# data[].attributes.headline
Why do I need to think about contraception so soon?

# data[].attributes.subject
Why do I need to think about contraception so soon?

# data[].attributes.body
It's never too early and your midwife will talk to you about this on the ward before you go home, so do look at the information in this column before that.

# data[].attributes.body
Information on why we may ask you to "step on the scales" following the birth:

1. The risk of developing a blood clot (thrombosis) in a blood vessel (artery or vein) remains high for the first six weeks after the birth. Whilst uncommon and occurring in only 1-2 per 1000 women, there are ways in which you can reduce your individual risk. This includes staying well hydrated and as active as you can.

2. Contact a health professional if you have any concerns. Symptoms of a blood clot in your leg can include leg pain, swelling or redness. Symptoms of a blood clot in the lung can include sudden unexplained difficulty in breathing, chest pain or tightness, coughing up blood, feeling very unwell or collapsing.

# data[].attributes.headline
Translation Of Maternity Information (Different Languages)

# data[].attributes.subject
Translation Of Maternity Information (Different Languages)

# data[].attributes.attachment_link.readable_text
Maternity information translations

*** Now updated with Ukrainian and Russian translations ***

We know that women from minority ethnic groups, refugees, asylum seekers and those whose first language is not English are at greater risk of poorer maternity and neonatal outcomes. We are working hard across the region to reduce these health inequalities, making birth safer and more personalised.

In collaboration with Papillon Translations and Surrey Heartlands' Local Maternity and Neonatal System, these maternity information resources aim to support our Afghan and Ukrainian families through pregnancy, labour, birth and the early days with their new baby. Using current information on the NHS website, the leaflets and the app provide written and audio information in Dari and Pashto, Ukrainian and Russian as well as English.

These resources are designed to support discussions between women and their healthcare professionals, facilitated by a suitable interpreter, to help them make informed choices about their maternity care.
To read or listen to information on the topics below in different languages, download the Papillon Translations app from Google Play or Apple Store, and scan each of the QR codes in the documents below:

The resources can also be downloaded as PDF documents here:

You are welcome to share this campaign content widely throughout your networks, please ensure the South East Maternity Team is credited wherever possible. We welcome any feedback to england.sematernity@nhs.net

This website uses cookies to improve your experience. If you continue to use this site, you agree with it.

Ok

# data[].attributes.attachment_link.title
Maternity information translations - Welcome

# data[].attributes.attachment_link.description
Maternity information translations *** Now updated with Ukrainian and Russian translations *** We know that women from minority ethnic groups, refugees, asylum seekers and those whose first language is not English are at greater risk of poorer maternity and neonatal outcomes. We are working hard across the region to reduce these health inequalities, making birth safer and more personalised.

# data[].attributes.body
Early Weeks:

-> Your vagina and Pelvic floor health (Bladder and Bowels)

-> Care and recovery after tearing or episiotomy | NCT

-> C SECTION recovery Also, see the Planned Caesarean Padlet in the final column for more advice

-> Bleeding and WHAT is normal

-> Your Pregnancy Body

The 6 WEEK GP Check

-> Do not forger the 6 week GP check

-> Make a plan and book your appointment for your Cervical Screening (attending regular cervical screening reduces deaths from cervical cancer)

# data[].attributes.attachment_link.title
Care and recovery after tearing or episiotomy | NCT

# data[].attributes.attachment_link.description
While perineal tearing is common, episiotomies are not routinely given but you may have had one. Women and those giving birth along with those supporting them, may find this a traumatic experience. Here we discuss care and recovery, how to help your body heal and where you can find emotional support.  Our oth…

# data[].attributes.body
Columns are titled for ease of searching

Click on the website link/page/document to either view or download

Use the grey bar to the side of each column and at the bottom to scroll up and down or along

Please note that CW Trust is not responsible for information and links provided by outside organisations

# data[].attributes.body
Physical ∙ slapping, pushing, hitting, pulling hair, biting, etc.

Sexual ∙ when someone does something to your body that you don’t want

Psychological and emotional abuse ∙ saying horrible things to you like you are stupid, ugly, a bad parent, worthless, or not allowing you to go out alone, checking on you all of the time, ignoring you

Economic abuse ∙ controlling your money

Coercive control ∙ controlling and bullying you to do things that you don’t want to do

Harassment and stalking ∙ following you, keeping track of where you go, sending you unwanted messages via social media or people

# data[].attributes.headline
Check out the pelvic floor health videos. 

# data[].attributes.subject
Check out the pelvic floor health videos. 

# data[].attributes.body
From your pelvic floor to your posture, from caring for your bladder to returning to exercise, supporting your body during and after pregnancy is important. Learn more from our new video series.

# data[].attributes.body
One support person can be with you 24 hours per day on the Postnatal Ward

A second person can also be there between 2 and 8pm

If you have other children, they are able to visit you on the ward between 3 and 5pm

No other visitors at present

# data[].attributes.body
How Are You Feeling?
Your Mental Health

-> Losing Your Identity After Birth and How to Get it Back

-> Parenting After Loss. Rainbow Baby.

-> Recovering from a Difficult Birth

-> Postnatal Anxiety

-> Feeling LOW. And BABY BLUES

-> Difference between Postnatal Depression and Baby Blues

-> What are perinatal mental health services

-> Postpartum Psychosis

Do You Need or Want Help?
(Help for Parents)

-> What Are Perinatal Mental Health Problems?

-> When To Seek Help

-> What Are Perinatal Mental Health Services?

-> NHS Talking Therapies

-> NHS psychological therapies (IAPT) services

-> Cognitive behavioural therapy (CBT)

-> The Association For Postnatal Illness

-> Support for you, partner and family

# data[].attributes.attachment_link.title
Perinatal mental health services: what are they? | Royal College of Psychiatrists

# data[].attributes.attachment_link.description
This information is for women who have mental health issues and are planning a pregnancy, have had mental issues during or after pregnancy, those who are at risk of mental health issues during or after pregnancy and those who have been reffered to a perinatal mental health service.

# data[].attributes.body
You should be contacted by your community midwife within the first 36 hours after discharge from hospital.

# data[].attributes.headline
Breastfeeding resources in other languages

# data[].attributes.subject
Breastfeeding resources in other languages

# data[].attributes.body
Look here for information in many other languages

# data[].attributes.headline
Contraception after Pregnancy - Antenatal Class

# data[].attributes.subject
Contraception after Pregnancy - Antenatal Class

# data[].attributes.body
Explore your options at a new monthly online class (book using the QR code in the picture.

This class is for women and pregnant people who are receiving antenatal care from either:

Chelsea and Westminster Hospital NHS Foundation Trust

London North West University Healthcare NHS Trust

Imperial College Healthcare NHS Trust

The Hillingdon Hospitals NHS Foundation Trust

who want to learn more about contraception after pregnancy and what is available from their maternity service after their baby is born.

Fertility can return as early as Day 21, and we recommend a minimum of 12 months between the birth of a baby and becoming pregnant again. Maternity services can now offer contraception before discharge, so it is important to think about your future contraception plans whilst you are pregnant. To help you get your choice of contraception, please inform your midwife or doctor of your choice by 36weeks.

