Methods For Transferring Maternity Care?

Collaboration within an integrated maternity care system is crucial for optimal mother-baby outcomes. All women and families planning a home or birth center birth have the right to respectful, safe, and seamless consultation, referral, transport, and support. Two model transfer forms were created to accompany the Best Practice Guidelines: Transfer from Planned Home Birth to Hospital and New! A third model aims to reduce maternal morbidity and mortality by encouraging the growth and maturation of systems for the safe and mutually respectful transfer of care.

Transfer of care can occur at any time during the prenatal, intrapartum, postpartum, or newborn phase. The transfer is typically initiated by the midwife after a shared decision. The Blueprint is an invaluable guide for professionals and organizations working to transform maternity care practices in the UK.

In 2015, the WHO published a quality of care vision for maternal and newborn health that outlines eight aspirational “standards” of quality maternal and newborn health care. Every transfer of care must be documented in clinical notes, including the date and time of transfer.

It is important to only receive maternity care from one NHS hospital at a time and choose to transfer your care between hospitals at any point. You can give birth at home, in a unit run by midwives (a midwifery unit or birth center), or in hospital.

To change trust or health board at any point in pregnancy, you can ask to change Trust or Health Board at any point in your pregnancy. You can choose a hospital or birth center further away from where you live, known as combined care or shared care.


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Can I request to change my midwife?

Maintaining a good relationship with your midwife is crucial during pregnancy, as it allows you to discuss any concerns or issues. If you feel uneasy, you can change midwives. At the hospital, you can contact the midwife in charge of the ward, ward matron, consultant midwife, professional midwifery advocate, or the head of midwifery. If you’re not satisfied with your community midwife, you can contact the community midwifery manager or the Head of Midwifery. This ensures you receive the best care for you and your baby.

Can I give birth in a different hospital?

Your GP will inform you of available maternity services in your area, and you can choose which one to use. If your GP doesn’t refer you to the chosen hospital, you can refer yourself. The UK government mandates that everyone can choose between giving birth in a hospital, a birth centre, or at home. A full discussion of the risks and benefits of each option should be provided. If there is no birth centre in your area or you want to use a different one, you can ask your GP to refer you or refer yourself.

How do I change where I give birth?
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How do I change where I give birth?

If you want to change maternity providers, you need to inform your current named midwife who will inform the new provider where you wish to give birth. This usually involves a new booking appointment and changes in your named midwife and maternity team. For example, if you choose to give birth in the alongside midwifery unit at trust A and change your mind at 34 weeks, you should inform trust B of your intention to change. Trust B will arrange a booking appointment and all follow-up antenatal appointments.

You should not stop attending antenatal appointments with your named midwife from trust A until you have transferred care to Trust B and been given a new named midwife. It is important to have choice around the place of birth and make changes if needed, as changing your place of birth may affect the continuity of your midwifery team.

How do you switch midwives?

To change providers in pregnancy care, you need to ask your old provider to transfer your prenatal records to your new provider, either on your behalf or initiating the transfer yourself. You also need to provide your new provider with your insurance information. Before choosing a provider, ask about their protocol for switching care, as each practice has its own requirements. Pregnancy care is a partnership between you and your provider, and shared decision-making, mutual respect, and trust are crucial. If you’re not getting what you need from your current relationship, you have the right to find someone who fits your needs better.

Can I transfer my maternity care?

You can change your Trust or Health Board during your pregnancy, and you can choose a hospital or birth center further away from your home. You have the right to be cared for by the same midwife during your pregnancy, see the same doctor and midwife if an obstetrician is leading your care, and change the midwife or obstetrician. You can also change the Trust or Board, choose the midwife or doctor who gives you postnatal care, and explore alternatives to NHS maternity care. Having continuity of care means seeing the same midwife or team of midwives at each routine appointment, but may not be available if you receive emergency care.

Can I transfer to midwifery?

To become a midwife, you need a three-year midwifery degree, or a shorter 18-month course for registered adult nurses. You can register with the Nursing and Midwifery Council (NMC) and spend half of the degree on supervised practice placements in community and hospital settings. You’ll learn about the physical, emotional, social, political, and cultural aspects of maternity care in the UK. To find a midwifery degree, visit the NHS Careers website, visit each university’s website, and attend an open day to talk to lecturers and current students. After choosing a course and university, apply through UCAS.

Who pays my maternity pay?

Your employer pays your SMP, which is the same as your salary, and deducts any tax and National Insurance contributions. You can claim your SMP back from HM Revenue and Customs (HMRC). SMP can be obtained even if you don’t plan to return to work or end your job after the 15th week before your baby is due. Occupational maternity pay, provided by your employer, can top up your SMP to full or half pay for a few weeks. For more information, refer to the section on Occupational Maternity Pay.

Can I change my maternity leave?

In order to modify the commencement date of maternity leave, it is necessary to provide the employer with a minimum of 28 days’ advance notice, or alternatively, to agree upon a new date. In certain circumstances, an early commencement of leave may be warranted, such as in the event of pregnancy-related illness occurring four weeks prior to the expected date of delivery. The commencement of the aforementioned leave shall be on the subsequent day following the initial day of absence within the aforementioned four-week period.

Can I go to a different hospital other than my local for giving birth?

In the event of labor, hospital emergency rooms are accessible to all individuals, regardless of insurance status. In the event that one intends to give birth at home, it is advisable to ascertain whether one’s health insurance plan includes coverage for home births and to consult with a midwife or physician regarding the matter.

Which country is best to give birth?
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Which country is best to give birth?

Poland is the top destination for giving birth globally, with an overall score of 7. 05. The country is recognized as the best place to give birth worldwide, followed by Estonia with a score of 6. 98, and Japan with a score of 6. 82. Belgium has a score of 71. 51, and Greece has a score of 43. 4 weeks. The birthing experience can be both magical and stressful, with factors such as access to maternity packages, healthcare fees, and hospital planning affecting the experience.

Health insurance policies may cover the baby’s birth and related services, depending on the policy. Health insurance experts at Compare the Market Australia have analyzed the benefits and difficulties of giving birth in different countries to determine the best experience.

When is it too late to switch to a midwife?
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When is it too late to switch to a midwife?

Switching to a home birth is not too late, as long as you communicate your desire to your healthcare provider. Many midwives are open to new clients, provided you and your baby are healthy and there are no complications. Factors to consider include health and safety, midwife availability, and preparation. A midwife will assess your medical history, current health status, and potential risks before agreeing to a home birth. Preparation can be done with proper planning and support. Switching to a home birth later in pregnancy can offer numerous benefits, including improved health, reduced stress, and reduced costs.


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Methods For Transferring Maternity Care
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Rae Fairbanks Mosher

I’m a mother, teacher, and writer who has found immense joy in the journey of motherhood. Through my blog, I share my experiences, lessons, and reflections on balancing life as a parent and a professional. My passion for teaching extends beyond the classroom as I write about the challenges and blessings of raising children. Join me as I explore the beautiful chaos of motherhood and share insights that inspire and uplift.

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