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Post natal clinic

Post natal clinic. Barkerend Midwives, Bradford Teaching Hospitals, UK Presented by Julie Walker, Midwifery Matron. Background. Busy Inner city Hospital 5300 deliveries per year 48% to Minority ethnic women Many originate from South Asia, Pakistan, Bangladesh Issues: Culture

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Post natal clinic

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  1. Post natal clinic Barkerend Midwives, Bradford Teaching Hospitals, UK Presented by Julie Walker, Midwifery Matron

  2. Background • Busy Inner city Hospital • 5300 deliveries per year • 48% to Minority ethnic women • Many originate from South Asia, Pakistan, Bangladesh • Issues: Culture Language Access to appropriate services

  3. Manywomen would not attend formal parent education (AN/PN) Post natally women want: Support Information Social contact with other women Government agenda – to extend role of midwife post natally to improve public health Why Mothers Die Confidential Enquiry into Maternal Deaths - Appropriate support for vulnerable women, minority ethnic groups, women who do not have English as 1st language Needs Assessment

  4. Postnatal Clinic • Inspired by Barkerend Midwifery Team • Aims: Education Support Clinical Advice • Referral: Drop in / Self Appointment by Midwife Others – GP, HV

  5. Setting up the clinic Premises 1 afternoon per week women’s only centre Language support Refreshments TV / Video Toys Management Support

  6. Main Issues • Infant Feeding • Contraception • Mental Health Issues & postnatal depression • Family Problems • Infant Issues – weight, jaundice, cord, rash, unsettled baby, feeding problems • Isolation & need for peer support

  7. 17 Women Appropriate time / duration Enjoyable Clinic Helpful & sensitive staff Fulfilled need for information Cultural & religious beliefs respected Changes Suggested Move clinic to central location Extend Clinic – more days & women able to attend after 28 days Need bigger premises Evaluation

  8. 8 Staff Positive, but less positive than women Partly met needs of women for information Raised health literacy re infant feeding / where to go with problems Cost effective re less home visits, less driving, more contact time with woman Changes Suggested Move clinic to central location All midwives in the team to refer women Open clinics daily Evaluation

  9. Extensionof Service • Clinic open daily • Premises moved to bigger, central location • Guest Health Professionals – dietician, physio, benefits agency, family planning nurse • Extended to other parts of the city eg. Baby Cafe

  10. Mother & Child Health Towards being a Migrant Friendly Organisation

  11. Needs Assessment Vital: identify needs of women & family, involve women • Work with community representatives • Become knowledgable about the community you work with • Gain management support • Ongoing evaluation & be prepared to make changes

  12. Explore resources / finance needed • Get staff on board – Network • Plan well • Expect the process to take longer than anticipated

  13. Be eternally optimistic & don’t give up!!!!

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