We will be discussing all methods:

Combined hormonal contraception

Progestogen only contraception

Long-acting reversible contraception (Cu-IUDs (non-hormonal), LNG-IUDs(hormonal), implants and injections)

Barrier methods (condoms)

Lactactional Amenorrhea Method (LAM)

Sterilisation"

# data[].attributes.attachment_link.title
Poster parent ed contraception class july 2024

# data[].attributes.body
Post birth contraception — Chelsea and Westminster Hospital NHS Foundation Trust (chelwest.nhs.uk)

# data[].attributes.headline
Follow our FEEDING PADLET. For ALL FEEDING related information and advice. *breastfeeding *expressing *bottle feeding

# data[].attributes.subject
Follow our FEEDING PADLET. For ALL FEEDING related information and advice. *breastfeeding *expressing *bottle feeding

# data[].attributes.body
Feeding and Nurturing your Baby (padlet.com)

# data[].attributes.headline
When To Seek Help + When is Baby SERIOUSLY ILL

# data[].attributes.subject
When To Seek Help + When is Baby SERIOUSLY ILL

# data[].attributes.body
Concerns about my baby's health :: Healthier Together (what0-18.nhs.uk)

# data[].attributes.body
Caring for Baby in Early weeks

# data[].attributes.body
Your NICU/SCBU Baby Padlet Information Source

# data[].attributes.body
Tips on how to cope with a crying baby ...

# data[].attributes.body
Soothing a Crying Baby

Is This Normal Crying?

The Purple Crying

Safer Sleep from Day One

UK charity offering help and support to parents with babies who cry excessively or have sleeping problems

# data[].attributes.body
The Baby Check App - The Lullaby Trust

# data[].attributes.attachment_link.readable_text
We use cookies to give you the best possible online experience. If you continue, we will assume you are happy for your web browser to receive all cookies from our website. Accept

Baby Check App

Baby Check features 19 simple checks that parents can do if their baby is showing signs of illness. Each check tests for a different symptom and when completed, a score is calculated that tells parents or carers how ill their baby is. The app then lets parents know whether their baby needs to see a doctor or health professional.

Download for FREE from Google Play or the App Store.

Buy posters, business cards and other materials to help promote Baby Check to your clients and patients

Shop

# data[].attributes.attachment_link.description
The Baby Check App helps parents decide if their baby needs to see a doctor or health professional

# data[].attributes.body
Swaddling and Baby Wearing:

Safety Tips

Using Slings

Safe Baby Wearing

Baby Sleep:

Caring for your baby at night

Dressing baby for bedtime

Understand Baby's Sleep (Baby Sleep and Night Time Care)

Safer Co-Sleeping

Safe Sleep Advice: Reduce the risk of sudden infant death syndrome (SIDS)

Preventing baby Falls

# data[].attributes.body
Nappy:

How To Change Baby's Nappy Video

Understanding the Colour of baby's poo

Bath:

Washing Your Baby + Video

# data[].attributes.body
advice from NHS England

# data[].attributes.headline
Infant Feeding Team (at Chelsea and Westminster Hospital)

# data[].attributes.subject
Infant Feeding Team (at Chelsea and Westminster Hospital)

# data[].attributes.body
For families under the care of Chelsea and Westminster.

Mon–Fri 9am–3pm
Sat-Sun 9am-1pm

T: 020 3315 3017
E:  chelwest.infantfeeding@nhs.net

# data[].attributes.body
Use this tool to assess if your baby is taking enough milk.
If any X are entered for the red column it is recommended that you ask for support with feeding.

# data[].attributes.attachment_link.title
264440 Infant Feeding Chart RedGreen Assessing effective milk transfer 2020

# data[].attributes.body
PLANNED DISCHARGE WITHIN 6-12 HOURS.

*BEFORE DISCHARGE:

-Your 1st wee post birth needs to be measured (use the pan provided in the toilet)
-Daily Check of You and Baby by Midwife

-Feeding assessment by Midwife

-Examination of Newborn (EON) and Your Baby's Red Book
-Discharge Paperwork Completed
-Medication dispensed from pharmacy if required
-Ensure you have your own paracetamol and ibuprofen at home (Such pain relief is not given to you on discharge by the hospital)

# data[].attributes.body
PLANNED DISCHARGE WITHIN 24 HOURS

*BEFORE DISCHARGE:

-Your catheter needs to be removed
-Your 1st wee post removal of catheter needs to be measured
-You might have a blood test if required
-Daily Check of You and Baby by Midwife
-Feeding assessment by Midwife
-Examination of Newborn (EON) and Your Baby's Red Book
-Post C Section Doctor Assessment
-Discharge Paperwork Completed
-Medication and pain relief dispensed from pharmacy
-Ensure you have your own paracetamol and ibuprofen at home (Such pain relief is not given to you on discharge by the hospital)

# data[].attributes.body
PLANNED DISCHARGE WITHIN 12-24 HOURS

*BEFORE DISCHARGE:

-Your catheter needs to be removed
-Your 1st wee post removal of catheter needs to be measured
-You might have a blood test if required
-Daily Check of You and Baby by Midwife
-Feeding assessment by Midwife
-Examination of Newborn (EON) and Your Baby's Red Book
-Doctor assessment
-Discharge Paperwork Completed
-Medication and pain relief dispensed from pharmacy if required
-Ensure you have your own paracetamol and ibuprofen at home (Such pain relief is not given to you on discharge by the hospital)

# data[].attributes.headline
-> UNPLANNED (EMERGENCY) CAESAREAN BIRTH

# data[].attributes.subject
-> UNPLANNED (EMERGENCY) CAESAREAN BIRTH

# data[].attributes.body
PLANNED DISCHARGE WITHIN 24-48 HOURS

*BEFORE DISCHARGE:

-Your catheter needs to be removed
-Your 1st wee post removal of catheter needs to be measured
-You might have a blood test if required
-Daily Check of You and Baby by Midwife
-Feeding assessment by Midwife
-Examination of Newborn (EON) and Your Baby's Red Book
-Post C Section Doctor assessment
-Discharge Paperwork Completed
-Medication and pain relief dispensed from pharmacy
-Ensure you have your own paracetamol and ibuprofen at home (Such pain relief is not given to you on discharge by the hospital)

# data[].attributes.body
FOR YOU

-pads
-reusable bottle for water/straws
-ear plugs
-eye mask
-toiletries
-comfortable clothes
-snacks

FOR BABY

-nappies
-cotton wool
-ready made formula (if you intend to feed baby using formula). We supply bottles and teats
-baby cotton hats
-baby clothes

# data[].attributes.headline
Contact our Maternity Triage for urgent concerns 24/7

# data[].attributes.subject
Contact our Maternity Triage for urgent concerns 24/7

# data[].attributes.body
Chelsea and Westminster
T: 020 3315 6000

West Middlesex
T: 020 8321 5839

# data[].attributes.body
How Does The Vagina Change:

-> Changes to vagina

Perineal Tears:

-> 1st and 2nd degree tears
-> Episiotomy
-> 3rd and 4th degree tears
-> Tears and recovery

# data[].attributes.body
-> What Is Your Pelvic Floor?
-> What Are Pelvic Floor Exercises?
-> Pelvic Floor Exercise Videos
-> Physiotherapy on the NHS

# data[].attributes.body
Download the Squeezy App!

# data[].attributes.attachment_link.readable_text
iPhone Screenshots

Squeezy has helped thousands of women regain confidence in their pelvic floor. Pelvic health specialists around the world recommend Squeezy to their patients every day because it works! If you are thinking about downloading Squeezy for your pelvic floor, you are not alone.

All women should be doing these exercises and some will be doing them as part of a physiotherapy programme.

