Work, maternity/paternity leave and money

Work, maternity/paternity leave and money

Woman holding a mobile phone to her ear with one hand and carrying a clip board in her other hand After your 20 week ultrasound scan, you can ask your midwife or GP for a MATB1 form. This form entitles you to statutory maternity pay from your employer or maternity allowance from Jobcentre Plus. During pregnancy/after birth you are entitled to:
  • paid time off for your antenatal appointments
  • maternity pay or maternity allowance
  • maternity leave
  • protection against unfair treatment, discrimination or dismissal.
Working partners are entitled to one or two weeks paternity leave and together you may be able to take shared parental leave. If you are not working, or you/your household is on a low income you may be entitled to maternity benefits and allowances. If you are employed, you must inform your employer that you are pregnant at least 15 weeks before your baby’s due date. When you tell your employer they must perform a risk assessment, which ensures any necessary adjustments can be made to your working environment or pattern. It is worthwhile speaking to your company’s human resource department and accessing the policy on pregnancy and maternity leave. More information on maternity/paternity leave, work, child or other benefits and money can be found in these related links:

Antenatal classes

Antenatal classes

Mothers-to-be and their birth partners attending a antenatal class Antenatal education (also known as birth preparation or parent craft classes) can help you to prepare for your baby’s birth, giving you confidence and information. You can attend these classes with your birthing partner so you can prepare together for the arrival of your baby. Antenatal education is also a good way to make friends with other parents who are expecting babies around the same time as you. These friendships can help parents through the first few months with their new baby. There are two types of class available to choose from:
  • free NHS antenatal classes available at your local maternity unit or children’s centre. Ask your midwife about these classes
  • private/independent antenatal classes.
Most antenatal classes can be started when you are around 28-32 weeks pregnant, but they can often get booked up in advance so it’s good to arrange your place early on. There are specialised antenatal classes for women expecting twins/triplets and your midwife or doctor will give you the information you need about these. Topics covered by antenatal classes include:
  • health in pregnancy, including a healthy diet
  • exercises to keep you fit and active during pregnancy
  • what happens during labour and birth
  • coping techniques for labour and information about pain relief
  • relaxation technique
  • information about the different modes of birth (vaginal, assisted with ventouse or forceps, caesarean)
  • caring for and feeding your baby
  • your health after giving birth
  • emotions and feelings during pregnancy, birth and after.
Classes can be attended by anyone – it doesn’t matter if it is your first baby or your fifth! A series of short videos have been created for those unable to attend classes in person:
Portal: Antenatal classes

Stillbirth

Stillbirth

Close up of woman's hand being enclosed by the hands of another woman to comfort her When a baby passes away after 24 weeks of pregnancy, either before or during birth, this is known as a stillbirth. Stillbirth is one of the most devastating things a family can experience, and a range of support is given through a specialist team (including midwives, obstetricians, counsellors and charities) to parents who are affected by it. This period of time may seem a complete blur, and it may seem like you have no control over the things that are happening to you and around you. You may have received the tragic news of your baby’s death and now been sent home for some time before coming into the hospital to give birth. You can talk to your midwives about what to expect to help you prepare yourself for the coming days, but here are a few things to consider.

Choices

You still have choices about many things to do with your birthing experience – these can be discussed with your midwives. If you have made a birth plan and wish to retain elements of it, your midwives will work with you to help you achieve that wherever possible – from water birth, to pain relief, to skin-to-skin, to partner cutting the umbilical cord. You may be offered a tablet to stop your milk coming in – it is your choice whether to accept it. Many mums do want this, some do not. You should be given the chance to discuss options relating to this including the opportunity to express and donate your milk – different things will be right for different parents, and this is still your journey, and you can do what is right for you.

