Local Maternity System

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Ockenden Report 

Donna Ockenden's initial emerging findings report into the failings in maternity care in Shrewsbury and Telford Hospitals which resulted in deaths and harming of mothers and babies from 2000-2019 (1,862 Serious Incidents) was published in December 2020. 

The Ockenden Report (2020)  put forward 7 Immediate and Essential Actions (detailed below) that all NHS Trusts should make in the areas of strengthening the partnership within local networks, listening more closely to pregnant women and their families and enabling staff who work together to train together as well as part of a multidisciplinary approach.

Enhanced Safety 

Safety in maternity units across England must be strengthened by increasing partnerships between Trusts and within local networks. Neighbouring Trusts must work collaboratively to ensure that local investigation into Serious Incidents have regional and LMS oversight.

Listening to Women and Families 

Maternity services must ensure that women and their families are listened to with their voices heard. 

Staff Training and Working Together  

Staff who work together must train together.

Managing Complex Pregnancy

There must be robust pathways in place for managing women with complex pregnancies Through the development of links with the tertiary level Maternal Medicine Centre there must be agreement reached on the criteria for those cases to be discussed and/or referred to a maternal medicine specialist centre.

Risk Assessment throughout Pregnancy

Staff must ensure that women undergo a risk assessment at each contact throughout the pregnancy pathway. 

Monitoring Fetal Wellbeing

All maternity services must appoint a dedicated Lead Midwife and Lead Obstetrician both with demonstrated expertise to focus on and champion best practice in fetal monitoring.

Informed Consent

All Trusts must ensure women have ready access to accurate information to enable their informed choice of intended place of birth and mode of birth, including maternal choice for caesarean delivery.

Hospital Trusts in Humber, Coast and Vale are working with partners including the Maternity Voices Partnership to meet the Ockenden requirements and improve safety in maternity services.

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.