Squeezy is simple to use, informative and designed to help women to remember to do their pelvic floor muscle exercises (also known as Kegel exercises).

Features includes:
* A pre-set exercise plan that follows public health guidelines
* A record of the number of exercises you have completed, compared to your target
* Visual and audio prompts for exercises
* Exercise reminders with customisable settings
* Educational information about the pelvic floor
* "Professional mode" - if working with a pelvic health specialist, you can tailor the exercise plan to fit your needs
* A bladder diary to keep track of your symptoms, if required
* Simple and clear interface

Squeezy was designed by chartered physiotherapists specialising in pelvic health working in the NHS. It has been clinically reviewed and approved by the NHS for its clinical safety, and is compliant with NHS Information Governance requirements.

Squeezy won several industry awards including ehi Awards 2016, Health Innovation Network 2016, National Continence Care Awards 2015/16 and was a finalist for awards including Advancing Healthcare Awards 2014 and 2017, Abbvie Sustainable Healthcare Awards 2016.

For more about Squeezy and additional pelvic health information visit squeezyapp.com.

Version 5.0.3

This update prevents the app from crashing in rare situations when moving through the different exercises in a session.

Wish I'd tried this first!

We all know we're supposed to do these exercises but unfortunately if you're anything like me it's hard to get into the habit. I wish I'd tried this app before I spent £250 on 'the shorts'. Foolishly I thought that 30 mins a day for 4 days would be easier for me to fit in than 3 times a day for 7 days but I was very wrong. The Squeezy sessions take 2 mins, you can do them anywhere which is very appealing to me as I spend a lot of time ferrying kids around, waiting in the car etc! You can initiate a session earlier if needed or defer one if not convenient. As long as you do your 3 a day you will notice results - I'm only 10 days in but already seeing results. Everyone should be asked to try this for a few weeks before they get a referral to a clinician, I get a feeling the NHS would be saved a lot of time and money!

Should only use under the supervision of a therapist that's actually seen your problem in person!

I started using this app on the say so and recommendation of a gyno physio therapist, they had never seen me in person so they didn't fully know what was wrong down there. I was passed on to them without being seen by a specialist who would have been able to say what my problem was. I really wish I had never used this app without being seen by a proper gynaecologist first! The app is good for reminding you when to do your exercises and the daily planner lets you keep note of things you have noticed so you have your record available to yourself and also your specialist if you have seen one. I had a gyno physical therapist who had only spoke to me on a phone! They recommend I use this app! The app itself does say you shouldn't do the exercises if you haven't been physically seen! After the first 3 months of exercises I ended up in pain. I just thought it must be normal or totally unrelated. I still don't know why or what it is and I still haven't been seen by a specialist. So if you have come to this app from the say so from an NHS worker who hasn't seen you in person DO NOT USE IT!

Hello
I am sorry that you have had this experience. The app is developed to be evidence-based and is carefully designed and worded to avoid problems for people who are best not doing pelvic floor exercises without professional guidance. It does discuss the need to see a health care professional in some circumstances, but it is perfectly safe to use without seeing one. I recommend that everyone reads the information section first, to be aware of potential problems. I hope that you have now been able to access the help you need.

Not able to set the exercises I've been prescribed

Generally I find the app easy to use and it's a good reminder for me to do my exercises, as well as making it easier to do them on the go since I don't have to concentrate on counting the seconds myself.

My only issue is that I seem to be unable to set the exercise plan that I've been given my an NHS physio, which seems like a miss. I am supposed to do 3 x 3 sets of 10 slow and fast, so 9 sets in total over the course of the day, in 3 sittings. However the maximum I can plan in the app is 6 sets, and if I select this I would end up with 6 reminders throughout the day. It would be great if there was an option to set up 'sets per session' as well as the current sessions/reps/squeeze and relax time.

It would also be great to be able to set up sets for relaxation of the pelvic floor muscles too, since I've been told this is just as important.

Hello
Thank you for your feedback!
If your physio is asking you to do 3 sets of 10 slow and 10 fast, in every session, and to do three of those sessions every day, then you will be unable to set that up in the app. The reason for that is that Squeezy is designed to be suitable for everyone to use, within the limits described in the introductory articles. The settings are pre-planned to fit with the current evidence. This is that men and women with pelvic floor symptoms should perform up to ten slow squeezes, at 10 seconds hold each time, and ten fast squeezes, up to six times a day. Women only should perform these same exercises up to three times a day as a maintenance or preventative measure. The relaxation component is built in to this and the rest and relaxation phases can be increased as required.
The number you have been prescribed is not able to be put in to the app because they would be too much for the vast majority of people, and the app is set up so that we do not put people at risk of causing any soreness or overactivity by overworking these muscles.
I hope that you are able to find a way to manage this, perhaps by doing all three sets each time one of your three reminders goes off. You can do this by using the "Squeeze now" petal to repeat the sets.

I hope this clarifies the situation and good luck with your plan!

Best wishes

Myra Robson (Squeezy physio)

The developer, Living With Ltd, indicated that the app's privacy practices may include handling of data as described below. For more information, see the developer's privacy policy.

Data Linked to You

The following data may be collected and linked to your identity:

Privacy practices may vary based on, for example, the features you use or your age. Learn More

Information

Compatibility

iPhone

Requires iOS 13.0 or later.

iPod touch

Requires iOS 13.0 or later.

Age Rating

12+ Infrequent/Mild Medical/Treatment Information Infrequent/Mild Sexual Content and Nudity

Family Sharing

Up to six family members can use this app with Family Sharing enabled.

# data[].attributes.attachment_link.description
‎Squeezy has helped thousands of women regain confidence in their pelvic floor. Pelvic health specialists around the world recommend Squeezy to their patients every day because it works! If you are thinking about downloading Squeezy for your pelvic floor, you are not alone. All women should be doin...

# data[].attributes.body
Keeping a check on your own mental health in the postnatal period

# data[].attributes.attachment_link.title
Contraceptive choices after you’ve had a baby - Contraception - Sexwise

# data[].attributes.attachment_link.description
Information for pregnant women and new mums about contraception, how to choose a suitable method and when to start using contraception after the birth.

# data[].attributes.body
Please make sure your discharge address is correct with our maternity reception :)

# data[].attributes.body
Keep your child's growth charts and health records from the NHS with you wherever you are.

# data[].attributes.attachment_link.title
eRedbook - The Digital Red Book For Parents

# data[].attributes.attachment_link.description
Keep your child’s growth charts, vaccination data and other health records from the NHS with you wherever you are.

# data[].attributes.headline
IF YOU LIVE IN THE CATCHMENT AREA FOR ST. GEORGE'S HOSPITAL

# data[].attributes.subject
IF YOU LIVE IN THE CATCHMENT AREA FOR ST. GEORGE'S HOSPITAL

# data[].attributes.body
Please note that first home visit should now happen, but you will most likely need to attend your local clinic for all other postnatal appointments.

# data[].attributes.headline
Maternity Trauma and Loss Care Service (North West London)

# data[].attributes.subject
Maternity Trauma and Loss Care Service (North West London)

# data[].attributes.attachment_link.title
Maternity Trauma and Loss Care Service (North West London) :: Central and North West London NHS Foundation Trust

# data[].attributes.attachment_link.description
There are no rules about when you can start having sex again after you’ve given birth. It depends on when you feel physically and emotionally ready.

