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We aim to deliver high quality maternity care throughout pregnancy, birth and the postnatal period, ensuring that the birth of a child is a safe, life-enhancing experience for the woman, her partner and family.
We want women and their families to be involved in making choices about their journey through pregnancy, birth and parenthood, by giving good and timely information. We will respect their decisions and give dignity through kind and compassionate care.
We promote normality in childbirth. Women can come straight to our midwives to access maternity care, will have a named midwife who will support them in their choice of place of birth, and then have one-to-one care in labour.
We aim to base our practice on the best available evidence. We strive continually to make every contact with women and families count towards improving their health and wellbeing.
Two reports by the Royal College of Obstetricians and Gynaecologists have been published today which review clinical practice within our maternity service. Since January, when we received the first report, the maternity service has responded to the recommendations and made improvements with pace and focus. This was acknowledged in the Royal College’s follow-up review where it found all recommendations had been addressed and the majority had been achieved.
We requested the review was undertaken following concern over higher than average perinatal mortality rates (still births and deaths within the first seven days of birth).
There have been a number of improvements made by our maternity service which include, for example:
- We have introduced a number of measures aimed at reducing the number of mums who tragically have stillbirths or experience deaths within the first seven days of their baby’s life. For example:
- The clinical team meet each week to discuss mums-to-be and babies most at risk to agree how best to monitor, manage risks and care for these women
- A smoking cessation midwife is now in post and there has been a reduction in smoking in pregnancy from 21% to 17% in the Telford and Wrekin Clinical Commissioning Group area
- ‘Mama wallets’ have been introduced for mums-to-be. The wallets contain mums-to-be patient records, and helps women to recognise patterns in fetal movements and raises awareness of what they should do if fetal movements reduce.
- We have strengthened the way we manage risk and investigates clinical incidents:
- There is improved feedback and learning through a weekly newsletter, it’s an agenda item on all serious incident and high-risk cases at ward meetings and there is evidence of learning following the publication of reports such as MBRRACE (Mothers and Babies; Reducing Risk through Audits and Confidential Enquiries report)
- We have improved the way the maternity service manages risk through for example, weekly risk management meetings where all incident reports are reviewed, and weekly executive led rapid review meetings which ensure lessons and necessary improvements are shared and made immediately
- A risk management midwife is now in post and the planned appointment of a consultant obstetrician with a special interest in risk management will support improvements in the quality of service and governance processes
- Following training in October, November and April the maternity service has widened the number of trained investigators that can investigate serious incidents which will improve the quality and timeliness of investigations
- An external investigator now participates in the investigation of all high-risk or high-profile incidents
- The maternity service’s senior management team have benefited from team work and leadership programmes and this has seen the development of a learning and improving culture among staff as well as improving morale.
A team of seven assessors, which included consultants, midwives and a lay person, visited our maternity service from 12 to 14 July 2017. The team undertook site visits, reviewed records of three serious incidents and interviewed staff, service users and their families as well as service user representatives. In addition, a number of documents were also sent to the assessors which included for example policies, audits, surveys and plans. A follow-up review was undertaken in April 2017, where the Trust presented the progress it had made in response to the Royal College’s recommendations.
For a copy of the full report and the addendum please click here.
You can get involved with Maternity Services through the Maternity Voices Partnership.
The Local Maternity System/Better Births are looking for families who have recently used Maternity Services to join them to share their views and experiences. This is a chance for women and their families to share stories and suggestions to improve maternity services.
Women have asked for more personalised care during maternity in order to enhance their antenatal, intrapartum and postnatal experiences and therefore, continuity of carer is a key theme of the Better Births report. Evidence has also shown that continuity of carer reduces risks and will make a significant contribution to reducing rates of stillbirth, neonatal death and brain injury during birth by 50% by 2030.
For further information about the Local Maternity System and the Maternity Voices Partnership please use the following links:-
As well as our Midwife-Led units, we also have a Consultant-Let Unit in Telford. For a virtual tour of the unit, please view the video below.
Consultant-Led Maternity outpatient clinics take place at both hospitals. Consultant-led day assessment services and Consultant-led maternity inpatient care is provided at PRH.
Our Maternity service has Midwife Sonographers, working alongside three Fetal Medicine Specialist Consultants. We provide routine scanning at Shrewsbury, Telford and Oswestry, and specialist scanning at Shrewsbury and Telford.
We offer a combined Down’s screening test. This is made up of the measurement of the nuchal fold and blood tests. If you are unable to have the combined test, a ‘quad’ blood test will be offered.
The consultant antenatal clinic, maternity scanning and day assessment unit is situated in a demountable building off the main corridor of the hospital, opposite the Wrekin Maternity Unit.
Booked appointments for a scan or antenatal clinic take place within this Unit.
The PRH Day Assessment Unit (DAU) is open from 9.00 am to 5.00 pm 7 days a week and is supported by an obstetrician. There is an appointment system whereby there are midwives available to see you or offer telephone advice if you have concerns.
The consultant antenatal clinic, maternity scanning and day assessment unit can be found within the Children’s Outpatient and Shrewsbury Midwifery Unit (in the Copthorne Building, formerly the Maternity Unit).
Shropshire Breastfeeding Support
Telford & Wrekin Breastfeeding Support
Baby Box Guide
Pregnancy: Flu, Whooping Cough, Rubella
After the Birth: Caring for you and your baby
Information for pregnant women with a body mass index (BMI) of 35 or above
What happens if my baby is breech?
Car Seat Warning
Car and Booster Seat Law and Advice
Clinical Risk Assessment
Consent to treatment or procedures
Group B Strep: Prevention of infection in babies
Group B Strep Support
If your baby is not growing as well as expected
Home Birth Information
What happens if my baby is measuring large for dates?
Latent phase of labour
Feeling your baby move is a sign that they are well
Multiple Pregnancy information
Neonatal Unit – Parent Guide
Parent Education (Online)
Pelvic Girdle Pain
Pregnancy information booklet
Serious Symptoms in Newborn Babies
Sickness in pregnancy (Hyperemesis)
Prelabour rupture of membranes (after 37 weeks)
Vaginal birth after caesarean section (VBAC)
Royal Shrewsbury Hospital
01743 261000 (Switchboard)
Princess Royal Hospital
01952 641222 (Switchboard)
Maternity Engagement Useful Documents
Maternity Review and Reports
Maternity Sign Up To Safety
Interested in working with us?
For more information about vacancies in the Trust please visit our Belong to Something website.
For information about our birthing units please see the left hand menu.