Your choice of maternity services...
If you are pregnant, you have a number of choices about where to go for your maternity care. The choice can depend on what services are available in your local area - as well as clinical judgement on what is going to be best for you and your baby – but the majority of women are able to personally choose their maternity care.
There are a number of quality standards and clinical guidelines which recommend that pregnant women are:
- Supported to access antenatal care, ideally by 10 weeks
- Cared for by a named midwife throughout their pregnancy
- Kept fully informed at all stages of their pregnancy
- Identified as needing and offered psychological support as appropriate
- Supported to plan their place of birth and, for those at low risk, this is appropriate at home or in a midwifery led unit
- Given smoking cessation support if they are a smoker
- Identified as needing specialist support and given additional attention
- Have a documented discussion of the option to plan a vaginal birth if they have already had one or more caesarean sections
- Receive breastfeeding support
There are three stages of maternity care:
- Ante natal care
- Post natal care
Women can choose where to go for each stage, but the provider must be within the local choice the CCG has identified. In Salford, our providers are:
- Bolton NHS Foundation Trust
- Central Manchester University Hospitals NHS Foundation Trust
- Pennine Acute Hospitals NHS Trust
- Warrington and Halton Foundation Hospitals NHS Trust
In addition, the standalone Salford Birth Centre, managed by Central Manchester Foundation Trust, is based at Salford Royal Hospital NHS Trust
What is the Salford Birth Centre?
The Salford Birth Centre is based at Salford Royal Hospital. It is open 24 hours a day, seven days a week, and provides midwife-led care. This means it is staffed by midwives from Saint Mary’s Hospital with no doctors. It offers extra choice of birthplace to the women of Salford.
Women can choose to give birth at the centre if they have had a healthy pregnancy with no complications and have a good chance of a normal delivery around the time their baby is due. On average, there are three births per week at the centre.
If the mother experiences any difficulties during labour or after delivery at the Salford Birth Centre, or need to be seen by a doctor, both mother and baby are transferred by ambulance to Saint Mary’s Hospital in Manchester city centre. They remain at Saint Mary’s for the rest of their delivery and postnatal care.
Relocation (April 2017 update) - what is happening?
The antenatal and postnatal services currently provided on the Salford Royal Hospital site will be moving to new locations within Salford from April 2017. The Birth Centre will continue to be based at Salford Royal until 30 September 2017 and the plan is to have an alternative site ready from October 2017.
What do we mean by antenatal and postnatal services?
Antenatal care is the care you receive from healthcare professionals during your pregnancy to check that you and your baby are well, give information to help you have a healthy pregnancy (including healthy eating and exercise advice) and answer any questions you may have.
Postnatal care is the care you receive from healthcare professionals after you have given birth, again to check that your baby is well and you are recovering properly.
Why are the services moving?
In 2015, doctors across Greater Manchester agreed to a major overhaul of NHS services by forming networks of linked hospitals working in partnership. The hospitals are now starting to work together as ‘single services’, providing specialist care with shared teams of medical staff.
Salford Royal is to become Greater Manchester’s stroke hyper-acute centre and a regional trauma centre. High-risk emergency and non-emergency surgery is set to be moved to Salford from other hospitals in Greater Manchester, meaning people in Salford will have one of the region’s most specialised hospitals on their doorstep.
To accommodate these specialist services and extra patients, Salford Royal needs to expand. This means the Salford Birth Centre and its antenatal and postnatal clinics, which are based at the hospital, need to move to community-based settings.
I’m pregnant – how does this affect me?
If you are pregnant or recently had a baby and you go to the Salford Birth Centre for your antenatal/postnatal appointments, you will continue to go to Salford Royal until April 2017.
If you are due to give birth between now and 30 September 2017, you can still choose the Birth Centre at the Salford Royal site.
From April 2017, you will be given a choice of alternative clinics in the community for your antenatal and postnatal appointments, such as those at children’s centres. Your midwife will be able to advise you on your options for clinic appointments post-April 2017.
We are planning to move the birth centre to a new site, which is currently undergoing significant refurbishment and we are planning to have this ready for October 2017. Again, if you are due to give birth post 30 September 2017, you will be advised by your midwives what your options are.