# data[].attributes.attachment_link.readable_text
For all sorts of reasons, it might take a while to get back to your old sex life after having a baby. One study found that more than half of couples had started to have sex by eight weeks after birth, and more than three quarters of couples by 12 weeks (McDonald and Brown, 2013). Yet for many couples, it's closer to 12 months after their baby's birth that they're having sex as frequently as before the birth (Jawed-Wessel and Sevick, 2017).

So here are a few questions you could ask yourself to see whether you're ready to make that move...

1. Do I feel emotionally ready for sex?

This is pretty important. The timing is very much up to you. And it is common for new parents to find that tiredness and the responsibility of caring for a new baby mean they have less interest in sex.

A decline in sexual interest after the birth of a baby can be related to the drop in oestrogen that new mums experience (Hendrick et al, 1998). In fact, one study suggests this is a way of ensuring new mums do not become pregnant while caring for a new baby (Lorenz et al, 2019).

2. Am I worried that my partner wants to have sex?

If you aren't ready but your partner is, reassure them that you're not pushing them away. This is just a temporary situation while you get your head around the demands of a small human. It can take time for your body to recover from the birth.

Your partner's moves over to your side of the bed are likely because they still love and fancy you and want you to know it. But you should never feel under pressure to do anything you are not 100% ready for.

It might sound like a cliché but communication and a mutual understanding of each other's needs can help keep a loving relationship alive. You might also want to remind your partner that your focus on your baby doesn't take away from your love for them. That you're not pushing them away.

"There's no right or wrong time to start having sex again after you have had a baby. Don't rush into it. If sex hurts, it won't be pleasurable." (NHS, 2018a)

Sex is more likely if you make time to relax together. You're more likely to make love when your minds are on each other, rather than other things (NHS, 2018b).

3. Am I worried about my body?

If you gave birth, you might be thinking 'Will it feel different?' Worries around discomfort or becoming pregnant again are normal.

You might start by gently exploring your vagina to discover whether there is any pain or change (NHS, 2018b). You could then discuss the changes to your body with your partner and how you want to be touched.

Dryness might contribute to sex being painful, and lower oestrogen levels until your periods restart after childbirth are partly to blame (NHS, 2018a). But probably the most important reason for dryness is that you're exhausted and adapting to your post-birth body, so you're not sexually aroused enough to produce lubrication. You could use a lubricant and make sure you are fully aroused before sexual activity, and begin with oral or mutual masturbation (NHS, 2018b).

You could also grab a chat with your health visitor or GP to go through your questions about post-baby sex. If you experience any pain, see your GP (NHS, 2018a).

4. Am I rushing into post-baby sex because I'm worried I'll lose closeness with my partner?

If that's the case, there are plenty of other ways to maintain that bond. With everything from cuddling up in front of a film to doing anything else you fancy in bed that doesn't involve penetration.

5. How will the type of birth I had affect sex?

The type of birth you had can affect your feelings about sex (McDonald and Brown, 2013).

If you had an uncomplicated vaginal birth, you might feel tired, bruised or have some grazing that may sting, so you may want to take it gently. Your health visitor will probably check in with you about pain or difficulties around sex about two to six weeks after the birth (NICE, 2021a). If you have had stitches in your perineum after the birth, you may feel anxious about discomfort and perhaps find that sensation is different (NHS, 2020a).

If you had a caesarean section, you can resume sex whenever you feel fully recovered from the birth (NICE, 2021b). If your scar is still sensitive, you could explore positions that don't put pressure on it.

6. Will my tear or cut (episiotomy) affect sex?

Let yourself recover first. Your stitches should dissolve after 10 days and by two weeks you should feel like you're healing well. But it can take up to a month to heal (NHS, 2020a). For third and fourth degree tears, wait until you've stopped bleeding and your tear has healed before having sex again (RCOG, 2015).

With stitching, when you're ready to have sex again, you'll want to take things slowly and gently. You could try positions that limit penetration or reduce the pressure on the stitched area. If sex is painful or difficult when you do try, speak to your GP.

7. Will how I am feeding my baby affect sex?

This may seem unrelated but actually, if you're breastfeeding, hormones can cause vaginal dryness and a dip in libido (Riordan, 2005). See our Breastfeeding and sex article for more details.

Your breasts may be less of an erogenous zone than they used to be and you may find that the oxytocin released during breastfeeding means you crave affection less elsewhere. On the other hand, as our bodies are never simple, you may find that breastfeeding actually increases your arousal levels.

Some women feel 'all touched out' by the intensity of being constantly on demand as a parent. This isn't a reason to stop feeding, but might mean you just don't feel like having sex.

8. Have I thought about contraception?

Very important information: you can get pregnant soon after the birth of your baby. This can happen even if you are breastfeeding and your periods haven't reappeared. So make sure you look into your options for contraception and discuss it with your health visitor, midwife, GP or contraception clinic (NHS, 2020b).

9. Am I putting it off as I'm worrying about my baby being in the room?

Such a common one, trust us. Yet your baby won't understand what's going on. Your noises are completely familiar to them from their time in your womb and hearing them from outside will not upset them. Plus they won't care what you're up to.

Just be careful if your baby is in the bed with you or move them into their cot. You might also want to choose a time when your baby is less likely to interrupt things, like after a feed.

10. Am I ready to talk honestly with my partner?

If sex hurts, say it. If you need your partner to be gentler, say it. If you need extra foreplay, say it. If you need to nip to the chemist and buy some lube, say it. If you just want to chill out in front of the TV, say it. See a GP and say it to them if something doesn't feel right.

Further information

Our support line offers practical and emotional support with feeding your baby and general enquiries for parents, members and volunteers: 0300 330 0700.

You might find attending one of our Early Days groups helpful as they give you the opportunity to explore different approaches to important parenting issues with a qualified group leader and other new parents in your area.

Make friends with other parents-to-be and new parents in your local area for support and friendship by seeing what NCT activities are happening nearby.

Hendrick V, Altshuler LL, Suri R. (1998) Hormonal changes in the postpartum and implications for postpartum depression. Psychosomatics. 39(2):93-101. Available at: https://www.sciencedirect.com/science/article/pii/S0033318298713556 [Accessed 9th December 2021].

Jawed-Wessel S, Sevick E. (2017) The impact of pregnancy and childbirth on sexual behaviors: A systematic review. J Sex Res. 54(4-5):411-423. http://www.tandfonline.com/doi/abs/10.1080/00224499.2016.1274715 [Accessed 9th December 2021].

Lorenz T, Ramsdell EL, Brock RL. (2019) A close and supportive interparental bond during pregnancy predicts greater decline in sexual activity from pregnancy to postpartum: applying an evolutionary perspective. Front Psychol. 10:2974. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966960/ [Accessed 9th December 2021].

McDonald EA, Brown SJ. (2013) Does method of birth make a difference to when women resume sex after childbirth? BJOG. 120(7):823-830. Available from: http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.12166/full [Accessed 9th December 2021].

NICE. (2021a) Postnatal care [NG194]. Available at: https://www.nice.org.uk/guidance/ng194 [Accessed 9th December 2021].

NICE. (2021b) Caesarean birth [NG192]. Available at: https://www.nice.org.uk/guidance/ng192 [Accessed 9th December 2021].

NHS. (2018a) Vaginal changes after childbirth. Available from: https://www.nhs.uk/Livewell/vagina-health/Pages/vagina-after-childbirth.aspx [Accessed 9th December 2021].

NHS. (2018b) Sex and contraception after birth. Available at: https://www.nhs.uk/conditions/pregnancy-and-baby/sex-contraception-after-birth/ [Accessed 9th December 2021].

