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Although there are tours of the Birth Centres at both hospitals (see below for booking information), we are currently unable to offer tours of the main Labour and Postnatal Wards, due to infection control. but there are lots of photos in the Maternity Unit Photo Tour below.

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Come and see our Birth Centre for yourself - book here !

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Lunar Birth Centre Tours - West Middlesex Hospital

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Take a tour of the Lunar Birth Centre at West Middlesex Hospital. Come and see the rooms and see where the magic happens!

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Come and see for yourself what our Birth Centre can offer for your birth - use the QR code on the poster or click here:

https://www.eventbrite.co.uk/e/cw-birth-centre-tour-tickets-1997562094999?aff=oddtdtcreator

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Keeping your baby cool in the hotter weather

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What are the differences ?

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Information for patients

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What we need to do to get to your baby ....

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Coping with GD in pregnancy and labour

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Information about your Antenatal journey

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Are you unsure about how you would like to give birth ? This leaflet will give you lots of information to help you decide.

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Important information on taking Vitamin D in pregnancy

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Follow us for all the latest news and stats here

https://www.instagram.com/chelwestbc?igsh=bTcyajl4b3h3b3M%3D&utm_source=qr

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A guide to which products and sleep spaces are safe for your baby

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Where can I go for help locally ?

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Join the "Mum" Club for postnatal support

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Support for families in the Hounslow area

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Support for parents in the Kensington/Chelsea area

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Family Hubs (Kensington & Chelsea South)

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Family Hubs (Kensington & Chelsea South)

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Support for families in the South of the Borough)

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Family Hubs (Kensington & Chelsea North)

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Family Hubs (Kensington & Chelsea North)

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Support and activities for families in the North of the Borough

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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.

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Advice and information about what's available to new parents through the NHS, local authority services, helplines, charities and local parent groups.

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What do I need to provide ?

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Facts and Figures

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Please note that the Maternity Wards at both sites are Nut-Free Zones, both for the safety of our staff and also for other women in the ward. If you are bringing in your own food or snacks, please make sure that this does not contain nuts.

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Keeping a check on your own mental health in the postnatal period

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A quick guide

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Prenatal Physiotherapy:  Pelvic Floor Exercises

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A clever way or demonstrating perineal massage (no nudity involved!)

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How to do perineal massage and perineal stretching to prepare for birth

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A selection of videos promoting pelvic health, also in other languages

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Pelvic Health and Wellbeing during Pregnancy and After Birth Videos
To translate this page into another language then please use the recite me accessibility toolbar. The accessibility toolbar can be used to adjust elements for individual needs. This looks at aspects such as font style, size, colour, zoom functionality, keyboard navigation, screen readers and more.
The London Maternity Clinical Network has collaborated with Imperial College Healthcare Trust, North West London Local Maternity and Neonatal System (LMNS), South West London LMNS, South East London LMNS, LMNS service-user representatives, Maternity Voices Partnership, and other NHS professionals to create a series of videos about the changes the body undergoes before, during, and after birth. From pelvic floor health and bladder care, to posture and returning to exercise, these videos have been developed by NHS Physiotherapists and Healthcare professionals and will provide information and useful advice about supporting your body's journey through pregnancy and beyond.

These videos will enable women to:​

Understand and manage physiological changes that occur in pregnancy​

Optimise pelvic floor health​

Understand how to exercise safely in pregnancy and after birth ​

Be knowledgeable about self care in the postnatal period​

Know when to seek medical advice and referral​

Pelvic health and wellbeing during pregnancy and after birth
POGP are hosting these videos in support of the educational value and relevance of the content, this does not imply direct involvement in its development.

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Pelvic Health and Wellbeing during Pregnancy Videos

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To translate this page into another language then please use the recite me accessibility toolbar. The accessibility toolbar can be used to adjust elements for individual needs. This looks at aspects such as font style, size, colour, zoom functionality, keyboard navigation, screen readers and more.

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Advice from the Northwest London Health Board

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Preparing for and recovering from caesarean birth and postnatal scar massage :: North West London ICS

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This is a series of short videos created by expert health professionals with advice and guidance on the physical preparation and recovery for caesarean birth. A short video to guide postnatal perineal scar massage is also included.

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Would you like to help us with research?

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Would you like to help us with research?

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Check here for information about your experience in pregnancy in your own languages

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Information about flying whilst pregnant

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Published: May 2015

Please note that this information will be reviewed every 3 years after publication.

Updated: May 2022

This information is for you if you are pregnant and are thinking of travelling by air.

This information is for you if you are pregnant and are thinking of travelling by air. It may also be helpful if you are a partner, relative or friend of someone in this difficult situation.

The information is relevant for short haul (under four hours), medium and long haul (over four hours) flights.

