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Updated November 2024

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Pregnancy/ new baby information

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Pregnant/New Baby :: Black Country 0-18 years website

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You may feel your baby move from as early as 16 weeks of pregnancy, but most women feel their babies move from around 18-20 weeks. From around 28 weeks pregnant your baby should have a pattern of movement that lets you know your baby is well. It is not true that babies move less towards the end of pregnancy. If there is any change of pattern of movement in your pregnancy- we need to see you in maternity triage. There is someone there to monitor your baby 24/7, please give us a call to let us know you are on your way to see us.

Please call:

Maternity Triage: 01384 456111 Ext 3053

24/7

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There are some vaccines that are recommended in pregnancy. During pregnancy your immune system is weakened to protect your pregnancy.
Your midwife will talk to you about these vaccines.
Click the links to read about
Seasonal Flu
Whooping cough
Covid-19

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Whooping cough vaccine in pregnancy

What is whooping cough?

Whooping cough (pertussis) is a respiratory infection that develops into severe coughing fits. This illness can be very severe, especially in very young babies. The number of cases of whooping cough in the UK has risen among babies who are too young to have had their vaccinations.

Because of this, the Department of Health developed a vaccine for pregnant women to protect their babies against this illness until they are old enough to have their first vaccinations.

When should I be offered the whooping cough vaccine?

You will be offered the whooping cough vaccine by your GP or midwife.

All pregnant women should be offered the whooping cough vaccine between 16 and 32 weeks of pregnancy, although it can be given right up until you go into labour.

You will be offered this vaccination to boost your antibodies. These antibodies will be passed to your baby through the placenta.

As there is no whooping cough-only vaccine, the vaccine you'll be given also protects against polio, diphtheria and tetanus. The vaccine is called Boostrix IPV.

Comprehensive research into the vaccine has shown that it's very safe, with no ill-effects for pregnant women or their babies.

Is the whooping cough vaccine safe?

Comprehensive research into the vaccine has shown that it's very safe, with no ill-effects for pregnant women or their babies.

Flu vaccine in pregnancy

If you're pregnant in winter, you will be offered a flu vaccine. There is evidence that pregnant women can be more at risk of developing complications if you get flu during pregnancy. To cut this risk for you and your baby's health, women are offered a free flu jab, usually sometime between September and February.

The vaccine doesn't contain any live viruses, so it can't cause flu. Some people get a slight temperature and aching muscles for a couple of days afterwards. You may also feel a bit sore at the injection site.

In some areas, midwives can give a flu vaccine at the antenatal clinic. In others, you will need an appointment at a GP practice. Some community pharmacies also offer flu vaccination on the NHS.

Is the flu vaccine safe?

Research shows that the flu vaccine is safe from the first few weeks of pregnancy right up to your due date. You can read more about the research and safety behind the flu vaccine.

Travel vaccinations in pregnancy

Some vaccines that use live bacteria or viruses are not recommended during pregnancy because of concerns that the virus or bacteria in the jab could harm the baby in the womb.

It's best to avoid visiting countries or areas where you'll need to have vaccinations before you travel.

If for any reason this isn't possible, talk to your GP or midwife. They can outline any risks and benefits of the vaccinations you need. If there is a high risk of infection in the place you're going to, it's often safer to have a vaccine rather than travel unprotected.

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Whooping cough (pertussis) is a respiratory infection that develops into severe coughing fits. This illness can be very severe, especially in very young babies. The number of cases of whooping cough in the UK has risen among babies who are too young to have had their vaccinations.

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A guide to RSV vaccination for pregnant women

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A guide to RSV vaccination for pregnant women

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From 1 September 2024, pregnant women can have a free vaccine in each pregnancy, to protect their babies against respiratory syncytial virus ( RSV).

RSV is a common virus which can cause a lung infection called bronchiolitis. In small babies this condition can make it hard to breathe and to feed. Most cases can be managed at home but around 20,000 infants are admitted to hospital with bronchiolitis each year in England. Infants with severe bronchiolitis may need intensive care and the infection can be fatal. RSV is more likely to be serious in very young babies, those born prematurely, and those with conditions that affect their heart, breathing or immune system.

Symptoms of RSV bronchiolitis

The symptoms of RSV bronchiolitis can include:

runny or blocked nose

breathing is difficult, fast or noisy (wheezing)

difficulty feeding

cough

fever

unsettled or difficult to comfort

tiredness or lethargy

RSV can also cause other conditions in young children such as a barking cough (croup) and a painful infection inside the ear (otitis media).

Ask for an urgent GP appointment or call 111 if your child has the following symptoms

your child has had a cold and it's getting worse

your child is feeding or eating much less than normal

your child has had a dry nappy for 12 hours or more, or shows other signs of dehydration

your baby is under 3 months and has a temperature of 38°C

your baby is older than 3 months and has a temperature of 39°C or higher

Call 999 or go to A&E

If your child seems seriously unwell, trust your own judgement.

You should act if:

your child is having difficulty breathing

you may notice grunting noises or their chest and tummy wall being sucked in between or just under their ribs

there are pauses when your child breathes

your child's skin, tongue or lips are blue

your child is floppy and will not wake up or stay awake

How RSV is spread

RSV infections can occur all year round but cases peak every winter.

RSV is highly infectious and spreads easily, particularly among children, through coughing and sneezing. Even with simple measures such as hand-washing and covering your mouth and nose when you sneeze, it is difficult to avoid spreading the infection within the family. The best way to protect your baby against RSV infection is for you to have the vaccine during pregnancy.

How the RSV protects your baby

The vaccine boosts your immune system to produce more antibodies against the virus. These antibodies then pass through the placenta to help protect your baby from the day they are born. RSV vaccination reduces the risk of severe bronchiolitis by 70% in the first 6 months of life. After this age your baby is at much lower risk of severe RSV.

Older children and adults can also get RSV infection, but the disease is more serious for small babies and people aged 75 and over.

The vaccine has been shown to reduce the chance of your baby suffering from severe RSV disease. Like all medicines, no vaccine is completely effective and some babies may still get RSV infection despite their mothers having the vaccine. However, for most babies born to vaccinated mums, any RSV infection should be less severe.

When you will be offered the RSV vaccine

You should be offered it around the time of your 28 week antenatal appointment. If you haven't heard by this stage, contact your maternity service or GP practice to make an appointment. Having the vaccine in week 28 or within a few weeks of this will help you build a good level of antibodies to pass on to your baby before birth. This will give your baby the best protection, including if they are born early.