NHS. (2020a) Episiotomy and perineal tears. Available from: https://www.nhs.uk/pregnancy/labour-and-birth/what-happens/episiotomy-and-perineal-tears/ [Accessed 9th December 2021].

NHS. (2020b) When can I use contraception after having a baby? Available from: https://www.nhs.uk/conditions/contraception/when-contraception-after-baby/ [Accessed 9th December 2021].

Riordan J. (2005) Breastfeeding and human lactation. Sudbury, MA: Jones & Bartlett Publishing

RCOG. (2015) A third- or fourth-degree tear during birth (also known as obstetric anal sphincter injury- OASI. Available from: https://www.rcog.org.uk/globalassets/documents/patients/patient-information-leaflets/pregnancy/pi-third--or-fourth-degree-tear-during-birth.pdf [Accessed 9th December 2021].

# data[].attributes.attachment_link.title
Sex after a baby: 10 questions to ask yourself | Life as a parent articles & support | NCT

# data[].attributes.attachment_link.description
Wondering how soon you can have sex after giving birth? Here are some questions you should ask yourself to figure out what's right for you.

# data[].attributes.headline
Registering Birth (Chelsea and surrounding areas)

# data[].attributes.subject
Registering Birth (Chelsea and surrounding areas)

# data[].attributes.attachment_link.readable_text
Information about how to register the birth of a baby which must be done within 42 days of the date of birth.

You must register your baby's birth within 42 days of the date of birth.

If your child was born in the Royal Borough of Kensington and Chelsea, you can book your appointment online to register the birth.

The information below explains how to register your baby's birth and should answer most of your questions. Email us at registrars@rbkc.gov.uk if you have any further questions.

How quickly can the birth be registered?

It is possible to register your baby as soon as the birth has taken place. It is a legal requirement for your baby's birth to be registered within 42 days.

Where can the birth be registered?

A birth can only be registered in the registration district in which it took place. If your baby was born in the Chelsea and Westminster Hospital or at any other address located within the Royal Borough of Kensington and Chelsea then the birth must be registered at the Kensington and Chelsea Register Office. You may do this in person here at the Chelsea Old Town or by 'declaration' at any other Register Office in England or Wales.

In person

We operate on an appointment-only basis here at the Kensington and Chelsea Register Office - please book your appointment online. If you attend without an appointment we may not be able to see you and you may have to make an appointment to come back another day.

By declaration

If it is not convenient for you to attend this office then you may go to any other Register Office in England or Wales to register by 'Birth Declaration'. When you attend that Register Office, the Registrar who sees you will simply record the relevant information and act as an intermediary, passing the details to this office by post. Please bear in mind that declarations rely on many different organisations and services (postal services, part-time register offices) and this may delay the arrangements you may wish to make with regards to passports, family allowances, etc.

Important - If you choose to register the birth by declaration then please remember that copies of birth certificates are only available from the office where the birth is registered, and not where the birth declaration was made.

Who is able to register the birth?

The birth must be registered by one of the following:

if the baby's parents were married to each other at the time of the birth the mother and father are qualified informants. One of them may attend on their own or they both may attend together.

if the baby's parents were not married to each other at the time of the birth then only the mother is the qualified informant. The father will not be able to register the birth on his own. If the father wishes his details to be included in the register then he will have to attend with the mother at the time of registration. If the father is not able to attend at the time of registration then the mother will not be able to include the father's details at that time but it may be possible to enter his details at a later date. If the mother is not married to the baby's father, she is not obliged to include the father's details in the register.

in certain circumstances another person may qualify as an informant but this is a very rare occurrence. If you think that this may be the case then you should contact the Register Office for further advice, at: registrars@rbkc.gov.uk.

If English is not your first language and you would like someone to help you with the registration, please feel free to ask a relative or friend to accompany you to the Register Office. However, please remember that the birth must be registered by a qualified informant - a friend cannot register on your behalf.

What information needs to be supplied to the Registrar?

When you attend to register the birth, the Registrar will need to know the following information:
Information about the baby

the date and place of your baby's birth. If the birth is a multiple one (twins, triplets etc) then the time of each baby's birth will also be required

the baby's sex

the forenames and surname in which it is intended that the baby will be brought up

Information about the father
(Where these details are to be entered in the register).

the father's forenames and surname

the father's date and place of birth (town and country if born in the UK; country if born overseas)

the father's occupation at the time of the baby's birth or, if he was not employed at that time, the occupation he last followed

the father's address (if he is not married to the mother and not living at the same address)

Information about the mother

the mother's forenames and surname (a maiden surname will also be required if the mother is, or ever has been, married)

the mother's date and place of birth (town and country if born in the UK; country if born overseas)

the mother's usual address at the time of birth

the mother's occupation (if the mother is no longer working but had been employed at any time before the birth this occupation can be entered in the register if the mother so wishes)

the total number of previous children

if the mother was married to the baby's father at the time of the birth the registrar will need to know the date of that marriage

It is most important that the information recorded in the register is correct. If a mistake is made in the register entry, it may not be possible to make a correction later so please spend time double-checking the registration details at the end of the appointment. If a correction is possible, there is a statutory fee of £90 per correction.

Obtaining birth certificates

Certificates cost £11 and you can purchase as many as you need. You can also pay for your certificates in advance when you book your appointment online.

If you are registering by declaration, you will need to contact the district in which the birth occurred to obtain birth certificates after you have attended your appointment.

If your child's birth has already been registered and you wish to apply for a birth certificate from the Kensington and Chelsea Register Office, see obtaining a copy of a birth, death, marriage or civil partnership certificate.

# data[].attributes.attachment_link.title
Registering a birth | Royal Borough of Kensington and Chelsea

# data[].attributes.attachment_link.description
Information about how to register the birth of a baby which must be done within 42 days of the date of birth.

# data[].attributes.headline
If you haven’t been contacted by COMMUNITY MIDWIFE within 36 hours after discharge from hospital

# data[].attributes.subject
If you haven’t been contacted by COMMUNITY MIDWIFE within 36 hours after discharge from hospital

# data[].attributes.body
Please call 02033155371 to let us know.

# data[].attributes.body
This is the schedule of postnatal visits for women booked at West Middlesex Hospital.

# data[].attributes.body
Early Days:

-> What do I need to know?
-> The Baby Hearing Test

The DAY 5 Visit:

-Assessment of You and Your Baby
-Baby Weight
-The Newborn Blood Spot Test

# data[].attributes.attachment_link.readable_text
NHS services for new parents

Registering your baby with a GP

Register your baby with your GP as early as possible in case you need their help.

You can contact your GP at any time, whether it's for you or your child.

If you move, register with a new GP close to you as soon as possible.

If your baby is not yet registered with a GP but needs to see one, you can receive emergency treatment from any GP surgery.

How your health visitor can help

A health visitor will usually visit you at home for the first time around 10 days after your baby is born. Until then you'll be cared for by local midwives.

A health visitor is a qualified nurse or midwife who has had extra training. They're there to help you, your family and your new baby stay healthy.

Your health visitor can visit you at home, or you can see them at your child health clinic, GP surgery or health centre, depending on where they're based.

Talk to your health visitor if you're struggling with your mental health. They can give you advice and suggest where to find help. Read more about feeling depressed after childbirth.

They may also be able to put you in touch with groups where you can meet other parents.

Child health clinics

Child health clinics are run by health visitors and GPs. They offer regular baby health and development reviews and vaccinations.