If you are a member of a flight crew or you fly frequently as part of your work, you should seek additional advice from your occupational health department concerning your own situation.

The information here aims to help you better understand your health and your options for treatment and care. Your healthcare team is there to support you in making decisions that are right for you. They can help by discussing your situation with you and answering your questions.

Within this information we may use the terms 'woman' and 'women'. However, it is not only people who identify as women who may want to access this information. Your care should be personalised, inclusive and sensitive to your needs whatever your gender identity.

A glossary of medical terms is available at A-Z of medical terms.
Key points

Occasional air travel during pregnancy is not harmful for you or your baby as long as you are having an uncomplicated pregnancy

Long flights may increase your chance of developing a blood clot. There are things you can do to reduce your chance of this happening.

It is important to check the healthcare facilities that are available at your destination, in case you need any emergency care.

Sources and acknowledgments

This information has been developed by the RCOG Patient Information Committee. It is based on the RCOG Scientific Impact Paper Air Travel and Pregnancy (May 2013), which contains a full list of the sources of evidence we have used. You can find it online here.

This information was reviewed before publication by women attending clinics in London, the Channel Isles and Northern Ireland, and by the RCOG Women's Voices Involvement Panel.

A glossary of all medical terms is available on the RCOG website at: www.rcog.org.uk/womens-health/patientinformation/medical-terms-explained.

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royal college of obstetricians and gynaecologists

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Air travel and pregnancy patient information leaflet

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Writing a preference list for the big day

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How to prepare for your c-section (caesarean)

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You can prepare for your caesarean section (c-section) by writing a birth plan, packing your hospital bag and getting things ready at home.

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Although we recommend taking your main antenatal classes in the third trimester, we understand that you may wish to start exploring your options earlier. With this in mind, we offer a set of two online workshops designed for earlier in your pregnancy. These sessions provide information about birth at both Chelsea and Westminster Hospital and West Middlesex University Hospital, including the care pathways available. They also give you space to reflect on your thoughts and feelings around birth.

The workshops are facilitated by a Senior Midwife and our Parentcraft Coordinator and run regularly on Monday mornings. Ideally, they are taken in order:

https://www.eventbrite.co.uk/e/lets-talk-about-birth-part-1-tickets-1226113381129?aff=oddtdtcreator (16–20 weeks of pregnancy)

https://www.eventbrite.co.uk/e/lets-talk-about-birth-part-2-tickets-1226154062809?aff=oddtdtcreator (20–24 weeks of pregnancy)

You are welcome to join later in pregnancy if you have missed these timeframes. While the classes are mainly designed for first pregnancies, they may also be helpful if this is your first time giving birth in the UK or if you would like additional support.

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Helping you to feel better informed and more confident about your birth options

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Making a decision over a mode of birth second time around

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Everything you need to know about looking after your caesarean wound.

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Can also be accessed in other languages

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A downloadable brochure, giving information about physical recovery and exerise after either mode of birth

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Essential Exercises and Advice After Childbirth

This booklet contains a safe set of exercises and advice to help new mothers recover after childbirth.

This leaflet is also available in Urdu

Click here for price list and ordering details should you wish to have professionally printed hard copies.

Free to download and print.

Please download or share this QR code to link to this booklet.

Download Booklet
Back to Resources

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This booklet contains a safe set of exercises and advice to help new mothers recover after childbirth. This leaflet is also available in Urdu Click here for price list and ordering details should you wish to have professionally printed hard copies. Free to download and print.

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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

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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.

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What is maternal mental health?

You may have heard the terms "perinatal mental health" and "maternal mental health" used interchangeably. Both refer to mental health during pregnancy and up to two years after giving birth.

The word "peri" comes from Latin and means "around," while "natal" means "birth".

Maternal mental health problems

Most people are aware of postnatal depression, or PND, but depression can also occur during pregnancy. Other perinatal mental illnesses include anxiety, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), and eating disorders.

These illnesses can range from mild to severe, and require specialist treatment as soon as possible. Some conditions may have existed before pregnancy and got worse during the perinatal period, or shown up for the first time.

The most serious perinatal mental health problem is considered to be postpartum psychosis, and should be treated as a medical emergency if suspected.

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About maternal mental health | Maternal Mental Health Alliance

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The terms perinatal and maternal are often used interchangeably. 'Peri' is the Latin for "around", and 'natal' is the Latin for "birth". So perinatal mental health refers to a woman's mental health during pregnancy and the first years after birth.

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Tips for Coping with tiredness after having a baby

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Tips for Coping with tiredness after having a baby

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Looking after a baby can be really tiring, especially in the first few months after the birth, when your child is likely to wake several times during the night.
Most parents cope with a certain level of tiredness. But if you're feeling low, bad tempered and unable to cope or enjoy things, you need to find a way of getting more sleep, or at least more rest.