You can still have the vaccine later in your pregnancy but it may be less effective. If it wasn't possible to have your vaccine earlier, it can be given right up until you have the baby. If you have it very late in pregnancy, it may still protect you from infection and reduce the risk of you spreading infection to your newborn baby.

You will be offered the RSV vaccine during every pregnancy

Having the vaccine during each pregnancy will offer your new baby the best protection from RSV.

The safety of RSV vaccination during pregnancy

The vaccine has been studied in clinical trials of almost 4,000 women and been given to many thousands of women in national programmes. Monitoring in the USA, where it has been given to over 100,000 women, has shown a good safety profile. In the main clinical trial, in the month after vaccination, there were slightly more premature babies in the vaccine group (2.1%) than the group that didn't have the vaccine (1.9%). This difference is most likely to be due to chance.

The vaccine has been approved by medicines regulators in the UK, Europe and USA on the basis of protection, quality and safety.

Babies at a higher risk of RSV infection

Some babies are at higher risk of RSV, such as those who are very premature, those with severe heart disease or those with weakened immunity. They may also be offered an antibody injection. This injection will provide additional protection on top of any antibodies they might get from their mother.

Having the RSV vaccine at the same time as other vaccines

It is important to have your vaccines at the right time in pregnancy

Whooping cough (pertussis) vaccine

The whooping cough vaccine is usually given earlier in pregnancy. Around the time of the mid pregnancy scan, usually 20 weeks.

Flu vaccine

Flu vaccine can be given at any stage of pregnancy. You should have it as soon as it becomes available to you.

When you are called up for your RSV vaccine, if you have not yet had your whooping cough or flu vaccines, then you should have them at the same time.

Side effects from the RSV vaccine

The vaccine is a single injection in your upper arm. Side effects are usually mild. These may include:

headache

muscle ache

soreness, redness or swelling at the site of the injection

You can report suspected side effects to the Medicines and Healthcare products Regulatory Agency (MHRA):

on the Yellow Card website

by calling the free phone line: 0800 731 6789 (9am to 5pm, Monday to Friday)

by downloading the Yellow Card App on iOS or Android

Translated and accessible versions of this information

This leaflet is also available in a range of accessible formats:

Audio, Braille, British Sign Language and Large Print.

Further information

Speak to your midwife or GP practice for more information on the RSV vaccine and other vaccines you will be offered during your pregnancy.

Read the patient information leaflet for the RSV vaccine Abrysvo.

Read about the vaccines you should be offered during your pregnancy.

Read further information on vaccinations you will be offered when pregnant.

Read information about the RSV vaccination programme for older adults.

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A guide to RSV vaccination for pregnant women

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From 1 September 2024, pregnant women can have a free vaccine in each pregnancy, to protect their babies against respiratory syncytial virus ( RSV). RSV is a common virus which can cause a lung infection called bronchiolitis. In small babies this condition can make it hard to breathe and to feed.

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Maternity Voice Partnership is a national NHS working group linking professionals and service users together to work on reviewing and contributing to the development of our local maternity services.
These run monthly and is a great way to find out what's going on and have your say in making the maternity service in our area the best it can be.

Follow the page above or contact
Nadia
Call or Text 07742406339
Email blackcountrymvp@gatewaysfs.org

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National Maternity Voices (NMV) is the association of Maternity Voices Partnership (MVP) independent lay chairs in England. We support and network MVPs.

We help the NHS to hear the diverse voices of service users; we do not speak for them.

Contact your local MVP by locating them on NMV's map
A Maternity Voices Partnership (MVP) is a NHS working group: a team of women and their families, commissioners and providers (midwives and doctors) working together to review and contribute to the development of local maternity care.
National Maternity Voices supports the co-production of maternity and neonatal services with service users by providing:

A toolkit to support setting up, developing and maintaining your MVP.

Peer support networks, support and consultancy for MVP members, service user representatives, NHS staff and others interested in involving maternity service users in the development of services.

Training, Mentoring and events for chairs, service user representatives and NHS staff.

"Voices of all women including those from diverse backgrounds must be heard, and services should work closely with all service users to collaboratively plan, design and improve care. "
Letter to the system on publication of the Three-Year Delivery Plan for Maternity and Neonatal Services in England
The Three year Delivery Plan for Maternity and Neonatal services sets the ambition that Maternity & Neonatal Voices Partnerships:

listen to and reflect the views of local communities. All groups are heard, including bereaved families.

have strategic influence and are embedded in decision-making.

have the infrastructure they need to be successful. Workplans are funded. MNVP leads (MVP chairs) are appropriately remunerated and receive appropriate training, administrative and IT support.

Maternity Transformation: Better Births and Beyond

MVPs were recommended as a forum for co-production with women and families to implement 'Better Births'. ('Better Births' is the 2016 report of the National Maternity Review which proposed changes in maternity care to make it safer and more personalised. )

National Maternity Voices is commissioned by NHS England (NHSE) to support the work of MVPs. We have pages on the maternity workspace of NHS Futures . We also support the Maternity Transformation Programme team at NHSE to ensure women, birthing people and families have voices in national discussions.

You can read more about National Maternity Voices CIC .

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National Maternity Voices - Networking Maternity Voices Partnerships in England

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National Maternity Voices (NMV) is the association of Maternity Voices Partnership (MVP) independent lay chairs in England. We support and network MVPs. We help the NHS to hear the diverse voices of service users; we do not speak for them.

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Dudley Maternity & Neonatal Voices Partnership engages with all women, birthing people and their families across the borough and welcomes them to share their stories of Maternity and Neonatal Care within Dudley.

The staff at Russell's Hall Hospital and in the Dudley Community, from both the Maternity and Neonatal Departments, work closely with the Maternity & Neonatal Voices Partnership to ensure that they are listening to the voices of their women and birthing people. They are keen to make positive changes, to learn where necessary and to implement this learning across Maternity and Neonatal Services.

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Folic acid is important and advised during pre-conception health and the first 12 weeks of pregnancy as it can help to prevent neural tube defects including spina bifida.
It's recommend to take a 400 micrograms folic acid tablet every day.

If you did not take folic acid before you conceived, you should start as soon as you find out you're pregnant.

Some women may be advised to take a higher does of 5 Milligrams of Folic Acid for the following risk factors:

you or the baby's biological father have a neural tube defect

you or the baby's biological father have a family history of neural tube defects

you have had a previous pregnancy affected by a neural tube defect

you have diabetes

you take anti-epilepsy medicine

you take anti-retroviral medicine for HIV

Raised BMI above 30

Multiple pregnancy

If any of this applies to you, please talk to a GP as soon as you find out your pregnant. They can prescribe a higher dose of folic acid.