You can also talk about any problems to do with your child, but if your child is ill and likely to need treatment, see your GP.

Some child health clinics also run parent and baby, breastfeeding, and peer support groups.

Local authority services

Sure Start children's centres

Sure Start children's centres provide family health and support services, early learning, and full-day or temporary care for children from birth to 5 years.

They also provide advice and information for parents on a range of issues, from parenting to training and employment opportunities. Some have special services for young parents.

Family Information Service

Family Information Service (FIS) aims to help you support your children by providing information for parents.

Each FIS has close links with children's centres, Jobcentre Plus, schools, careers advisers, youth clubs and libraries.

They offer information about local childcare services and availability, and can help if you need childcare for a child with a disability or special needs.

You can find out if these services are available in your area by contacting your local council.

Local advice centres

Advice centres are non-profit agencies that give advice on issues such as benefits and housing.

You can search online for organisations such as:

Citizens Advice

community law centres

welfare rights offices

housing aid centres

neighbourhood centres

community projects

To help you get the most out of services:

write down what you want to talk about and what information you can give that will be helpful

tell the person you are talking to if you do not understand them - you could ask them to write down what they are saying

There may be support available if English is not your first language. Ask your health visitor what's available in your area.

Websites, helplines and support groups

Contact: for families with disabled children

Support, advice and information for parents with disabled children.

Family Lives

An organisation providing immediate help from volunteer parent support workers.

Family Rights Group

Support for parents and other family members whose children are involved with or need social care services.

Gingerbread: single parents, equal families

Help and advice on the issues that matter to lone parents.

Parent and baby groups

To find out about local parent and baby groups:

ask your health visitor or GP

look on noticeboards and for leaflets at your local child health clinic, health centre, GP's waiting room, children's centre, library, advice centre, supermarket or newsagent

search on the internet, on social media or your local council's website

In some areas, there are groups that offer support to parents who share the same background and culture.

Your health visitor may know whether there are any groups like these near you.

# data[].attributes.attachment_link.description
Advice and information about what's available to new parents through the NHS, local authority services, helplines, charities and local parent groups.

# data[].attributes.headline
Exercise Following Childbirth Info and Advice

# data[].attributes.subject
Exercise Following Childbirth Info and Advice

# data[].attributes.body
-> Considering exercise?
-> Exercise support for mums

# data[].attributes.body
Your Health Visitor should contact you within the first two weeks post baby's birth. If they have not made contact -> Please let your Midwife or GP know.

# data[].attributes.body
How you nourish your body in the postpartum period is important for your own health.

A nutrient-dense diet full of complex carbs, fibre, healthy fats and protein, plus adequate hydration, can help heal your body.

-light diet and clear fluids for the first 24h post your birth recovery (emergency/elective C Section).

# data[].attributes.headline
Understanding Your Birth, Listening Service

# data[].attributes.subject
Understanding Your Birth, Listening Service

# data[].attributes.attachment_link.title
Maternity trauma and loss care :: West London NHS Trust

# data[].attributes.attachment_link.description
The Maternity Trauma and Loss Care (M-TLC) Service provides specialist support and treatment to women, their families and support network who are affected by birth trauma or baby loss. The service is a partnership between North West London mental health and maternity Trusts and has been developed in…

# data[].attributes.body
*WATER:

-Water fountain available at each nurse's station to top up your water bottle

*FOOD:

->Breakfast. Served between 07:00-08:00
->Lunch. Served between 12:00-13:00
->Dinner. Served between 17:00-18:00

*Please order your food for the day in the morning, to make sure your order is processed and food delivered to you on time. Delays in food orders will lead to delays in your food delivery. *

# data[].attributes.body
***Medication Round Times

06:00-07:00, 11:00-12:00, 14:00-15:00, 17:00-18:00, 22:00-23:00

->please ask your midwife for pain relief if needed outside of the times above.

->if you take any regular medication please let your midwife know and don't forget to bring them to the hospital

YOUR OPTIONS

Paracetamol. 1g. 4 times in 24h

Ibuprofen. 400mg. 3 times in 24h

Dihydrocodeine. 30mg. 4 times in 24h

Co-dydramol (contains paracetamol). 10/500mg. 2tablets. 4 times in 24h

***Please note all pain relief given to you at the hospital is safe while breastfeeding.

# data[].attributes.headline
-> Fresh towels, linen and gowns. (We will provide).

# data[].attributes.subject
-> Fresh towels, linen and gowns. (We will provide).

# data[].attributes.body
But we encourage you to wear your own pjs for comfort :)

# data[].attributes.body
-please be mindful of others and use your headphones at all times (chatting to family, watching TV, listening to music).

# data[].attributes.body
*Teal = Midwife
*Green = Maternity Support Worker
*Pink = Transitional Care Nurse
*Light Brown = Doula
*Light Blue = Nurse
*Navy Scrubs = Doctor

# data[].attributes.headline
Real voices and experiences of women and men who have had mental wellbeing difficulties around the time of pregnancy, childbirth and beyond.

# data[].attributes.subject
Real voices and experiences of women and men who have had mental wellbeing difficulties around the time of pregnancy, childbirth and beyond.

# data[].attributes.attachment_link.readable_text
Perinatal Positivity uses the real voices and experiences of women and men who have had mental wellbeing difficulties around the time of pregnancy, childbirth and beyond. We hope it will help you emotionally prepare and find support, if needed, at this time. There are translations and subtitled versions of the film on our films page.

Perinatal mental health issues can happen in pregnancy and in the first years of being a parent (antenatal and postnatal). Problems can affect new mums as well as dads, people with no history of mental health problems as well as those who have. The word perinatal simply means the time around (peri) childbirth (natal).

Issues might include depression, anxiety, OCD, psychosis and post-traumatic stress amongst other things. Tommy's (pregnancy health information for parents) has an excellent guide: https://www.tommys.org

If you, or someone you are close to, is experiencing mental wellbeing problems connected to pregnancy and being a new parent , talk to your GP, health visitor or midwife a nd visit our support page to find local and national support organisations. Parents talk about the signs & symptoms they experienced in the video below.

# data[].attributes.attachment_link.title
Perinatal Positivity Film - Perinatal Positivity

# data[].attributes.attachment_link.description
Perinatal Positivity is a short, animated film to help new families safeguard their mental health. It uses the voices & experiences of real parents.

# data[].attributes.attachment_link.readable_text
Skip to main content

Cookies on GOV.UK

We use some essential cookies to make this website work.

We'd like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services.

We also use cookies set by other sites to help us deliver content from their services.

Accept additional cookies Reject additional cookies View cookies

Use the Child Benefit forms and guidance to start a claim, report a change or if you disagree with a decision.

Use the forms and guidance to help you start a claim, report a change or if you disagree with a decision on Child Benefit and Guardian's Allowance

You can read the Child Benefit Technical Manual if you need more detailed guidance on the law relating to Child Benefit and Guardian's Allowance.

Claim forms

Get authority to act for someone else

Reporting changes

Children over 16

High Income Child Benefit Tax Charge

Local authorities or care trusts

Disagree with a decision

# data[].attributes.attachment_link.description
Skip to main content We use some essential cookies to make this website work. We'd like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services. We also use cookies set by other sites to help us deliver content from their services.

# data[].attributes.body
Text BABYBUDDY to 85258 for free, anonymous support via text message, any time of day or night

# data[].attributes.attachment_link.readable_text
If you're feeling overwhelmed or unable to cope, our Baby Buddy 24/7 Helpline (powered by Shout) is here to support you.