Memory-making

Your midwives will help you have the opportunity to make memories with your baby. What memories you may choose to make are entirely your choice. There is no ‘right’ or ‘wrong’ way to go through this experience. You do not have to do everything – or anything – that you’re offered, or you can choose to do everything. You do not have to do everything at once, and you can change your mind. Your midwives will support you in any way they can. Your hospital should have a “Cuddle Cot” or “cold cot” that can help you be able to spend more time with your baby. You should be offered a memory box by your midwives. Memory boxes are like a starter kit for memory-making, with items inside that can help you capture these moments. If you choose to have one, you may continue to add to it over time or keep items from your pregnancy such as scan photos and your baby’s hospital band.

Here are some of the things you may wish to consider:

  • A pair of small teddies. Many parents like their baby to keep one, and the other to come home with them in the memory box. You may wish to give your baby one, and then switch them over before you leave so that you keep that one.
  • Inkless prints – prints of your baby’s hands and feet are often a treasured memory, and one that can be used by parents to get other memories made in the future, such as necklaces, cufflinks, or other jewellery. If you want these, you may want to take part in doing them yourselves, or you may want your midwives to do them for you.
  • Clay imprints – like the inkless prints, clay imprints are another memory that you should have the chance to participate in making if you wish, or you may wish for your midwives to do them for you. These are imprints that many parents like as it means they can trace the shape of their baby’s hands and feet with their finger, or put them in a frame – there may be a kit for this in your memory box.
  • 3D casts of hands and feet may also be offered to you. Your midwives can take moulds and then connect with charities or casting companies to enable you to have beautiful casts made from the moulds that you can keep.
  • Photographs – it can often seem strange at the time to want to have photos taken of or with your baby that has died, but many parents are so incredibly grateful to have these photos to look back on later. You may also wish to have photos taken with siblings or other family members who you choose to have meet your baby. Make sure you have a phone charger with you when you go into hospital. There are photography charities offering free services that your midwives may be able to get in touch with for you.
  • A lock of your baby’s hair – your midwives may be able to help you take a lock of your baby’s hair to keep. Your memory box may have a little box in to store this.
  • Reading your baby a story – some memory boxes may have a story book in to read to your baby, but if you have a favourite story that you want to read your baby, bring it with you.
  • Clothing – if you have favourite outfits that you have got for your baby, pack them and bring them with you. If your baby is being born premature and is going to be too small for any clothes you may have, speak to your midwives – there are charities that provide specialist clothing for premature babies.
  • Bathing your baby – if this is something you would like to do, speak to your midwives and get their help.
  • Heart in their Hand keyrings – your memory box may contain one of these keyrings – a keyring with a heart cut out to leave in your baby’s hand so that you will be able to remain connected to them. These hearts can also contribute to beautiful photos with your baby. Ask your midwives for more information.
  • You may wish to remember to bring personal effects for yourself/yourselves while you’re in hospital too, such as toothbrushes and toothpaste, sanitary ware, shampoo, changes of clothes, phone chargers, and snacks.
  • These are just a few things you may wish to consider, but this is absolutely your journey and the decisions are yours.

Miscarriage and the loss of your baby

Miscarriage and the loss of your baby

Two pairs of hands on a table top with one pair holding the other pair in a gesture of comfort A miscarriage is the loss of a pregnancy during the first 24 weeks. An early miscarriage occurs up until 13 weeks of pregnancy. Symptoms of a miscarriage can include bleeding, abnormal vaginal discharge, lower abdominal pain and loss of pregnancy symptoms. The first trimester can be an anxious time for many reasons, one of which might be worrying about whether the pregnancy will continue. Sadly, as many as one in five early pregnancies will end in miscarriage. The loss of a baby at any stage of a pregnancy can be devastating for both parents. It doesn’t matter how far into the pregnancy it happened, or whether or not the pregnancy was planned, the sense of loss can be very strong. It is important to remember that everyone deals with loss differently and it’s ok to grieve for your baby. There are a number of organisations that can provide expert support and information for parents who have suffered a loss. Whilst there are a number of reasons why a pregnancy might not be successful, the majority of first trimester miscarriages occur because of a problem with the chromosomes which mean that the baby could never have developed, not because of anything the mum has done, or not done. The vast majority of women who suffer the loss of a baby do go on to have successful pregnancies in the future. A miscarriage can be diagnosed by an ultrasound scan. You may be required to stay in the maternity unit overnight but most women can go home on the same day. You will receive follow up from a doctor, nurse or midwife who specialises in early pregnancy. It is recommended that you inform your maternity care provider (antenatal clinic) about your miscarriage in case they are not aware. You may wish to delete the Mum & Baby app from your device.
Portal: Miscarriage and the loss of your baby