A GP or midwife may also recommend additional screening tests during your pregnancy.

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Being a parent is undoubtedly one of the most fulfilling roles you’ll ever undertake, but it does come with its own set of challenges. It’s absolutely normal to seek a bit of guidance and support along the way.

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Reducing Parental Conflict
What is Reducing Parental Conflict?
Disagreeing and having arguments is normal. You will never erase them from your relationship, and you will always have things you disagree on. There will always be a next time and this booklet will help you to navigate the next time better.
More services below

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What is Reducing Parental Conflict? Disagreeing and having arguments is normal. You will never erase them from your relationship, and you will always have things you disagree on. There will always be a next time and this booklet will help you to navigate the next time better. More services below

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Having a baby can be an amazing and joyful time. At the same time, it might feel overwhelming and perhaps even scary – especially if the news that you are having a baby came as a surprise. It can also be a confusing time, with contradictory advice from family members, friends and online.

Over the coming weeks and months there will be many changes, not only for you but for your body and the baby growing inside you. The biggest change will be meeting and learning to care for your new baby. We know that needing to learn so much at once can cause extra stress, so we’ve collated all the best advice to help make this time easier.

From pregnancy until your baby’s second birthday, this can be your go-to source of information. It provides lots of practical advice, hints, and tips to help support you. It should be used together with the NHS Choices website.

We hope this advice will help you understand some of the basics – but no doubt you will still want to speak with friends, family and professionals as your child grows and you continue to grow into your new evolving role as parents.

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Having a baby can be an amazing and joyful time. At the same time, it might feel overwhelming and perhaps even scary – especially if the news that you are having a baby came as a surprise. It can also be a confusing time, with contradictory advice from family members, friends and online.

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It is important you ensure your baby is placed to sleep in a safe environment  to reduce the risk of sudden infant death syndrome (SIDS) which is commonly known as cot death.

It can give you the peace of mind to enjoy this special time. Follow simple steps of making a safe sleep environment.

Safer-sleep-for-babies-a-guide-for-parents-web.pdf (lullabytrust.org.uk)

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It's recommended to buy a baby car seat before your baby is born if possible. It's important to buy a seat that fits your car and is suitable for a new born.

If you have your baby in hospital you will need the car seat to drive your new born home safely. It's a good idea to practise fitting the seat before your baby is born.

It's also important to understand the use of a car seat is for travelling and it is not advised for your baby to sleep in.

This leaflet breaks down the importance of travelling safely with your baby.

Car-seat-factsheet.pdf

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NHS Black Country Integrated Care Board (ICB)

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Oh Baby! Top tips for new dads: Car seat queries

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There is no recommended consumption of alcohol in pregnancy, therefore it is advised to avoid alcohol in pregnancy. Drinking alcohol in pregnancy can increase your risk of miscarriage, pre term birth and low birth weight as well as long term health conditions to your baby. Alcohol passes through your blood stream through the placenta to your baby. Their liver is one of their biggest organs that develop last and this means they baby cannot process the alcohol causing developmental harm. This is known as foetal alcohol spectrum disorder (FASD).

If you need support cutting out alcohol in pregnancy. There is lots of support you can get confidentially. Please talk your midwife for support or click to find your local support group

For further support groups and counselling contact:

Drinkline – call this free helpline on 0300 123 1110 (weekdays 9am to 8pm, weekends 11am to 4pm)

We Are With You – a UK-wide treatment agency that helps individuals, families and communities manage the effects of alcohol and drug misuse

Alcoholics Anonymous (AA) – a free self-help group; its "12-step" programme involves getting sober with the help of regular support groups

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How can alcohol harm my unborn baby?

Most women give alcohol up completely in pregnancy because this is the safest way. When you drink, alcohol passes from your blood through the placenta and to your baby. There is no known safe level for drinking during pregnancy, so the safest approach is not to drink at all while you're pregnant and if you are trying for a baby.

It is particularly advised not to drink alcohol in the first three months of pregnancy as this is a time of huge growth and development.

What could happen if I drink heavily?

Drinking in pregnancy can lead to long-term harm to the baby and the more you drink, the greater the risk.

Getting drunk and/or drinking every day are especially dangerous.

Drinking more than the recommended amount of alcohol at any stage during pregnancy is linked to the following:

What is foetal alcohol syndrome?

Foetal alcohol syndrome (FAS) is the name given to problems that are found in children whose mothers drank heavily during pregnancy. These include facial abnormalities, heart defects, poor growth and severe mental and developmental problems.

Find out more about foetal alcohol syndrome.

What if I drank alcohol before I knew I was pregnant?

If you drank a lot before you knew you were pregnant and are worried about the effect this may have on your baby, talk to your midwife or GP.

They will probably reassure you that the risk to your baby is small if you weren't a regular heavy drinker. You can stop drinking completely now that you know you're pregnant.

The risk of harm to the baby is likely to be low if you were not binge drinking or regularly drinking over the recommended amount.

What if I need help to stop drinking?

If you drink heavily and you think you may have problems stopping, talk to your doctor or midwife.

This is because you may have withdrawal symptoms. These can include delirium tremens (DTs), and you will need help to manage them.

The health team caring for you during your pregnancy can give you advice and support. You can also contact Drinkline, a free and confidential helpline, on 0300 123 1110 (weekdays 9am - 8pm, weekends 11am - 4pm).

Is my drinking is out of control?

Some women know they are drinking too much but don't feel able to talk about it. It's easy to feel guilty or ashamed because you know you shouldn't be drinking alcohol in pregnancy.

Everyone who cares for you during your pregnancy wants you to be well and to have a healthy baby. Cutting down or stopping on your own can be difficult, and you may need help.

Talk to your doctor or midwife - they won't judge you and they can put you in touch with more support if you need it.

Getting support with alcohol

If you have difficulty giving up alcohol, talk to your midwife, doctor or pharmacist. They will not judge you and will want to support you.

Drinkline is the national alcohol helpline. If you're worried about your own or someone else's drinking, call this free helpline on 0300 123 1110 (weekdays 9am - 8pm, weekends 11am - 4pm).

Addaction is a UK-wide treatment agency that helps individuals, families and communities to manage the effects of alcohol and drug misuse.

Alcoholics Anonymous (AA) is a free self-help group. Its "12-step" programme involves getting sober with the help of regular support groups.