Text BABYBUDDY to 85258 for free, anonymous support via text message, any time of day or night.

You will receive confidential text support from a trained volunteer who will introduce themselves by text, reflect on what you've said, and invite you to share at your own pace. You'll text back and forth, only sharing what you feel comfortable with. By asking questions, listening to you, and responding with support, they will help you sort through your feelings until you both feel you are now in a calm, safe place.

Texting is free and anonymous from EE, O2, Vodafone 3, Virgin Mobile, BT Mobile, GiffGaff, Tesco Mobile and Telecom Plus. Texters can cancel conversations at any point by texting STOP.
You can also access this 24/7 support helpline within our Baby Buddy app.

Latest

The Impact Lead will focus on developing Best Beginnings' frameworks for monitoring and evaluating our national and international work ensuring that learning continues to be captured in ways that can be shared and used for effective advocacy and influencing. The successful candidate will also play a pivotal role influencing policy and its implementation within the maternity, early years, digital health and public health context.

Find more Information on functionality, security, clinical safety, and crisis counsellor volunteering.

There are also additional support services for pregnant families and new parents.

# data[].attributes.attachment_link.description
Baby Buddy Support Helpline, powered by Shout UK, is a text support service for anyone experiencing painful emotions or emotional crisis. Read more here.

# data[].attributes.headline
Patient Knows Best APP (Complete prior Discharge)

# data[].attributes.subject
Patient Knows Best APP (Complete prior Discharge)

# data[].attributes.body
Register to access your result, obstetric discharge summary and your relevant information

# data[].attributes.body
-> Help and Support. Making sure YOU and YOUR CHILD are SAFE

->How to get help when you need it...

->The Deaf Health Charity. Domestic Abuse Support

->Refuge, the largest UK domestic abuse organisation for women

# data[].attributes.attachment_link.readable_text
Skip to content

Menu

Close

Search the site

Enter your search term

Quick exit Click to leave site immediately

Every two minutes someone turns to Refuge for support. Help keep our lifesaving services running such as our 44 refuges and 24/7 Helpline, to be a lifeline for women affected by domestic abuse.

Donate now Fundraise for us

How can we support you today?

Refuge is the largest domestic abuse organisation in the UK. On any given day our services support thousands of women and their children, helping them to overcome the physical, emotional, financial and logistical impacts of abuse and rebuild their lives - free from fear.

Learn more about us

1 in 4 women will experience domestic abuse in her lifetime

Every 30 seconds the police receive a call for help relating to domestic abuse

1000's of women and children supported by Refuge on any given day

At Refuge, we support thousands of women and children who turn to us when they're trying to escape domestic abuse. Help us be there for every woman and child who needs us, by joingin our fight today.

Donate now

Give monthly Give just once

How we help survivors every step of the way:

What's happening at Refuge?

The latest press releases, announcements and more.

Join us.

Our community is powerful and growing. Together we can build a world where domestic abuse is no longer tolerated. Sign up to receive email updates about our work and how you can support women and children through donating, fundraising, campaigning and volunteering. You can unsubscribe at any time.

"(Required)" indicates required fields

# data[].attributes.attachment_link.title
Refuge, the largest UK domestic abuse organisation for women

# data[].attributes.attachment_link.description
Empowering women to live without violence & fear. Refuge is the largest domestic abuse organisation in the UK. Supporting thousands of women & their children overcome the physical, emotional, financial impacts of abuse.

# data[].attributes.body
For those patients who had a vaginal birth- please could you share your experience and help us understand how the OASI Care Bundle could be improved.

# data[].attributes.attachment_link.readable_text
Maternity cultural safety champions

The aim of a cultural safety champion is to facilitate and accelerate organisational change within the maternity services and to embed, sustain and accelerate culturally safe practice within the service for all women, birthing people, their families and staff.

Maternity cultural safety champions consist of staff working in the maternity unit and service users from the Maternity Voices Partnership.

Your feedback is invaluable to our continued development. If you have a good experience within our maternity service and felt that you and your family were treated fairly and your cultural needs were met, then we would love to hear from you, so we know we are getting your care right for you.

If you feel that you or your family were not treated fairly due to your cultural requirements then we would also like to hear from you, so we can address this and work towards making positive improvements.

We can be contacted by emailing chelwest.maternity.cultural.safety@nhs.net.

We are here to assist or direct you to services that can support you.

Please note that for urgent care, the usual emergency contacts should be used, as the email account above is not monitored 24/7.

Additional information and support

# data[].attributes.attachment_link.title
Maternity equality diversity and inclusion

# data[].attributes.attachment_link.description
The aim of a cultural safety champion is to facilitate and accelerate organisational change within the maternity services and to embed, sustain and accelerate culturally safe practice within the service for all women, birthing people, their families and staff. Maternity cultural safety champions consist of staff working in the maternity unit and service users from the Maternity Voices Partnership.

# data[].attributes.attachment_link.title
Common Health Concerns in Newborn Babies

# data[].attributes.body
See Infant Feeding Padlet for more information on further support groups

# data[].attributes.body
Kids matters is a free, friendly group for anyone with children aged 0-10 years.

# data[].attributes.headline
Postnatal Classes, workshops and Wellness Check ins

# data[].attributes.subject
Postnatal Classes, workshops and Wellness Check ins

# data[].attributes.body
Bi-monthly in house community and maternity champions meet and greet

# data[].attributes.attachment_caption
Things to do at the Old Oak Community Centre

# data[].attributes.body
One-off antenatal/postnatal session to cover oral health in babies/toddlers - book via Eventbrite here: https://www.eventbrite.co.uk/e/oral-health-and-nutrition-tickets-126972737877

# data[].attributes.body
Information about the procedure and also your recovery from caesarean birth

# data[].attributes.body
Try this 3 minute breathing/relaxation exercise to help you cope when you are feeling panicky

# data[].attributes.body
Breaking the cycle of domestic abuse - a programme for parents who may have been abused themselves

# data[].attributes.body
Information to help you make decisions about SCID screening for your baby

# data[].attributes.attachment_link.readable_text
This information was created on behalf of the NHS. In it, the word 'we' refers to the NHS service that provides screening.

The NHS is considering introducing screening for severe combined immunodeficiency (SCID). SCID makes it very hard to fight off infections like pneumonia and meningitis. Screening would help to find and treat babies with this condition earlier.

After about 3 months of age infections can be life-threatening for babies with SCID. Without treatment they rarely survive past the age of one.

You may have heard of babies with SCID having to live in a 'bubble' to avoid infections. About 14 babies a year in England will have SCID.

Screening your baby

The NHS offers newborn blood spot screening (using a heel prick to take blood) when a baby is 5 days old. It looks for 9 rare but serious conditions, including sickle cell disease and cystic fibrosis.

Most babies will not have any of these conditions. For those who do, finding them early through screening is very important. Early treatment can stop the baby becoming severely disabled or even save their life.

Screening tests for you and your baby information is available, which can help you make an informed choice about screening for your baby.

Same sample

The test for SCID uses the same blood taken from the heel prick. No further blood sample will usually need to be taken. Premature babies may need a second test because their immune system is still developing.

If the test, using a small fragment of DNA, shows your baby has fewer white blood cells than usual, it could be a sign they have SCID. White blood cells are important because they protect against infections.

SCID screening evaluation

We're offering screening for SCID in some hospitals to see how it could best be introduced across England. Your hospital is one and that's why you've been offered the test.

