Regulations 28 (1) of The Coroners (Investigations) Regulations 2013 ‘applies where a coroner is under a duty under paragraph 7(1) of Schedule 5 to make a report to prevent other deaths’. Midwife Oluwofobi therefore gave false evidence at this inquest. Staff at Homerton follow Public Health England infection prevention and control guidance stringently and use appropriate PPE in order to promote a safe environment. Everyone having their baby in the birth centre or on our delivery suite will be able to have two birth partners. If you need a language translator for the call - ELLMS will provide translators. Site map, Homerton Maternity Helpline If you are infected with Covid-19 you are still most likely to have no symptoms or a mild illness from which you will make a full recovery. Based on first-hand information provided by these brave midwives – I wish to make you aware of the following: (1) There is crucial evidence relating to the fact that, just prior to her death – Ms Caulker (the mother who died) was certified medically fit for discharge – and was in fact discharged from Homerton’s maternity unit. It is therefore vital that you continue to see us for all planned care. Print this page Home visits can be arranged in late pregnancy and the early postpartum period. Pregnant persons are still required to attend dating scans (11-13 weeks) and late gestation scans alone. It is important that you continue to attend all of your planned care as long as you remain well. Maternity care is essential and has been developed over many years to reduce complications in pregnant women and babies. ‘Dicharged’ meaning – that after the doctor reviewed her – he found her to be medically fit to be discharged. These patient safety concerns were raised to the Delivery Suite Matron and the Head of Midwifery – however, there was a subsequent failure by these two individuals to address these serious concerns. Whether you are attending for antenatal appointments, scans or during labour, birth or the early postnatal period you will be met with dedicated professionals who will have the skills, resources and equipment to provide a safe and caring environment for you and your baby. You can: If you test positive for coronavirus, you should contact your midwife or antenatal team to make them aware of your diagnosis. Disclaimer-important information about the Hackney Local Offer. What should I do if I have suspected coronavirus? We recently shared, that due to the COVID 19 pandemic, we were temporarily suspending our homebirth service. As we have always been, the maternity team are committed to providing outstanding care to our families. This will alert staff that they may need to escalate for a review and possible admission to hospital at an earlier point for those from BAME backgrounds. The narrative reads as though Ms Caulker was seen by the doctor and kept in hospital overnight – and it was during this time, she cried out in pain, collapsed and died later. It’s a bit like exercising - they make your immune system stronger! Changes to our Homebirth service during Coronavirus When you and your maternity team decide you need to attend the maternity unit, general recommendations about hospital attendance will apply: Your baby and Coronavirus Dr Gopinath Narayan, Consultant Psychiatrist 6 BEDS. If you have mild symptoms, you will be encouraged to remain at home (self-isolating) in early labour, as per standard practice. If you can advise or help us, or would like to share your experience, please get in touch via any of our social media channels, Instagram: @homerton.maternity / @homerton_birthcentre / @homerton_homebirth, Book early for maternity care and keep all your appointments – whether in person or virtual. If this is an option that you would like to consider please complete this homebirth enquiry form and the Homerton Homebirth team will contact you as soon as possible. GP REFERRAL ACCEPTED This midwife (Midwife X) was not responsible for Ms Caulker’s care prior to this time – but was simply passing by the room when asked by the doctor to chaperone him. email@example.com/ firstname.lastname@example.org, Ella Hill Behari A adult of your choice will be able to attend both the 12 week (dating) and the 20 week (anomaly) scans, provided they do not have any COVID-19 symptoms. If you cannot attend an appointment because you have symptoms or are self-isolating due to a household member then please call the Homerton Maternity Helpline on 0208 510 5955 10am - 8pm each day or email on: huh email@example.com. There are some reports from China which suggest women with confirmed coronavirus have been advised to separate from their baby for 14 days. You can also contact our maternity helpline on 0208 510 5955 10am - 6pm daily to speak confidentially to a midwife, or email our consultant midwife to discuss this via firstname.lastname@example.org. Winchester Mother & Baby Unit Thumbswood Mother & Baby Unit Hampshire Partnership NHS Trust Melbury Lodge Romsey Road Winchester SO22 5DG website Winchester Mother & Baby Unit Tel: 01962 897711 Consultant Psychiatrist: Dr Alain Gregoire Number of beds: 6 Hertfordshire Mother & Baby Unit Thumbswood Mother & Baby Unit Adult Mental Health Services - Newham Directorate . There is no evidence that women with suspected or confirmed coronavirus cannot have an epidural or a spinal block. Care will be continuous, personal and responsive to a woman’s health, social and emotional needs. In order to minimise face-to-face contact we have conducted a risk assessment and cancelled some appointments and transferred some others into telephone only. Involving all staff in discussion and training regarding unconscious bias, engaging in hospital-wide work to dismantle systemic racism, and reviewing our services to find ways we can adapt services to better suit families from different cultures and backgrounds. We work in a twelve bed mother and baby unit where we look after women who are either in late pregnancy or up to a year post-birth. The care we provide will aim to respect the diversity of women’s needs and the variety of personal and cultural values that women, families and communities bring