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Most women give alcohol up completely in pregnancy because this is the safest way. When you drink, alcohol passes from your blood through the placenta and to your baby. There is no known safe level for drinking during pregnancy, so the safest approach is not to drink at all while you're pregnant and if you are trying for a baby.

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Our pregnancy notes are now electronic. Your Community Midwife will set up a portal for you to access all of the documentation about your pregnancy.  The portal web address is linked here Allscripts Patient Portal - Login Page (dgft.nhs.uk)

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Russells Hall Hospital Maternity Video Tour 

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Russells Hall Hospital Maternity Video Tour 

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Our Maternity Services | The Dudley Group NHS Foundation Trust

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Google Maps Tour of the Maternity Department

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Find local businesses, view maps and get driving directions in Google Maps.

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Pregnancy can be a very emotional time and its important to ask for help if you need it. Its normal to have periods of low mood and feeling worried but its important that this is manageable and doesn't effect your day to day life.  You are the best person to judge whether what your feeling is normal for you. 1 in 5 Women develop a mental health condition such as anxiety, depression or low mood in pregnancy and up to one year after giving birth which is why its so important to be sign posted to the correct support networks.

Your Midwife will ask questions around your emotional wellbeing during appointments through your pregnancy. They are there to support and guide you with any concerns you have and can reefer you to external agencies if your require further support.

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Your Baby's Mum - Tommy's Wellbeing Plan

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Where to call before 20 weeks of pregnancy? 

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Where to call before 20 weeks of pregnancy? 

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If you need help or advice before 20 weeks of pregnancy, please contact your GP or go to Accident and Emergency Department, During Monday to Friday 9-5 you may contact your community midwife team; you may then be referred to the Early Pregnancy Assessment Clinic.  The Early Pregnancy Assessment Clinic can provide assistance to ladies who are between 6 and 20 weeks gestation, have a positive pregnancy test and are experiencing bleeding, pain or other complications in early pregnancy.

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You don't need to wait until your baby is born to start bonding with them. Your baby can hear from 16 weeks of pregnancy and even earlier meaning talking and stroking your bump helps you and your baby to bond before they are born. This also helps your baby's brain development and starts to form a close and loving relationship between you.

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Where to call after 20 weeks of pregnancy?

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Where to call after 20 weeks of pregnancy?

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After 16 weeks of pregnancy you can call the Maternity triage team, they may see you or they will signpost you to the most appropriate healthcare professional for your gestation.

Please call your local maternity if you have:
-Change in your baby movements-decrease or increase
-Vaginal Bleeding or Spotting
-Vomiting
-Leaking fluid from your vagina
-Painful Urination
-Persistent or severe headaches
-Swelling in hand or legs
-Contractions or cramps
-Itching especially on your hands or feet
-Sharp continuous abdominal pain
-Pelvic pain
-Blurred vision
-High temperature

-Rash/ illness

-Chest pain, breathlessness or pain in legs. Or any other signs of a blood clot.

Maternity Triage: 01384 456111 Ext 3053

24/7

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Labour can be categorised into four stages. It can be helpful for you to understand these stages and terminology used and how to get the most support in each stages. Read below for more information

Please call Triage on 01384 456111 Ext 3053 if you have any of below

your waters break

you have vaginal bleeding

your baby is moving less than usual

you're less than 37 weeks pregnant and think you might be in labour

These signs mean you need to see a midwife or doctor.

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The latent phase is the terminology used for the start of labour. This is where your cervix becomes soft and starts to become thinner.
There is many signs labour could be starting such as

contractions or tightening's

a "show", when the plug of mucus from your cervix (entrance to your womb, or uterus) comes away

backache

an urge to go to the toilet, which is caused by your baby's head pressing on your bowel

your waters breaking these should be clear- Any other colour please call Triage.

The latent phase can sometimes take a few days and you may be advised to stay at home for this time frame or sent home if you do come into the hospital to be assessed.  It is very common for it to start and stop.

This link shows you ways to support the early stages of labour at home.
The latent phase of labour | Tommy's (tommys.org)

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This is known as established labour and defined as 3-4 regular strong contractions in a 10 minuets period and when your cervix is 4 cm dilatated. This is when you are advised to call Triage/Midwifery led unit to attend. This time you will be admitted to your place of birth and a midwife will care for you on a one-to-one basis. This will include the midwife taking regular observations from yourself, encouraging bladder care, talk about Pain relief and anaesthesia choices during labour - Labour Pains and monitoring your babies heart beat, this will be dependant on whether you're classed as a high or low risk pregnancy.

High risk pregnancy is defined as a pregnancy with higher maternal or fetal concerns where complications may have a higher chance of arising. These risk factors include twin pregnancy, diabetes in pregnancy, growth restricted babies, raised BP, previous C-section and infection. If your identified to have a high risk pregnancy you'll be advised to deliver on the Obstetric Unit with continuous fetal monitoring via a monitor known as a CTG.

A low risk pregnancy is defined as a pregnancy with no known risk factors to the pregnant mother or baby. Women are able to deliver at home or on the midwife led unit. During your delivery your midwife will advise that they listen to your baby through a pinard and sonicade that is used in your antenatal appointments every 15 minutes during the first stage of  labour.

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How your cervix dilates during labour...the Fruit Guide!

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Breast feeding classes are run by our infant feeding team at the hospital and local hubs. To book on please
Email-dgft.spmwif@nhs.net
or
Call 01384 456111 extension 3887
Available Monday – Friday 9am – 5pm

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Your specialist midwife screening coordinator is Mel Bullas
Your deputy screening midwife is Tammy Ralphs

Contact: 01384 456111 ext. 3116

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NHS Screening in Pregnancy Leaflet

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The 2nd stage of labour is defined when your cervix is fully dilatated described as 10cm. This is when your womb will start to support your baby to push down into the birth canal and be born.  It is very dependant on how long this stage can take depending on what number baby it is for you and what type of pain relief you have had during your labour. Yours and your baby's observations will be increased during this time to ensure you are both well. Your midwife will support you to get into a good position during this stage of labour.

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This is the stage that follows after you have had your baby and is the delivery of your placenta. Read more below about two ways you can deliver your placenta known as physiological and active management. You can discuss these further with your midwife as one may be recommended to you.

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Pregnancy Yoga :
at Halesowen Leisure Centre
Wednesday 7pm for a five week free coures.
Between 28-38 weeks of pregnancy.

Please contact Community Midwives office on
01384 456111 Ext 3358

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Pelvic Floor Exercises strengthen the muscles around your bladder, vagina and anus.

You can start doing pelvic floor exercises as soon as you know you are pregnant.