Placenta accreta

Placenta accreta

Illustration of baby in the womb with the placenta implanted abnormally into the womb wall The placenta can also sometimes implant abnormally into the wall of the womb. This is a rare condition known as placenta accreta. The risk of having placenta accreta is higher if there is a previous scar on the womb, such as from a previous caesarean section, as the placenta can invade into the previous scar. This is a very serious condition that can be challenging to manage and a hysterectomy (operation to remove the womb) is sometimes needed at the time of delivery.

Placenta praevia

Placenta praevia

Graphic of baby in the womb with a low lying placenta This can be picked up on an ultrasound scan as a low lying placenta in mid pregnancy. This is when the placenta is covering all or part of the entrance to the womb. If you are found to have a low lying placenta you will be rescanned between 32-36 weeks. The majority of low lying placentas will move to the upper part of the womb by 36 weeks, however 10% of low lying placentas remain low. This can cause bleeding in pregnancy that is sudden and severe. A caesarean birth may be recommended in cases of severe placenta praevia, and the likelihood of needing a blood transfusion can be higher.

Intrahepatic cholestasis of pregnancy (obstetric cholestasis)

Intrahepatic cholestasis of pregnancy (obstetric cholestasis)

Close up of woman's hand scratching her bare foot This is a liver disorder that can develop in pregnancy, usually after 30 weeks gestation, but which sometimes develop as early as 8 weeks, affecting up to one in every 140 pregnant women. Symptoms can include:
  • itching, usually on the hands and feet but which can be anywhere on the body
  • dark urine, pale stools
  • yellowing of the skin and whites of the eyes.

Pre-eclampsia (PET) during pregnancy

Pre-eclampsia (PET) during pregnancy

Close up of pregnant woman having her blood pressure taken by a healthcare professional This is a rare but serious condition of pregnancy, usually occurring after 20 weeks. It is defined by the combination of raised blood pressure and protein in the urine. Often there are no symptoms and pre-eclampsia is usually detected through regular antenatal checks, and can sometimes develop quickly. Symptoms include:
  • severe headaches
  • sudden increase in swelling – particularly in the face, hands, feet or ankles
  • problems with your vision such as blurring or bright spots before your eyes
  • severe pain just below your ribs
  • feeling very unwell.
These symptoms are serious and may develop suddenly so you should seek help immediately. Pre-eclampsia can affect a number of body organs like liver, kidney and as severity increases, create problems with blood clotting and therefore the maternity team will monitor your health closely. Pre-eclampsia can also affect the baby’s growth and ultrasounds will be undertaken to monitor growth and the fluid around the baby.

Gestational diabetes

Gestational diabetes

Close up of pregnant woman holding a blood sugar monitor Gestational diabetes is high blood sugar that develops during pregnancy and usually disappears after the birth. It occurs when the body cannot produce enough insulin (a hormone responsible for controlling blood sugar levels) to meet the increased demands of pregnancy. Symptoms aren’t common, but many women are screened for this condition during pregnancy, particularly if they have certain risk factors. Ask your midwife if you are at risk of developing gestational diabetes and if you need to be tested.
Gestational Diabetes Part 1
Gestational Diabetes Part 2
Gestational Diabetes Part 3

Less common pregnancy complications

Less common pregnancy complications

Heavily pregnant lady in hospital gown supports her bump with her hands If you have any symptoms of gestational diabetes, pre-eclampsia or intrahepatic cholestasis of pregnancy call your maternity triage/assessment unit straight away.