Covid-19 vaccination during pregnancy
The Joint Committee on Vaccination and Immunisation (JCVI) advises that pregnant women have the Covid-19 vaccination in pregnancy.
Pfizer and Moderna vaccines are the preferred vaccines for pregnant women of any age who are having their first dose.
Anyone who has already had the first vaccination and is offered a second dose while pregnant should have a second dose with the same vaccine unless they had a serious side effect after the first dose. Click here to find out more.
When you have been contacted to book your Covid-19 vaccination, you can do so by visiting the National Booking System here.
Download the Mum & Baby app for links to the latest government information on Covid-19 and pregnancy. It is available for download on Apple and Android devices — just search 'mum & baby' in your app store.
Where to get a Covid vaccine?
Lateral flow antigen testing for pregnant women and support people
To keep all pregnant women, people in labour and their support people safe while using maternity services during the coronavirus (Covid-19) pandemic, we are asking women and their support people to take a lateral flow test the day before their routine appointment.
You can find out how to do a lateral flow test and how to order one here.
Testing twice a week is recommended.
- If you and your support person both have negative results - please attend your appointment as normal
- If you have a positive result - please call your maternity team before your appointment, so we can plan your care following local guidelines
- If you have a negative result and your support person has a positive result - please call your maternity team before your appointment for advice. Your support person must stay home and follow government guidance. If we ask you to come into hospital, you can bring an alternative support person with you, as long as they have a negative test result
Recording your test results
When you come into hospital, we will ask you for the date, time and result of your last lateral flow test and will record this in your notes. We will also ask your support person for the date, time and result of their last lateral flow test and record this.
Please note: if you cannot provide proof of your lateral flow test result this does not mean we will not see you but we ask you and your support person to do the tests to help us keep our staff and everyone using our maternity services safe during the pandemic. Thank you for your support.
Ockenden review of maternity services
We are incredibly proud of the maternity care we provide to local people. Not only has our service retained its Good rating following a recent inspection from the independent regulator, the Care Quality Commission, but our teams have also set the standard for aspects of care across England.
The recent Ockenden Report that reviewed The Shrewsbury and Telford Hospital NHS Trust has understandably called into question parts of maternity care across the country.
Our maternity teams care committed to providing excellent care for our local community and are proactive in our approach to further tailor our service to their needs, based on best clinical practice and feedback from those we care for. When NHS England’s peer review into maternity services was launched, we successfully achieved full compliance to the seven immediate and essential safety actions set out in it. We have strengthened processes around escalating concerns, training compliance, and how women are involved in decisions around their care.
The full Ockenden Report was published on 30 March and additional safety actions have been recommended for maternity units across the country. These centre around seven immediate actions:
- A plan to implement the Perinatal Clinical Quality Surveillance Model, further guidance will be published shortly
- All maternity SIs are shared with Trust boards at least monthly and the LMS, in addition to reporting as required to HSIB
Listening to women and their families
- Evidence that you have a robust mechanism for gathering service user feedback, and that you work with service users through your Maternity Voices Partnership (MVP) to coproduce local maternity services
- In addition to the identification of an Executive Director with specific responsibility for maternity services, confirmation of a named non-executive director who will support the Board maternity safety champion bringing a degree of independent challenge to the oversight of maternity and neonatal services and ensuring that the voices of service users and staff are heard. .
Staff training and working together
- Implement consultant led labour ward rounds twice daily (over 24 hours) and 7 days per week.
- The report is clear that joint multi-disciplinary training is vital, and therefore we will be publishing further guidance shortly which must be implemented, In the meantime we are seeking assurance that a MDT training schedule is in place.
- Confirmation that funding allocated for maternity staff training is ringfenced and any CNST Maternity Incentive Scheme (MIS) refund is used exclusively for improving maternity safety
Managing complex pregnancy
- All women with complex pregnancy must have a named consultant lead, and mechanisms to regularly audit compliance must be in place
- Understand what further steps are required by your organisation to support the development of maternal medicine specialist centres
Risk assessment throughout pregnancy
- A risk assessment must be completed and recorded at every contact. This must also include ongoing review and discussion of intended place of birth. This is a key element of the Personalised Care and Support Plan (PSCP). Regular audit mechanisms are in place to assess PCSP compliance
Monitoring fetal wellbeing
- Implement the saving babies lives bundle. Element 4 already states there needs to be one lead. We are now asking that a second lead is identified so that every unit has a lead midwife and a lead obstetrician in place to lead best practice, learning and support. This will include regular training sessions, review of cases and ensuring compliance with saving babies lives care bundle 2 and national guidelines.
- Every trust should have the pathways of care clearly described, in written information in formats consistent with NHS policy and posted on the trust website. An example of good practice is available on the Chelsea and Westminster website.
Our maternity team is currently reviewing these alongside hospitals across north central London, and will assess how these are to be met over the coming months. Rest assured that we will not be complacent and will continue to improve a service we know is vital for our local residents.
A virtual tour
Feedback on our maternity services
We welcome all feedback on our services so that we can make it even better for local women.