The exercises will lower your chance of experiencing incontinence during your pregnancy, and after having your baby. They also help reduce the risk of developing a prolapse.

Once you have had your baby, pelvic floor exercises can be continued for the rest of your life to maintain your pelvic floor strength as you age.

If you are struggling with pelvic floor exercises, speak with your midwife/physiotherapist for further input or watch the videos linked

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Pregnancy-related pelvic girdle pain (PGP) or symphysis pubis dysfunction (SPD).

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Pregnancy-related pelvic girdle pain (PGP) or symphysis pubis dysfunction (SPD).

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Some women may develop pelvic pain in pregnancy. This is sometimes called pregnancy-related pelvic girdle pain (PGP) or symphysis pubis dysfunction (SPD).

PGP is a collection of uncomfortable symptoms caused by a stiffness of your pelvic joints or the joints moving unevenly at either the back or front of your pelvis.

Exercise and adaptation can help to manage PGP symptoms throughout pregnancy. For information on how to manage PGP symptoms see the Pelvic Girdle Pain by following this link. All leaflets are at the bottom of the page.
Maternity Department Patient Information Leaflet

If after trialling the information suggested in the leaflet you have no improvements in your symptoms, speak to your midwife/consultant to be referred for physiotherapy.

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Most foods are safe in pregnancy however there is some food that should be avoided or limited due to them being harmful to you or your baby. Some foods should be prepared differently to reduce the risks to you and your baby.

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Find out what food and drink you can have and what you should avoid or be careful with during pregnancy, such as some cheeses, meats, fish, eggs, nuts, caffeine and alcohol.

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Feeding information in pregnancy

Feeding support when your baby arrives

Induction of labour Information

Information for you and your baby

HPSS

Diabetes in Pregnancy

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We have now recommenced face to face birth preparation classes at the hospital. These 2 hour sessions are run by a community midwife informing you and your birthing partner what to expect when coming in to have a baby.
To book on please call community messages on
01384 456111 ext 3358
between 2-4pm Monday-Friday after 28 weeks of pregnancy.
The best time to attend this course is after 32 weeks of pregnancy.

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Click above a video of screening offered to you in pregnancy.

Throughout your pregnancy and after your baby is born you will be offered a number of screening tests for you and your baby.
Screening is offered to identify who many be at higher chance of health problems. It is important you are fully informed when consenting to a screening test as they can often be followed by diagnostic tests.

Screening tests you will be offered include
Blood tests that look for
Infectious diseases and
Thalassemia and Sickle cell

Scans that include screening for
Edwards Syndrome, Patau's Syndrome and Downs Syndrome
11 Physical Conditions (20 Week Scan)

You can discuss any further questions you have with your midwife.

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Find out about screening tests in pregnancy. These include ultrasound scans and blood tests to try to find any health conditions that could affect you or your baby.

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The link above will inform you of what pain relief options you can have in labour and how these can help with different stages of labour. It a good idea to have an idea of what on offer before coming in to have you baby. Your midwife can discuss this with you during your birth plan that happens around 36 week pregnant.

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Labour Pains - Information on pain relief choices during labour

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Information for expectant parents and healthcare professionals on pain relief choices during labour

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If you have any concerns with your own health or your baby's movements please call:

Maternity triage: 01384 456111 Ext 3053

24/7

If you need to contact your community midwife

Please call 01384 456111 ext 3358

If you need to rearrange a scan or clinic Appointment Please call 01384 456111 Ext 3351

Day assessment unit on 01384 45611 Ext 3586 Monday to Friday 8:30am-8pm

Saturday 9am-5pm

Sunday 10am-2pm

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Find attached the link to our Induction of labour Padlet- that supports you in making an informed choice if an Induction of labour is offered to you.

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This padlet has been created to inform you about Induction of Labour. An induced labour is the terminology used where labour is started artificially. It is fairly common for labour to be induced. These links will help you to understand your choices available for Induction of Labour, what it will entail, what to bring with you and much more.

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Looking after your Caesarean Section Wound

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Looking after your Caesarean Section Wound

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If you are having a planned Caesarean Section, there is some great information about caring for your wound... which starts a week before your planned operation, please read this leaflet.

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Bounding with your baby starts during pregnancy and its important to think about how you will want to feed your baby when they are born. The link above take you to our Infant Feeding Padlet that prepares you for the arrival of your baby.
For more information please click below  https://bit.ly/DudleyANinfo

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Antenatal Information- Dudley Infant Feeding Team

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Hand expression from 36 Weeks of pregnancy

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Hand expression from 36 Weeks of pregnancy

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Women can hand express from 36 weeks of pregnancy.  It’s a good idea to speak to your midwife first.

The Hand Expression and Cup Feeding leaflet and the Off to The Best Start leaflet can be downloaded by visiting:

Links - The Dudley Group NHS Foundation Trust (dgft.nhs.uk)

To watch a video on hand expression please click the video above.

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This video guides mothers on how to hand express and talks about the times when hand expression might be useful.

See the Breastfeeding Network website for FAQs and a leaflet all about expressing and storing breastmilk.

Problems viewing this video? Contact us.

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Hand expression video - Baby Friendly Initiative

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This video guides you through how to hand express, and talks about the times when hand expression might be useful for you.

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Delayed or optimal cord clamping is where the midwife will not cut your babies cord immediately after birth. They will allow the blood, oxygen and stem cells to transfer to your baby from the placenta that is known to have significant health benefits to your newborn. This is routine practice at Russell's Hall Hospital. Talk to your midwife to find out more.

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When your baby is born you will be asked if you consent to your baby receiving Vitamin K Supplement after birth. This is recommended by the Department of Health as this helps prevent a rare bleeding disorder called haemorrhagic disease of the newborn. This can be given to your baby via an oral syringe or an injection. Read above to find out more.

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It's natural to focus on your baby's birth while you're pregnant. But it's a good idea to also know what to expect after labour.
Skin-to-skin contact really helps with bonding. It's a good idea to have your baby lifted onto you as soon as they're born and before the cord is cut so you can be close to each other straight away.

Either before, or just after the cord is clamped, your baby will be dried and then covered with a towel to stop them getting cold. You can continue to hold and cuddle your baby while this is done.

Your baby may have some of your blood on their skin and perhaps vernix, the greasy white substance that protects your baby's skin in the womb.

If you prefer, you can ask the midwife to dry your baby and wrap them in a blanket before your cuddle.

Mucus may need to be cleared out of your baby's nose and mouth.

Some babies need a bit of help to get their breathing established.