to these events. Contact details: Maternity Helpline 7 days per week, 10am – 6pm: 0208 510 5955, Out of hours: Delivery Suite on 0208 510 7351 / 7352 / 7353, Ensure you are regularly taking a vitamin D supplement (at least 10 micrograms daily). If you are worried about NHS maternity care charges, you can view information about whether this would apply to you via the Maternity Action website or by calling their maternity rights advice helpline for independent legal advice on: 0808 802 0057 (Freephone) Mon/Tues/Thurs/Fri 10 am – 1 pm. tel: 020 8510 7404 Chief Nurse Jane Clegg visits the Mother and Baby Unit at Homerton Hospital to find out more about how they care for mothers, babies and their families following a … Jasmine Lodge Mother and Baby Unit (8 beds) Wonford House, Dryden Road, Exeter, EX2 5SN Tel: 01392 539100 LONDON Coombe Wood Perinatal Health Unit, (8 beds)19 Park Royal Centre for Mental Health, Acton Lane, London, NW10 7FL Tel: 020 8955 4495/6/8 East London Mother and Baby Unit (12 beds) Homerton Hospital, Homerton Row, Hackney, London, E9 6SR Back to top of page The appointments and scans which remain face-to-face are vitally important for us to be able to ensure the health of you and your baby so please continue to attend them if you are well. We are working hard to reduce the increased risk of a number of poor outcomes that are not related to coronavirus but have been shown to affect women and babies from BAME backgrounds. I am writing to you regarding Homerton Hospital’s suppression of crucial evidence/information and their serious misleading of the coroner’s court – at an inquest into a maternal death which occurred at Homerton on 17th January 2015 – in which you were the presiding coroner. There is also a weekly Zoom call taking place at 11am on Wednesdays during Covid-19, which is chaired by the Head of Maternity for East London along with the local commissioners and MVPs. Hackney's Local Offer website is a free and impartial service provided by the London Borough of Hackney in partnership with the NHS, local education, health and community services. Only call 111 if you cannot get help online or you do not have access to a computer. This was a difficult decision for us to make as we have spent many years building up our homebirth service and are proud of the work that our homebirth team undertake. You need to get the test done in the first 5 days of having symptoms. Babies and children under two should not wear masks or other face coverings, as they may risk suffocation. The second mother and baby unit was in homerton hospital and they diagnosed me with a illness with out proper assessment. Abstract. Although midwifery staffing within the maternity has begun to improve this is a situation which will be reviewed and risk-assessed daily with a view that, in case of staffing issues and/or high activity, our on call midwives may be needed to support the acute service. tel: 020 8510 5235 We would welcome hearing your views on maternity care and how Homerton can provide the best care to women of BAME backgrounds, both during the pandemic and in the future. Our midwives look after women at the hospital antenatal clinic, at local GP surgeries and children’s centres. The continuous fetal monitoring is to check how your baby is coping with labour. Care Quality Commission inspection ratings. Hackney, London, E9 6SR (020) 7655 4000. New evidence from America suggests a similar pattern of disease severity to the general population. As we learn about the risk of pre-term birth and coronavirus infection, we will update this information. When you attend hospital or community appointments you will receive a text message beforehand advising you not to attend if you have symptoms of Covid-19. She may have been physically present in the department – but only for the reasons stated above. But it will cause your body to create a defensive immune response that will be activated and protect you if you come into contact with the flu virus. (7) In fact, Ms Caulker borrowed the use of a phone from a person present on the ward around the time of her discharge – and made a phone call and sent a text message – in relation to arranging transport following her release from hospital. Please note the homebirth team only cover the City, Hackney and a small part of Waltham Forest. In order to promote social distancing we have put into place new measures to reduce the number of face-to-face appointments during pregnancy and the postnatal period. For your ease of reference – the narrative determination verdict can be found in the link below: LINK: CLICK HERE FOR NARRATIVE DETERMINATION. Do not share towels or cutlery. Address:City and hackney centre for mental health, Homerton Row, London, E9 6RS. We provide parent education classes to help you prepare for the birth and for parenthood. Review titled Made to feel like an inconvenience ★★★ out of 5 Rated 3 stars out of 5. by Anonymous - Posted on 15 July 2020 Going through a miscarriage, never told the results on time, when calling up to ask for results, made to feel like an inconvenience for daring to ask - I know the nhs is busy but I also work in healthcare and know the importance of giving upsetting results on time. for yourself, if you have coronavirus symptoms now (a high temperature, a new, continuous cough, or a loss or change to your sense of smell or taste), for someone you live with, if they have coronavirus symptoms, for yourself, if you have been told to have a test before you go into hospital, for example, for surgery. The main risk of breastfeeding is close contact between you and your baby, as you may share infective airborne droplets, leading to infection of the baby after birth. The Other Side of Waiting’ is a series of six interconnected artworks for a range of spaces in the new Mother and Baby Unit being built at Homerton Hospital in East London. (3) Ms Caulker was discharged from the department that night. Note: Questions marked by * are mandatory. Tell us if you have any concerns about your care. For this reason it is essential that you attend any face-to face care which is scheduled for you. 2 7 days to go. Please bear in