Maternity Services

We offer a range of services for women and their families before, during and after birth. We aim to work with you to ensure that the care you receive is tailored to your unique situation.

We recognise that you may have concerns during your pregnancy and we would encourage you to speak to your midwife if there is anything you would like to talk about. We are aware that women from ethnic minority communities or from vulnerable backgrounds may need support to access our services and we are here to help. Our midwives are happy to talk through any concerns you may have and will do everything they can to support you through your pregnancy.

Head of Midwifery and Gynaecology Kelly Stevens said; 

"Family is our focus at the James Paget Maternity Services. We would like to ensure you have the safest and best possible birth experience you can by listening to your choices and sharing our knowledge and expertise. We continue to shape the future of our service by co-designing and developing it in conjunction with those that know it best; you, our service users.

"May I extend to you the warmest of welcomes to our Maternity Department."

Maternity Update – Coronavirus/ COVID-19

The maternity department at the James Paget University Hospital are allowing partners to attend all scans and Antenatal Clinic appointments.

For maternity services, birth partners can attend the Maternity Ward between 10am and 10pm daily - and two birth partners can be present for births. 

Please can no children be brought to scan or Antenatal Clinic appointments. Women and birthing partners will be risk assessed for Covid-19 on arrival. Please wear a surgical mask. These will be supplied on arrival if you do not have one. If a partner refuses to wear a mask at all times while in the hospital, unless this is clinically indicated, they will not be permitted to attend. Partners attending antenatal clinics and ultrasound appointments will be required to wait outside until called.

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All pregnant women in the UK over the age of 16 have now been offered COVID-19 vaccination.

COVID-19 booster vaccines are being offered to pregnant women in eligible groups, including frontline health and social care workers and those with underlying health conditions, six months after their second dose.

Studies have shown that hospital admission and severe illness are more common in pregnant women (compared to those not pregnant), especially those in the third trimester of pregnancy, and that stillbirth and preterm birth is more likely (compared to pregnant women without COVID-19). Pregnant women with underlying medical conditions are at higher risk of severe illness.

Vaccination is recommended in pregnancy, but the decision whether to have the vaccine is your choice. The information link below will help you make an informed choice about whether to get the COVID-19 vaccine if you are pregnant or trying to get pregnant.

However, if you are worried and think you have symptoms of coronavirus, please contact NHS 111 or your GP and inform your maternity care team.

https://www.rcog.org.uk/globalassets/documents/guidelines/2021-02-24-combined-info-sheet-and-decision-aid.pdf

Information for people of child-bearing age, and their families, about the COVID-19 vaccination and pregnancy, breastfeeding and fertility is now available on the Just One Norfolk website. 

This includes films, Q&As and links to national and local resources.  Please visit; https://justonenorfolk.nhs.uk/covid-19-coronavirus-faqs/covid-19-vaccinations to find out more.

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As you may already be aware, we have had to make some changes to our antenatal care schedule in view of the current pandemic. We are working really hard to keep you and your families’ safe, as well as our staff. We know that some of the adjustments made are not ideal, however, we hope we have your support and understanding at this time. If you are unsure about anything, please speak to your midwife.

Here is revised antenatal schedule, please note that this may change due to the continuing updates:

Your booking appointment - Bookings are in person where safe to do so. Your blood pressure, booking blood test, urinalysis and BMI (weight and height) will be taken at this appointment. 

Midwives will see you in person throughout your care where this is possible. Consultant appointments are in person.

12 week dating scan - This is dating scan only.

16 week routine appointment - in person where possible, but this may be a telephone conversation with your midwife.

20 week anomaly scan - At this appointment your blood pressure and urinalysis will be taken, as the 16 week appointment may be a phone consultation. 

25 week routine appointment - This is being re-introduced and this will be a face to face for everyone, where possible.

28, 32, 36, 38, 40 and 41 week routine appointment - will all remain face to face appointments for everyone at present.