Your baby may be taken to another part of the room to have some oxygen. They'll be brought back to you as soon as possible.

Your baby will be examined by a midwife, neonatal nurse or paediatrician, then weighed and possibly measured, and given a wrist or ankle band with your name on.

Your midwife or maternity support worker will help you wash and freshen up before you go to the postnatal ward.

Vitamin K for newborn babies

You'll be offered an injection of vitamin K for your baby. This helps prevent a rare bleeding disorder called haemorrhagic disease of the newborn.

Your midwife should have discussed the injection with you while you were pregnant.

If you'd prefer for your baby not to have an injection, they can have vitamin K by mouth instead, but they'll need further doses.

Stitches for tears or cuts

Small tears and grazes are often left without stitches because they can usually heal without treatment.

If you need stitches or other treatments, you should be able to carry on cuddling your baby while this is being done.

If you have had a large tear or an episiotomy, you'll need stitches.

If you have already had an epidural, it can be topped up. If you haven't, you should be offered a local anaesthetic to numb the area.

Preventing bleeding after the birth

Postpartum haemorrhage (PPH) is a complication where you bleed heavily from the vagina after your baby's birth.

There are 2 types of PPH, depending on when the bleeding takes place:

primary or immediate - bleeding that happens within 24 hours of birth

secondary or delayed - bleeding that happens after the first 24 hours and up to 12 weeks after the birth

Sometimes PPH happens because your womb doesn't contract strongly enough after the birth.

It can also happen because part of the placenta has been left in your womb or you get an infection in the lining of the womb (endometritis).

To help prevent PPH, you'll be offered an injection of oxytocin as your baby is being born. This stimulates contractions and helps to push the placenta out.

Now read about you and your body after the birth.

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It's natural to focus on your baby's birth while you're pregnant. But it's a good idea to also know what to expect after labour. Skin-to-skin contact really helps with bonding. It's a good idea to have your baby lifted onto you as soon as they're born and before the cord is cut so you can be close to each other straight away.

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The more active and fit you are during pregnancy, the easier it will be for you to adapt to your changing shape and weight gain. It will also help you to cope with labour and get back into shape after the birth.

Keep up daily physical activity or exercise (sport, running, yoga, dancing, or even walking to the shops and back) for as long as you feel comfortable, and reduce the intensity as your pregnancy progresses.
Exercise in pregnanc y is not dangerous for your baby, unless you have been given different advice by your consultant/midwife. There is some evidence that active women are less likely to experience problems in later pregnancy and labour.

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Watch a Video on what is ideal to pack for you and your baby's arrival. We encourage mobilisation during labour process but please bring things that would keep you occupied such as magazines,  headphones, tablets and a home comfort to get the oxytocin flowing like a Pillow.

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A birth plan is a record of what you would like to happen when you give birth. It will look at your preference of what you would like to happen and not. It also gives your midwife the chance to get to know you better, and understand your feelings and priorities, and allows you to think about or discuss some things more fully with your partner, friends and relatives. As much as the midwife will try hard to accommodate your requests in labour is a good idea to be flexible as sometime facilities such as birthing pools are not always available. Your community midwife will go through your birthing plan with you around 36 weeks pregnant.

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A birth plan is a record of what you would like to happen during your labour and after the birth. You don't have to create a birth plan but, if you would like one, your midwife will be able to help.

Discussing a birth plan with your midwife gives you the chance to ask questions and find out more about what happens in labour.

It also gives your midwife the chance to get to know you better, and understand your feelings and priorities, and allows you to think about or discuss some things more fully with your partner, friends and relatives.

You can change your mind about your wishes for labour and birth at any time.

Your personal circumstances

Your birth plan is personal to you. It depends on what you want, your medical history, your circumstances and what is available at your maternity service.

You might be given a special form for your birth plan, or there may be room in your notes. It's a good idea to keep a copy of your birth plan with you.

The maternity team who care for you during labour will discuss it with you so they know what you want.

Be flexible

You need to be flexible and prepared to do things differently from your birth plan if complications arise with you or your baby, or if facilities such as a birth pool aren't available.

The maternity team will tell you what they advise in your particular circumstances. Don't hesitate to ask questions if you need to.

Things to consider

You can find out more about the things you need to think about when making a birth plan, such as:

You can work out whether there's anything you feel strongly about and might wish to include.

You can also show your birth partner these tips to support you.

Download a birth plan template

You can download a birth plan template (Word document 65KB, opens in a new window) to fill in and save.

Get Start4Life pregnancy and baby emails

Sign up for Start4Life's weekly emails for expert advice, videos and tips on pregnancy, birth and beyond.

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Find a birth plan template and learn about making a birth plan, including where to give birth, pain relief options, who to have with you and your feelings on intervention.

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Eating well is always important, however in pregnancy eating well supports the wellbeing and health of yourself and your baby.

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Columns have been created to help you navigate with ease through this padlet.

Please scroll right to see all columns of information

Any link highlighted or photograph will take you to further information on the topic introduction

Any concerns with your own health or your baby please contact 01384 456111 Ext 3053

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Your care will be personalised to meet your individual care needs, however, this is a guide to maternity appointments that you will receive.

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Please attend for any scan with a full bladder. This makes scanning easier as it lifts the baby up out of your pelvis.

Only one other person is allowed into the scan room with you.

No children are allowed into the department at present due to COVID-19.

You can purchase a picture of your scan for £5 on the day, just let the sonographer know.

If we find anything abnormal or of concern on your scan, we will always tell you about it and arrange appropriate follow-up.

You may have other scans at different points in your pregnancy as deemed necessary by your midwife or consultant, but these will be explained to you if the need arises.

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Stopping smoking altogether in pregnancy is the most important thing you can do to give your baby the best start in life. We know many women cut down, but this is not a safe option, as there is no safe level of smoking in pregnancy. We do know that for some women it can be difficult to quit, however you're not alone, and it's never too late to stop. Protecting yourself and your unborn baby either from actively smoking tobacco (cigarettes or roll up's), or being exposed to passive smoking is vital.  Cigarettes contain over 4000 chemicals with the most dangerous being a toxic gas called carbon monoxide. This can damage your placenta and cause serious harm to the development of your unborn baby.
By stopping smoking anytime in pregnancy:
-Reduces the risk of complication in pregnancy and labour
-Reduces the risk of preterm delivery
-Reduces the risk of stillbirth
-Reduces the risk of your baby being underweight when they are born that puts them at increased risk of admission to the Neo-natal unit
-Reduces the risk of SID's (Cot death) once born

There is lots of help that is offered to support you to stop smoking. In Dudley, our HPSS (Healthy Pregnancy Support Service), are a friendly and experienced team who have helped many women to quit smoking in pregnancy. To give you the best chance of quitting, they provide you with weekly behavioural support and access to FREE nicotine replacement therapy, or if you prefer to use a vape, they can discuss this with you too. They work alongside midwives to support you with your journey to stop smoking, either in the community hubs, in the hospital or your home.