It is your choice whether or not your baby has the test for SCID.

If you decide that you want your baby to have the test, we will use your information as part of the evaluation. If you decide you do not want your baby to have the test, we can still screen your baby for the 9 other conditions covered by newborn blood spot screening.

SCID results

Lower chance result

Most babies will get a lower chance result, which means it is very unlikely they have SCID. Parents will get the result by the time their baby is 6 weeks old.

Higher chance result

A higher chance result means it is more likely, but not certain, that your baby will have the condition.

We estimate that around 1 in 1,500 babies will get a higher chance result for SCID.

You will be contacted within a few days and invited to see a specialist team if your baby gets a higher chance result. You will be offered a diagnostic test for your baby (blood test).

This diagnostic test will confirm if your baby:

does not have SCID or another condition, and can be discharged

has another condition affecting the immune system

One of the aims of the SCID evaluation is to find out how many babies are in each of these 3 groups.

BCG vaccine

Some parents will be offered the BCG vaccine for their baby. The BCG clinic will check your baby's SCID screening result before giving it. This is because treatment for SCID is more complicated if a baby has had the BCG vaccine.

The BCG vaccine will only be offered if it is safe for your baby to have it.

Treatment

Treatment for SCID is far more likely to be successful if started early, rather than waiting until a baby becomes ill.

If tests show your baby has SCID, a bone marrow transplant can fix their body's defences against infections.

Some types of SCID respond to gene therapy. This involves replacing an unhealthy gene in your baby's body with a healthy one.

Research

You may be contacted by researchers and asked to take part in research linked to newborn blood spot screening. Please tell your midwife if you want to take part or not. It is completely up to you, and will have no effect on your care.

Confidentiality

The NHS screening programmes use personal information from your NHS records to invite you for screening at the right time. PHE also uses your information to ensure you receive high quality care and to improve the screening programmes. Find out more about how your information is used and protected and also what your options are.

Further information and support

# data[].attributes.attachment_link.title
SCID screening: helping you decide if you want this for your baby

# data[].attributes.attachment_link.description
This information was created on behalf of the NHS. In it, the word 'we' refers to the NHS service that provides screening. The NHS is considering introducing screening for severe combined immunodeficiency (SCID). SCID makes it very hard to fight off infections like pneumonia and meningitis.

# data[].attributes.headline
Recommended screening tests for your baby

# data[].attributes.subject
Recommended screening tests for your baby

# data[].attributes.body
Information about screening tests available

# data[].attributes.attachment_link.readable_text
Skip to main content

Cookies on GOV.UK

We use some essential cookies to make this website work.

We'd like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services.

We also use cookies set by other sites to help us deliver content from their services.

You have accepted additional cookies. You can change your cookie settings at any time.

You have rejected additional cookies. You can change your cookie settings at any time.

Accept additional cookies Reject additional cookies View cookies

STFYAYB provides information about the screening tests offered during and after pregnancy.

Details

This information is about the screening tests you will be offered during your pregnancy and after your baby is born. It explains the different types of test and what the tests are looking for.

Easy read versions of this leaflet are available. Additional information is also available for parents of babies who are in a special care baby unit, neonatal intensive care unit or paediatric intensive care unit.

We hope this advice will help prepare you for discussions with your midwife or doctor so that you can ask the questions that are important to you.

It is your decision whether or not to have any of the tests described.

In this publication, we use the terms 'woman' and 'women' to refer to anyone able to become pregnant, including trans men. Trans men who are pregnant should be offered the same antenatal and newborn screening tests as other pregnant individuals.

The information is available in 12 other languages: Arabic, Bengali, Chinese, French, Latvian, Lithuanian, Polish, Portuguese, Punjabi, Romanian, Somali and Urdu.

See how to print digital leaflets if you want to print any sections of this guidance.

Free printed copies of this leaflet are also provided for local screening providers to give to women who cannot access the internet. Screening services can view the full PDF of the printed leaflet and order printed copies on the APS online ordering portal (requires login).

Contact the screening helpdesk with any queries about this publication, making sure you include its full title.

# data[].attributes.attachment_link.title
Screening tests for you and your baby (STFYAYB)

# data[].attributes.attachment_link.description
STFYAYB provides information about the screening tests offered during and after pregnancy.

# data[].attributes.headline
Family Hubs (Kensington & Chelsea North)

# data[].attributes.subject
Family Hubs (Kensington & Chelsea North)

# data[].attributes.body
Support and activities for families in the North of the Borough

# data[].attributes.headline
Family Hubs (Kensington & Chelsea South)

# data[].attributes.subject
Family Hubs (Kensington & Chelsea South)

# data[].attributes.body
Support for families in the South of the Borough)

# data[].attributes.body
Support for parents in the Kensington/Chelsea area

# data[].attributes.body
Support for families in the Hounslow area

# data[].attributes.body
Join the "Mum" Club for postnatal support

# data[].attributes.body
Can also be accessed in other languages

# data[].attributes.body
Are you eligible for extra financial support?

# data[].attributes.attachment_link.readable_text
Applying online

If you get Universal Credit, you can apply online if:

you're more than 10 weeks pregnant or have at least one child under 4 years old

your family's monthly 'take-home pay' (also called 'earned income') is £408 or less from employment

If you get Child Tax Credit, you may be eligible for Healthy Start if:

your family's annual income is £16,190 or less

you do not get Working Tax Credit

Most people who get Child Tax Credit can apply online. You can apply online if you're either:

more than 10 weeks pregnant and have children under the age of 4

not pregnant but have children under the age of 4

If you're more than 10 weeks pregnant and have other children who are all aged 4 or older, you'll need to apply by email or phone.

To apply online, you'll need your:

name

address

date of birth

National Insurance number

baby's due date (if you're pregnant)

benefit award letter if you're over 18 - make sure you enter the exact details shown on your benefit award letter

Make sure that your details are up to date with HMRC or DWP - you may wish to contact them to check or update your details before you apply.

Applying by email or phone

You can apply by email or phone if you're more than 10 weeks pregnant, or have at least one child under 4 years old, and get either:

Income Support

Income-based Jobseeker's Allowance

Pension Credit (which includes the child addition)

You can also apply by email or phone if you're more than 10 weeks pregnant and either:

under 18 years old and not getting any benefits

getting Income-related Employment and Support Allowance (ESA)

If you get Child Tax Credit, you'll need to apply by email or phone if you're more than 10 weeks pregnant and have other children who are all aged 4 or older.

You can apply by either:

Phone lines are open 8am to 6pm Monday to Friday (except public holidays). Find out about call charges (opens in a new tab).

If you're not a British citizen but your child is

You might be eligible for Healthy Start depending on your immigration status.

You can get Healthy Start if all the following are true:

Your biometric residence permit (BRP) or your online immigration status (opens in a new tab) will say if you cannot claim public funds. You might also have a letter from the Home Office about it.

To apply for Healthy Start, ask for an application form via email. Only use this email address if you think you cannot claim public funds because of your immigration status.
Healthystartclaim@dhsc.gov.uk

# data[].attributes.attachment_link.description
If you get Universal Credit, you can apply online if: you're more than 10 weeks pregnant or have at least one child under 4 years old your family's monthly 'take-home pay' (also called 'earned income') is £408 or less from employment If you get Child Tax Credit, you may be eligible for Healthy Start if: your family's annual income is £16,190 or less you do not get Working Tax Credit Most people who get Child Tax Credit can apply online.