Midwives on the postnatal ward

Midwives on the postnatal ward

New mother sits up in hospital bed while she and a midwife look down at her crying baby in an adjacent cot As part of your wellbeing and follow-up care your midwives will:  
  • perform several checks on you before you go home
  • arrange any medication you may need to take with you
  • check how well your baby is feeding and talk through the things you can expect once at home
  • arrange for a midwife to visit/contact you within the next two days
  • give you some important paperwork, including the Personal Child Health Record (or red book).

Identification for your newborn baby

Identification for your newborn baby

Close up of baby's feet with identification bands round each ankle After the birth, the midwife will prepare two infant identity bands. Each band will include the mum’s surname and the hospital number. Details will be checked with the mum and/or partner against the mum’s printed patient identity band before placing it on the baby. A unique NHS number and hospital number will be generated for your baby shortly after birth. The NHS number will remain with your baby throughout their life.

Vitamin K for newborn babies

Vitamin K for newborn babies

New born baby is injected in foot while lying on electronic weighing scales Soon after birth, your midwife will offer to give your baby vitamin K by either injection (once only) or oral drops (which are given in three doses). This is to prevent a rare but serious blood disorder, and can be given by injection or oral drops. If you opt for oral drops your baby will need to receive further doses. The decision to have oral doses may impact on future treatments until all three doses are received, for example, release of tongue tie.

Your baby: straight after birth

Your baby: straight after birth

New born baby lies on electronic weighing scales During skin-to-skin contact with your baby, he or she may show early feeding cues. Your midwife will support you in feeding your baby shortly after birth. Some babies want to feed very soon after birth, whereas others take several hours to show signs that they are ready to feed. Some babies are alert after the birth, whilst others may become sleepy. When holding your baby ensure that their nose and mouth remains unobstructed by your body, towels or clothing. Your baby’s weight will be checked, and a midwife or neonatal doctor will check him/her from top-to-toe to exclude any major abnormalities. Your baby will be offered a supplement of Vitamin K. In some rare cases, your baby may need to be transferred to the neonatal unit for a period of time for specialised treatment. This is more common with babies born prematurely, very small, with an infection or through a particularly complicated birth. If this happens to you, you will have plenty of support and help from your maternity team.
Breastfeeding in the early days

You: straight after birth

You: straight after birth

Close up of new mother sitting up in a hospital bed and holding her new born baby After your placenta has been delivered, your midwife or doctor will ask to check and see if you have any tears to the perineum and/or vagina that might require stitches. If you do need stitches, your midwife or doctor will explain this to you. Before stitching your midwife or doctor will ensure the area is numbed with local anaesthetic, or if you have an epidural already, this will be topped up. Most tears will be repaired in your birthing room, more significant tears require repair in an operating theatre. Tears are repaired using dissolvable stitches and normally heal within a month of birth. All women will lose some blood after giving birth, this happens because the area of the womb where the placenta was attached takes time to heal. Bleeding may be heavy immediately after the birth, but will reduce significantly over the next few days and weeks. Bleeding will normally last between two and six weeks. Your midwife will check on your bleeding regularly straight after birth. If there is significant bleeding this is called a postpartum haemorrhage (PPH). Your midwife and doctor will take prompt action to stop ongoing blood loss.

Skin-to-skin contact

Skin-to-skin contact

New mother holds her new born baby to her bare chest under a sheet After your baby is born, so long as they are well, you will be encouraged to have immediate skin-to-skin contact. This type of contact is known to be beneficial to both mother and baby by:
  • regulating your baby’s breathing, heart rate, temperature and blood glucose levels
  • soothing and calming your baby
  • encouraging early breastfeeding and increased milk production
  • supporting longer term breastfeeding success.
If, for any reason you are not well enough to have skin-to-skin contact with your baby, your partner can do so instead. Side view of father holding him newborn baby skin-to-skin Even if your baby needs help with breathing after birth, or to be seen by a neonatal doctor, you will be offered skin-to-skin contact as soon as practically possible. It is very important that your baby’s chin is free from obstruction and that a clear airway is maintained. Read the important safety considerations in the UNICEF Baby Friendly Initiative related link below.
Skin-to-skin contact – Dr Nils Bergman

Meeting your baby for the first time

Meeting your baby for the first time

New mother in a birthing pool holds her newborn baby for her birthing partner to hold Meeting your baby for the first time can cause many different emotions in new parents. After months of build up to the birth, you may feel elation and an instant rush of love but don’t be concerned if you initially feel dazed and disconnected, or have concerns over whether the baby is alright. Making an emotional connection with your baby can take time. It is important to remember that there is no right or wrong way to feel about your newborn and that for some parents it can take quite a while to adjust to the fact that labour is over and their new baby has arrived.
Meeting your baby for the first time

Emergency caesarean birth

Emergency caesarean birth

Crying new born is delivered in an operating theatre setting Around 15% of babies are born by emergency caesarean section, either during pregnancy or labour. You may need an emergency caesarean section if:
  • your baby’s head is too big for your pelvis, or in the wrong position
  • your labour doesn’t move on, your contractions are weak, and your cervix hasn’t opened enough
  • your baby is distressed, and labour hasn’t gone far enough for you to have a safe forceps or ventouse delivery
  • you develop a serious illness, such as heart disease or very high blood pressure
  • for some other reason your baby needs to be born quickly, for example because of placental abruption (where the placenta separates too soon).
Most women will have an epidural or spinal anaesthetic to ensure they do not feel the operation, however in some cases where the pain relief isn’t adequate, or there isn’t enough time to put the spinal in, a general anaesthetic might be advised. The obstetrician will make a 10 to 15cm cut at the bottom of your abdomen, just at the top of your pubic hairline, which is big enough to deliver your baby through, then a cut through your womb to reach your baby, usually after a delay of one minute. You may feel some tugging when your baby’s lifted out – sometimes this is done by hand and sometimes with a pair of forceps. Your baby will have have their umbilical cord clamped and cut, be quickly checked over by the baby doctor, and if everything is well they’ll be passed to you or your partner, so you can hold them and have skin-to-skin contact. The placenta and membranes are delivered then the cut in your womb and abdomen are closed with stitches. It normally takes about 10 minutes to deliver your baby, and 30 to 40 minutes to complete the stitches. There are some associated risks with caesarean section delivery, for both you and your baby and your team will discuss these risks with you prior to the surgery. Recovery from emergency caesarean is the same as recovery from a planned caesarean.
What is involved in a caesarean?