Perinatal Mortality Review Tool (PMRT) first annual report which was published in October 2019. 

2019-07-03 (7)

Your baby is now officially an embryo and is about the size of a poppy seed.

Please visit www.nhs.uk/conditions/pregnancy-and-baby/4-weeks-pregnant/ for more information.

2019-07-03 (4)

Your baby is now the size of a kidney bean and weighs 1g. 

Please visit www.nhs.uk/conditions/pregnancy-and-baby/8-weeks-pregnant/ for more information.

2019-07-03 (6)

Welcome to the second trimester!

Your baby is about the size of a small lime and weighs approximately 14g.

You have hopefully seen your midwife for your 'booking in' appointment, if you have not yet seen a midwife please make an appointment quickly, so you can have all of your choices about screening tests explained and offered to you.

Please visit www.nhs.uk/conditions/pregnancy-and-baby/12-weeks-pregnant/ for more information. You can also link to the 'Pregnancy Journey' area here.  

2019-07-03

Your baby is about the size of an avocado and weighs approximately 100g. 

Please visit www.nhs.uk/conditions/pregnancy-and-baby/16-weeks-pregnant/ for more information.

2019-07-03 (2)

Your baby has grown in length and is now the length of a small banana and weighs approximately 300g. Around this time you will be offered your '20 week' scan, also known as the 'anatomy' or 'anomaly' scan.Click here for more information about screening. 

This is a also a good time to talk and sing to your bump as your baby can now hear sounds. This is great way for you and your partner/family to bond with your baby.

Please visit www.nhs.uk/conditions/pregnancy-and-baby/20-weeks-pregnant/ for more information.

2019-07-03 (8)

Your baby has grown again to the approximate length of an ear of sweetcorn and weighs about 600g. 

Please visit www.nhs.uk/conditions/pregnancy-and-baby/24-weeks-pregnant/ for more information.

2019-07-03 (1)

Welcome to the third trimester!

Your baby is now approximately the weight of an aubergine; about 1kg and approximately 37cm in length. 

Please visit www.nhs.uk/conditions/pregnancy-and-baby/28-weeks-pregnant/ for more information.

2019-07-03 (3)

Your baby now weighs approximately the same as a coconut; around 1.5kg. 

Please visit www.nhs.uk/conditions/pregnancy-and-baby/32-weeks-pregnant/ for more information.

2019-07-03 (5)

Your baby is now around the same size as a lettuce, approximately 47cm long and weighs around 2.6kg. 

Please visit www.nhs.uk/conditions/pregnancy-and-baby/36-weeks-pregnant/ for more information.

2019-07-03 (9)

Your baby is now the weight of a small watermelon which is approximately 3.3kg and around 50cm in length. 

Please visit www.nhs.uk/conditions/pregnancy-and-baby/40-weeks-pregnant/ for more information.