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Prioritising the most vulnerable women and their babies - adapting and restoring community maternity services Leadegship the most vulnerable women and their babies — adapting and restoring community maternity services Case study summary Key learnings from East Suffolk and North Essex NHS Foundation Trust ESNEFT : Maternity services adapted and face-to-face community midwife appointments reintroduced for women in vulnerable Roma communities Antenatal interventions provided the opportunity to build relationships and provide vital information and support around safe sleeping. The importance of tailoring services to meet the needs of the most vulnerable, particularly during a pandemic. Consider and mitigate against digital exclusion in service models to ensure the continued delivery Shared Leadership Case Study safe Shared Leadership Case Study Background to learning During the COVID pandemic, maternity services have had to adapt to continue to safely support Shated care for women across the maternity experience at a time when there has been extra pressure on healthcare services.
Many services have found themselves reducing staff commitments outside maternity units and have re-organised staffing to deliver care differently. Consultations have been offered by phone or by video link when this was appropriate. However, services have worked creatively to keep some visits in person, when routine checks have been vital for the wellbeing of mother and baby. This case study looks at how maternity services have been adapted and face-to-face community midwife appointments reintroduced for Sharedd in vulnerable Roma communities. Many women do not click here English and traditionally, may not be engaged with maternity services at any time through their pregnancy.
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In some parts of the Roma community in the East Sussex and North Essex area, there is evidence of women having been affected by people-trafficking. Midwives who supported Roma women continued to provide advice and support whilst the women were inpatients.
This reduced service was reviewed very early during lockdown, due to two sad episodes of Shared Leadership Case Study infant deaths which were found to be directly related to sleeping arrangements. Given the potential vulnerability across this community, midwives recognised the need to prioritise the resumption of community services as the initial pandemic peak subsided.
It was recognised that community midwife appointments in the home were a priority for this vulnerable community and were therefore organised accordingly. This enabled community midwives to develop trusting relationships from the outset, which allowed them to address sensitive issues such as safe sleeping and to undertake routine checks that may otherwise not have been accessed by the Roma women.
Similarly, the first community midwife visit after discharge and first health visitor appointment was speedily re-established, to provide support Caee vulnerable mums Shared Leadership Case Study their babies. Would it be beneficial to retain these changes? The introduction of antenatal interventions for the Roma population within ESNEFT has provided the opportunity to build relationships and provide vital information and support around safe sleeping within this vulnerable group. As the ability to deliver community services was constrained during the first peak of the pandemic, the trust recognised that remote and virtual service provision could limit access in this vulnerable group.
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