You can self refer by
Calling  (01384) 244358
or Email dgft.hpss@nhs.net

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Discover a range of guidance and support from Dudley Council and our partners, designed for families of children from conception to age two.

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Discover a range of guidance and support from Dudley Council and our partners, designed for families of children from conception to age two.

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Managing your emotional wellbeing in pregnancy

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Managing your emotional wellbeing in pregnancy

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Talking to your family, friends and partner in pregnancy can help you manage your emotions and worry's however there is also day to day activities that help.
Exercise give you a surge of endorphins or stress relieving stretches that can help you focus on something different supporting positive mood and better sleep. Things you could try are walking, yoga, swimming dancing or running.

Local group you can attended include

Aquanatal classes :
at Dudley Leisure Centre on Wellington Road.

Classes take place on Mondays from 11.30 - 12.30.

Pregnancy Yoga :
at Halesowen Leisure Centre
Wednesday 7pm for a five week free course.
Between 28-38 weeks of pregnancy.

Please contact Community Midwives office on
01384 456111 Ext 3358

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Did you know that pregnancy hormones make you feel more stressed? It's normal to feel more anxious than usual.

In fact, more than one in 10 mums suffer from anxiety or feel low during pregnancy. And, as expectant mums, your emotional wellbeing can easily be overlooked with all the focus being on your growing baby.

We asked mums how they coped with dark days in pregnancy.

'I didn't really want to see people, do anything. I felt unenthusiastic about being pregnant, didn't really want to prepare for it, wasn't very quick at buying baby clothes or to decorate nurseries or doing anything like that. I just wanted to ignore it and whenever I did think about it, I just felt really anxious about it all.'

Talk it out

Being a mum can be a lonely business. Getting to know other parents can be a lifesaver. You can share the woes of parenthood and laugh at the not-so-funny aspects of being a mum, or being pregnant.

Find out about antenatal classes near you. You might meet mums expecting babies at a similar time. If you're feeling shy out and about, see what's happening online - chatting to people on forums like Mumsnet can be a useful outlet for your fears and worries.

Don't forget your midwife is also there for you if you need to talk.

'The support I've received from my friends has been beyond incredible, from the random 'How are you and baby doing?' texts, to the casual banter, to the 'I really need someone' chats. On one occasion a set of friends just dropped what they were doing to come to my house and get me out because they knew I was in a state. I couldn't feel more blessed to call these guys my friends.'

'I created a mummy Facebook group that got me through the wonderful yet scary parts and moments in pregnancy.'

'I did NCT antenatal classes and that was amazing. We all had the same anxieties and it was good to chat with people going through the same thing.'

Find out when to get help.
Exercise

Swimming, walking, running, dancing, yoga - whatever works for you - keep doing it through pregnancy.

Exercise gives you a chance to focus on something different, and is great for you and your baby's health. A surge of endorphins, or stress-relieving stretches, can help you feel good and sleep better.

'I loved pregnancy yoga. It was 'me' time and I felt so relaxed afterwards.'

'I talk to my hubby a lot and I do pregnancy yoga once a week, which helps me to relax and sleep.'

'Keep active. It's great for preparing your body for labour, a great de-stresser and gives you something for 'you'.'

Find out more about exercise in pregnancy.
Try meditation, breathing techniques or hypnobirthing

Many mums find meditation and breathing techniques not only help them to relax in pregnancy, but can also help to manage pain in labour.

'The best thing I did was meditation, including positive visualisation. After a difficult first birth I found I could create my own positive space and vibe the second time. I felt calm and together even when I was in pain. The meditation also gave me space in my pregnancy from being the mum of a toddler.'

Find out more about hypnobirthing.
Treat yourself

Book a treat for every month of your pregnancy - it could be anything from a cinema trip or dinner out to a massage or manicure.

It will give yourself something to look forward to, away from all thoughts of pregnancy and babies (and other children if you have them).

'I booked a one hour treatment each week before my due date. I had a bit of a back massage or reflexology, depending on how I felt. Best money I ever spent!'

Get extra support

If you're struggling to cope physically, or emotionally, with your pregnancy - get some help. Whether it's help with housework, or shopping, or - if you have other children - some childcare, try not to exhaust yourself.

'I was feeling exhausted and emotional all the time in my second pregnancy. I decided to put my son with a childminder for six hours each week and just have some 'me' time, or a chance to do the chores leisurely.'

'I felt guilty at first but it was amazing. My son had an action-packed, arty day with 'Jojo' and I didn't feel pressure to be a supermum. Once his brother was born, it was nice for him to go and escape the crying once a week, and for me to have a break.'

Consider counselling

Sometimes it's easier to talk to someone that doesn't know you. It can be a space to voice all your worries and try to make sense, or control some of the negative thoughts you might be having. Ask your GP for a referral, or consider private counselling.

'Counselling got me through the first trimester of my second pregnancy, following a missed miscarriage. I was consumed by anxiety - to the point where I felt I couldn't function at work or home. I was obsessed with the idea that it would happen again. Counselling gave me space to talk about my worries and grieve for my first baby. The therapist also gave me techniques for managing my anxieties.'

Find out what help and support is available.
Try complementary therapies

If you're finding it hard to relax, you might want to try a complementary therapy, like acupuncture, reflexology or shiatsu.

'I found pregnancy a nuisance, rather than a joy, second time around. I was so distracted by my demanding, energetic toddler, I hardly had any time to think about being pregnant. This made me feel horribly guilty and ungrateful.'

'Right at the end of my pregnancy, I had a reflexology session. When the therapist massaged the area of my foot connected to my uterus (I wasn't aware she was doing this until afterwards), a wave of love and contentment spread through my whole body. It actually gave me shivers. It was an unexpected and strangely bonding experience. Just wish I'd had a treatment sooner.'

Find ways to connect to your baby

Mothers have told us that focusing on the baby for a short time each day helped them feel better about their pregnancy.

'I tried to spend some time each day focusing on the baby - it could just be putting my hands on my tummy when they're kicking. Thinking about my baby, rather than everything else that was going on around me, helped just a little bit.'