Antenatal appointments - Please see above for more information - a partner may accompany you subject to the above.

Postnatal visits - During these visits please can we ask that the midwife can assess you and your baby in a room alone, away from other family members.

ULTRASOUND DEPARTMENT NOTICE

Attending ultrasound scans; A birthing partner may attend with someone who is pregnant, please see above for more details.

For everyone’s safety and to reduce the overall number of people in our hospital, we must ask that the person brought to the appointment is the same person every time.

Pictures

If your partner is unable to attend we will offer you one free image of your babies face, providing we are able to obtain one. In later gestations this is often not possible to the low position of baby in your pelvis.

We will ask you to pay for any further scan pictures to share with extended family as normal.

Please understand that your maternity care is essential, and has been developed over many years to reduce complications in mothers and babies. It is important that you continue to attend your scheduled routine care when you are well. However, if you are self-isolating or have possible symptoms of coronavirus, please inform your midwife or the Antenatal Clinic and we will make other arrangements and reschedule your appointment where necessary. Please do not attend your appointment in this case without first speaking to your community midwife or Antenatal Clinic. 

If you have any concerns or queries, please speak to your community midwife or visit our Bumps and Babies Facebook page for non-urgent, frequently asked questions. If you have any urgent concerns, please contact delivery suite.

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Early in pregnancy you will meet a Community Midwife who will ‘book’ you. Together you will decide who is the most appropriate professional to co-ordinate your care; this may be a Midwife or a Consultant Obstetrician. At this time you will receive information about the screening tests, scans and appointments that are available to each woman. You will also be provided with telephone numbers for accessing 24 hour support.

We will help you to plan for your birth, aiming to provide the latest up to date evidence to support you in your decision making about this important experience. Depending on your individual situation you may be offered Home, Delivery Suite or the midwife led Dolphin Suite: we will ensure you have all the information to enable you to choose the best place for YOU! A preparation for birth workshop is available in the later part of pregnancy.

We will help you to prepare for life as a parent.

Our Antenatal and Postnatal ward provides for women who need to stay in hospital either before or after birth. Community midwives continue your care at home after discharge from hospital.

What services are provided?

• Antenatal clinic
• Ultrasound
• Community midwifery
• Antenatal/Postnatal wards
• Maternity Assessment unit
• Delivery Suite
• Dolphin Suite Midwife led unit
• Specialist Midwives: mental health, diabetes, infant feeding

How can I get a referral?

Your GP surgery will refer you to the Antenatal clinic or the Community Midwife to begin your care with us.

Where is the department located?

The antenatal clinic, delivery suite and Dolphin Suite are located upstairs at the James Paget Hospital: follow the signs.

Community midwives clinics are held in GP surgeries and Children’s Centres: your Community Midwife will tell you where you should attend.

What are the opening times?

Antenatal clinic: Monday to Friday 9:00 – 17:00.

Delivery Suite: 24 hours                

Dolphin Suite: 24 hours

Ward 11: 24 hours                     

How can I contact the department?

Antenatal Clinic 01493 452266

Delivery Suite 01493 452480

Dolphin Suite 01493 453640

Ward 11: 01493 452011

Community midwives carry mobile phones, but may be unable to answer immediately due to clinical activity or being off duty. The voicemail message on her phone will give you further instructions.

If you require urgent help call Delivery Suite 01493 452480.

Useful links and information

Support for parents with crying babies;

 https://iconcope.org/

Norfolk and Waveney Local Maternity and Neonatal Services - Multi-lingual Maternity resources

Norfolk and Waveney LMNS Multilingual maternity resources (padlet.com) 

Free learn English course

The James Paget is working with Frisby College, based in Great Yarmouth, to offer an opportunity to learn English online for free to help new parents. Please see below for more details (please click on the image for a larger version) and please share this with anyone who may benefit. For more information please contact Nina Abbott - nina.abbott@jpaget.nhs.uk

CQC Maternity study - please click on the image above for details