Public Health Midwives - Kirkby
2 specialist Midwives (1 in Kirkby (North) and 1 in Central/South) provide additional antenatal/postnatal care to vulnerable pregnant women or those in need of additional support.
Access to the service: Referral from universal midwifery service.
Kirkby (North Knowsley): Carmel Doyle, Tel: 07717 516 150, Carmel.firstname.lastname@example.org
Central and South: Allison Wright: Tel: 07769 234 394, Allison.email@example.com
Knowsley Children's Community Nursing Service offers support and advice for pregnant women, children, young people and their parents/carers living in Knowsley, up to the age of 19 years
Co-ordinate baby, bump and me antenatal education programme and oversee the PEEP – "Hholding your baby in mind" programme. Partnership working with smoking cessation service, weight management service, teenage pregnancy, breastfeeding, in relation to universal pathway development.
South/Central Knowsley: Provide additional short-term additional support / short assessment for a pregnant woman presenting with a short-term / minor concerns e.g. temporary low mood, housing issue. South/Central Knowsley - deliver parent education sessions as part of the healthy start / healthy futures teenage pregnancy group.
North Knowsley: Assessed at home following referral by community midwifery. Assessment of pregnant woman clinical and emotional requirements and family needs referral to
- Home-start for extra support.
- Antenatal attachment discussed and referred to ‘Holding Baby in Mind’ course at Children Centres.
- Referral to weight management service if BMI 30>if not already engaged with service.
- Discussion for further support from ‘Family First’ and referral completed and joint visit arranged.
- Referred to Centre 63 if < 26 years and requiring support regarding housing and debt advice.
- Conversation regarding values of breastfeeding and signpost to service for Infant Feeding Workshop.
- Discussion regarding risks of smoking, conversation with stop smoking service to confirm referral made at booking.
- If pregnant and under 19 years of age and not engaged with the FNP service clinical care on one to one basis offered and on-going support linking to appropriate services.
- If assessed as having low mood and lack of attachment with new-born referred for extra support:BABS (Building Attachments and Bonds Service)
Children Centres Extra postnatal visits offered. SIDS advice. Support for breastfeeding working in collaboration with Knowsley Breastfeeding Support Service. Referral to Home-start/Family First depending on need.
- Early Help Assessment commenced with consent with a multi-agency approach.
Postnatal support offered up to 6 weeks postnatally and handover of care provided to HV.
South/Central Knowsley: Complete a whole family early help assessment for a pregnant woman with multiple or more complex needs, can be single agency assessment with input from a school/nursery for the child’s voice, or may be multi-agency and a TAF arranged, Public Health Midwife will lead on that TAF and co-ordinate the package of support. Joint visiting with the clinical psychologist as part of the BABS (Building Attachments and Bonds Service) parent-infant psychotherapy service.
North Knowsley: Referred by CMW team LWH at booking for enhanced care and support from other agencies. Assessment of needs at home women offered one to one midwifery care at home depending level of need.
- Referred to appropriate service depending on clinical or emotional need.
- Referral to Perinatal Mental Health Service and ‘Building Bonds’ if consented. Professional meeting arranged between 32-36 weeks re plan of care for intra-partum and postnatal care.
- Joint visits arranged with FNP when required and one to one antenatal care offered and on-going support
- Smoking risks discussed and re-referred if not engaged with service.
- Values of breastfeeding discussed and the importance of attachment in the antenatal period for baby’s brain development referral and discussion with Knowsley Breastfeeding Support Service to arrange future joint infant feeding workshop linked to UNICEF ‘New Standards’
- Referral to CGL if appropriate.
- Discussion with HV and joint visit arranged if required.
- Early Help Assessment commenced with a multi-agency approach either as lead or a contributor.
- Enhanced postnatal visits linking into appropriate service’s.
- Supported at all multi-agency meetings.
- Postnatal support offered up to 6 weeks handover of care provided to HV.
South/Central Knowsley: Support a woman and family through the Social Care process. On occasions early help assessments are completed earlier in pregnancy and therefore prior to a pre-birth assessment, in order to establish needs and commence support plan. Liaise with Social Care in relation to pre-birth assessment / plan following birth. Participation in strategy meetings/ case conferences/core groups.
- Multi-agency approach
- Joint visit with social worker to discuss plan of care for woman in pregnancy.
- Woman and family linked into appropriate services e.g. Homestart, Children Centres (Freedom Programme)
- Joint visit with FNP if appropriate.
- Strategy meetings, Case Conferences, Core Group meetings attended and up to date information and engagement provided.
- Joint Infant Feeding Workshop offered discussing the value of breastfeeding and importance of attachment linked to UNICEF ‘New Standards’.
- If mental health issues referred to appropriate service Perinatal Mental Health Team (LWH) or Crisis Team at Clock View. Professional meeting at LWH between 32-36 weeks re plan of care for intrapartum and postnatal care.
- Supported with ‘Building Bonds’ one to one psychotherapeutic service addressing attachment and past trauma in order to form a bond with their new-born.
- Supported to access Knowsley Stop Smoking Service, Weight Management Service and CGL if needed.
- Support offered up to 6 weeks postnatally by providing enhanced postnatal visits.
- Supported with multi-agency meetings.
- Discharged at 6 weeks. handover of care provided to HV.