Attend antenatal birth classes

Sometimes worrying about your baby's birth can weigh you down and affect you throughout your pregnancy.

Preparing for labour by finding out about your options and ways to manage fears and pain - such as hypnobirthing - can go a long way to helping you relax and enjoy pregnancy more.

Find out about local childbirth classes, and talk to your midwife about all your options.
Find out more about antenatal classes here.
Speak to your midwife

If you're finding that your anxieties or moods are affecting your day-to-day life, please don't hesitate to talk to your midwife. Lots of mums feel this way and we're here to help. Download our Wellbeing Plan to help you find the right support.

Don't put too much pressure on yourself to feel good. If you feel rubbish then just accept that you feel rubbish. Sometimes I found that just accepting the feeling was enough to make it go away.'

It goes without saying, if you have any concerns about your pregnancy, talk to us. A check up, or listen in to baby's heart, can easily be arranged. It is so important to voice your concerns.

'I always called my midwife if I had any problems, or the day assessment unit. They have been a great help and reassuring. I've gone over my due date by 10 days now so there is no way I cannot feel tired and worried.'

Don't forget, you can also call our Tommy's Pregnancy Line on 0800 0147 800.

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Tommy's - Tips for improving mental wellbeing in pregnancy

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Did you know that pregnancy hormones make you feel more stressed? It's normal to feel more anxious than usual. In fact, more than one in 10 mums suffer from anxiety or feel low during pregnancy. And, as expectant mums, your emotional wellbeing can easily be overlooked with all the focus being on your growing baby.

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Please see our postnatal information padlet for advice and information for after your baby is born.

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You will soon be able to go home and we will provide you with some useful information to support you and your new baby.

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Your feedback is important to us and were always looking at way to improve our service. Please take a few minutes to fill in a family and friends test on whether you'd recommend our care to your family.

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Around 30% of pregnant women suffer from some type of domestic abuse in pregnancy for the first time that can have detrimental effect to yours and your babies wellbeing. If you're worried about yours and your unborn babies safety. Please talk to any health professional or click the link above.

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Video title: Refuge's 24-hour, Freephone National Domestic Abuse Helpline
Video duration: 1 minute 20 seconds
Description: Information video on what it is like to call the National Domestic Abuse Helpline and who can call it.

Refuge's 24-hour, Freephone National Domestic Abuse Helpline 'Transcript'

[Background music plays]

Soft down beat music

[Animated sequence]

Animation in hand-drawn style showing a woman in a house standing behind a man on a sofa. The woman looks worried and the man appears angry, a speech bubble comes out of the man's mouth.

[Text displays]

!*!!*!!

[Female voice over]

I was walking on eggshells around my partner didn't know where to turn.

[Animated sequence]

The door in the background slams shut. We zoom in on it and it turns into a smart mobile phone in the women's hand. The phone displays the details of the National Domestic Abuse Helpline Number and a green phone icon. Her finger hovers over the phone icon.

[Text displays]

Refuge National Domestic Abuse Helpline 0808 2000 247

[Female voice over]

I'd read about refuges National Domestic Abuse Helpline, but I was hesitant to call.

[Animated sequence]

The scene transitions to the woman sitting on a couch to the left of the screen, and another woman, the Helpline adviser, sitting on the right on a computer. They are facing each other. The screen is split into two different backgrounds with a window in the background that crosses over both.

[Female voice over]

The woman I spoke to really understood my situation though, it was such a relief just to talk.

[Animated sequence]

The woman begins to smile. The blinds in the window open up to show a sun and both rooms become brighter.

[Animated sequence]

Scene transitions to a top down view of the Helpline worker writing on lined paper.

[Female voice over]

I was reassured that it was a confidential and non-judgmental service run by a charity.

[Text displays]

Confidential

Non-judgemental

[Female voice over]

She said I could ring at any time, even if I just wanted to talk about what I was going through

[Text displays]

Any time

Just talk

[Female voice over]

It's free and open 24 hours a day.

[Text displays]

Free

24 hours

[Animated sequence]

Scene zooms out to show a group of five women of mixed races and ages including the Helpline adviser from the earlier scene.

[Female voice over]

It was comforting to know that the helpline is staffed by an all female team of experts,

[Animated sequence]

Scene zooms out to show smart mobile phone showing an animation of the live chat page on nationaldahelpline.org.uk. The women's finger begins to type.

[Female voice over]

and that I can also contact them using live chat.

[Sound effect]

Keys tapping

[Animated sequence]

The phone fades away and four framed picture swing into view. They show four women of various ages and races, one of who is pictured with a child, including the women from the first scene.

[Female voice over]

I was told that the helpline is open to any woman who is afraid of her partner,

[Sound effect]

Glass cracking

[Animated sequence]

The glass in one of the picture frames cracks

[Text displays]

[Female voice over]

whether you're being physically abused or not

[Animated sequence]

The picture of the woman from the first scene is zoomed in on. She picks up her mobile phone as the frame turns into a circle. Another circular frame, showing the Helpline adviser, comes into view and begins to merge with the woman's frame. The woman and the Helpline worker turn to face each other and hold hands.

[Female voice over]

The Helpline advisor helped me realise I'm not alone and reassured me it wasn't my fault.

[Text displays]

I'm not alone

[Animated sequence]

Scene scrolls across to show the woman looking in a mirror and hugging herself. She begins to smile.

[Female voice over]

That was really empowering and I began to believe in myself again.

She made me feel like I had choices.

[Background music plays]

Music becomes more upbeat

[Animated sequence]

Scene zooms in on mirror until the frame is not visible. The background transitions to show a countryside scene with rolling hills, trees and butterflies. The woman lifts a hot drink to take a sip and closes her eyes.

[Female voice over]

From that moment on, I could see a life free from violence and fear.

That phone call was the beginning of the rest of my life.

[Animated sequence]

The woman opens her eyes and looks up.

[Animated sequence]

Scene fades to show black text on a white background below the Refuge pink and black logo.

[Text displays]

Refuge's Freephone, 24 hour, National Domestic Abuse Helpline.
Call us on 0808 2000 247
Or visit wwww.nationaldahelpline.org.uk for information and support, including our live chat and secure online contact form.

We know our lines are often busy but we really want to hear from you.

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Home | Refuge National Domestic Abuse Helpline

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Video title: Refuge's 24-hour, Freephone National Domestic Abuse Helpline Video duration: 1 minute 20 seconds Description: Information video on what it is like to call the National Domestic Abuse Helpline and who can call it.

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For reference for your choices of birth options in line NICE Guidance