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NMH Annual Report 2020

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72 Maternity and Obstetrics Aleemat Ejide, Labour & Birthing Unit Midwife. 2020 | NMH Annual Rep t a fear of delivery or a previous negative birthing experience. Some mothers actively avoid pregnancy and are grateful to have the opportunity to discuss their fears and anxiety. These women are referred by midwives, obstetricians or the mental health team for discussion and antenatal preparation. An increasing number of women are also referred to the Clinical Midwife Manager (CMM3) if they write a birth plan which needs a more detailed discussion with a member of Delivery ward staff. Evaluation, Feedback and Debriefing Following Delivery All women who attend the labour and birthing unit are invited to complete an evaluation form following the birth of their baby. The forms provide valuable feedback to staff regarding the experiences of women and their comments provide staff with insight as to how care given can be improved. The form is simple and has open ended questions to allow all points to be made. Most of the forms are completed by the women in the first few days postnatally. Once completed, these forms are returned to the delivery ward. They are read on a daily basis and initial adverse comments may be addressed while the women are still in hospital. Alternatively, women may request to meet with the CMM3 of the LBU and many concerns can be clarified as part of an inpatient discussion. A 'tick box' is provided on the form if women wish to discuss their care further. If any negative feedback is given or a woman indicates she wishes to discuss her labour/delivery the CMM3 of the labour ward will contact the woman by telephone. Some points can be dealt with over the telephone but for those who wish to have a more detailed discussion a follow up appointment is made for discussion with the labour ward manager and obstetric consultant in necessary. All completed evaluation forms are available on the LBU for staff to read and they are encouraged to do so. Both positive and negative feedback is discussed with staff who constantly strive to improve patient experience. The delivery ward staff work hard to provide a high standard of care and value any suggestions on service improvement. A list of the most common positive and negative points is given in the table on the next page.

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