mind that we may be required to reduce the visiting capacity again if we experience a second wave of infection and work with us to keep everyone safe and well. (3) Evidence proves that at the inquest, Midwife Tayo Oluwofobi was untruthful in her statement that the maternity department was ‘busy’- when this again was not the case. email: email@example.com, Mr Yinka Akinfenwa If you live with other people, the whole household and your support bubble will be required to self-isolate for 14 days. There are a number of ways we are doing this: Important things you can do to care for your and your baby’s health: Shirley Peterson Pregnant persons are still required to attend all other scans alone, Children are not permitted at any appointments unless, Antenatal inpatients can have one visitor daily between 2-6pm (same person each day), Postnatal inpatients can have one visitor daily between 2-6pm (same person each day), Keep your distance if you go out (2 metres apart where possible). As this is a new virus, there is limited evidence about managing coronavirus infection in women who have just given birth. Royal College of Obstetricians and Gynecologists (RCOG): https://www.rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancy/. Some women may be asked to pay for their care. It is known from other respiratory infections (e.g. Ask friends, neighbours, and delivery services to leave food and essentials on your doorstep (including medication). Inpatient beds are available at the Homerton Mother and Baby Unit. Its important to have the flu vaccine in pregnancy to protect yourself and your baby even if you feel well, Like wearing masks against coronavirus, the flu vaccine protects not only you, but also helps prevent you passing it on to other people in vulnerable groups, like the elderly or those with certain health conditions, If you get flu and coronavirus at the same time, research shows that you’re more likely to be seriously ill. Check you’re ready for 2021. tel: 020 8510 7350 If you notice any signs of pain, swelling and tenderness in one leg, usually at the back of the lower leg (calf), a heavy ache or warm skin in the affected area or red skin, particularly at the back of your leg below the knee) then contact Delivery suite immediately by phone. Deputy chief nurse and head of midwifery Postnatal appointments with Consultants will usually take place via telephone. We will be gradually restarting visiting on the postnatal ward, starting with a single visitor, who must be your primary birth partner, between 2pm and 6pm daily. It is therefore imperative that pregnant women follow guidance by the UK government. email: firstname.lastname@example.org, Paula Griffin The above events differ from what was disclosed to the coroner’s court – and this is a matter of great concern – especially in regards to the credibility of the information and evidence provided by Homerton Hospital. Pregnancy and birth are very significant events in a woman’s life and that of her family. Some babies born to women with symptoms of coronavirus have been born prematurely. However it has long been known that, whilst pregnant women are not necessarily more susceptible to viral illness, changes to their immune system in pregnancy can be associated with more severe symptoms. Stillbirth and neonatal deaths at Homerton exceed the average for England, according to a report published in December by MBRRACE-UK (Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries), a research unit run by Oxford University. Developing a pregnancy-specific COVID-19 assessment tool that includes ethnicity as a risk factor for more severe disease. A Mother and Baby Unit (MBU) is a specialist inpatient treatment unit where mothers with mental illness are admitted with their babies. What the updated guidance means for you and your pregnancy I previously wrote to you on this matter on 7th July 2015 – however, having had no response – I feel compelled to write an open letter to you as this matter is in the public interest. Consultant Psychiatrist Dr Olivia Protti and her experienced clinical team provide excellent care in a multi-therapeutic environment. This 14 day period may be reduced as more information on how infected people are in recovery becomes available.If you have recovered from coronavirus and tested negative for the virus before you go into labour, where and how you give birth will not be affected by your previous illness. Regularly auditing our outcomes via ethnicity so that we can identify areas for increased focus and service development. The involvement of the 3rd midwife appears to be conveniently absent from the inquest/report. Associate medical director, Consultant Cbstetrician/Gynaecologist and lead consultant for fetal medicine We follow Public Health England infection prevention and control guidance stringently, use appropriate PPE and have made significant changes to both the environment of the hospital and visiting arrangements promote social distancing. Women and their accompanying adult will be screened (temperature check and risk assessment questions) at the hospital entrance prior to admittance. Protect your baby from the increased risk of being born prematurely, not growing well, stillbirth and death in the first week of life, all of which are slightly more likely if you have flu in pregnancy. Keeping mother and baby together should be a high priority, but it can be like talking to a brick wall to try to arrange the transfer,' says Costeloe. As continuous fetal monitoring can only take place in an obstetric unit, where doctors and midwives are present, it is not currently recommended that you give birth at home or in a midwife led unit, where only midwives would be present. The Maternity Department overall is rated ‘Good’. As a precautionary approach, pregnant women with suspected or confirmed coronavirus when they go into labour, are being advised to attend an obstetric unit for birth (rather than the Birth Centre or a Homebirth), where the baby can be monitored using continuous electronic fetal monitoring, and your oxygen levels can be monitored hourly. 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