Here are some tips that may help you feel more rested.

Sleep when your baby sleeps

Try to rest when your baby sleeps. It might be tempting to use this time to catch up with housework or other chores, but sometimes getting rest is more important. Set an alarm if you're worried about sleeping for too long.

Get an early night

Try to go to bed really early for, say, 1 week. If you can't sleep when you go to bed, do something relaxing for half an hour beforehand, such as soaking in a hot bath.

Share the nights if you can

If you have a partner, ask them to help. If you're formula feeding, they could share the feeds. If you're breastfeeding, ask your partner to help with nappies or dressing in the morning so you can go back to sleep.

Once you're into a good breastfeeding routine, your partner could occasionally give a bottle of expressed breast milk during the night.
Find out more about expressing and storing breast milk

Ask friends and relatives for extra support

You could ask a relative or friend to come round and look after your baby while you have a nap.

If you're on your own, you could see if a friend or relative could stay with you for a few days so you can get more sleep.

Understand your baby's sleep patterns

The phase when your baby wakes several times a night won't last forever. As babies get older, they sleep for longer periods.

Find out more about how much sleep babies need, what to expect, and how to help your baby to sleep.

Try to do more exercise

When you're feeling tired, doing more exercise may be the last thing you feel like doing. But regular exercise can help you feel less tired.

Walking is one of the easiest forms of exercise. Try to get out for a walk every day with your baby, even if it's just to the shops.
Find out more about keeping fit and healthy after having a baby

Try relaxation exercises

As little as 5 to 10 minutes of deep relaxation may help refresh you. You can learn relaxation techniques online, or go to the library for books or DVDs.

Start by trying this simple breathing exercise that you can do anywhere.

Do not let stress get on top of you

Sometimes you can feel tired because you're stressed. If you can do something about the stress, you might find it easier to cope, even if you can't get any more sleep.
Find out more about coping with stress after having a baby

Be aware of the signs of postnatal depression

If you can't sleep at night even when your baby is asleep or you feel tired all the time, these could be signs of postnatal depression.

Other signs include feeling down or hopeless and not enjoying the things you normally enjoy.

If you think you may be depressed, talk to a GP or health visitor as soon as possible so you can get the help you need to make a quick recovery.
Find out more about postnatal depression

Where to get further help

If you're feeling really tired and struggling to cope, talk to a GP or health visitor. Find out about services and support for parents.

The Cry-sis website offers advice on coping with a crying or restless baby. You can call their helpline free on 0800 448 0737. It's open 7 days a week from 9am to 10pm.

The Family Lives website has a free helpline you can call for information and support on parenting or family issues. The number is 0808 800 2222 and it's open Monday to Friday, 9am to 9pm, and Saturday and Sunday, 10am to 3pm.

The Home-Start website offers support to parents and carers through a parent-helper visiting scheme.

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Tips for coping with tiredness and sleep problems when you have a new baby, with advice about how to relax, get more sleep and deal with stress.

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Babies cry, you can cope When babies cry it can be stressful and overwhelming. Help is out there and all you need to do is ask. Latest news Testimonials

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Video explaining breathing for second stage of labour

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Why you don't need to push when giving birth | Down Breathing | The Positive Birth Company

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Video explaining up-breathing for first stage of labour

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How to Nail Up Breathing | Hypnobirthing Breathing Techniques | The Positive Birth Company

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Some tips on helping baby into a good position for labour, which can sometimes even help to avoid induction

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This is a common question. In a straightforward labour, the general advice is to "eat to hunger" and "drink to thirst". No need to overeat or drink large quantities. Most women are not so hungry during the active phase of labour, but it is important to eat a little if you can, to keep your energy levels up. Your midwife may also sometimes advise you to not to eat any more solid food, particularly if are having an epidural as pain relief or if there is a possible need for any intervention in your labour.

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Understanding how to reduce the risk of perineal tears

This information can also be viewed in other languages here: Reducing your risk of perineal tears | RCOG

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Support for New Dads

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We aim to help dads have successful relationships with their families, and to support dads with anxiety, stress and mental health issues.

We hope to get dads engaged with services that have traditionally been targeted at mums, and to train & support volunteer dads to work with us.

We work directly with services that support Dads, families and especially babies to increase engagement and knowledge across the sector.

We want to make sure dads know how important they are, how to access support when they need it and why it's essential for baby's development.

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VOLUNTEER WITH US EVENTS REGISTRATION FIND SUPPORT IN YOUR AREA DONATE HERE We aim to help dads have successful relationships with their families, and to support dads with anxiety, stress and mental health issues. We hope to get dads engaged with services that have traditionally been targeted at mums,

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NHS access to postnatal mental health support (formerly known as IAPT)

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The NHS Talking Therapies, for anxiety and depression programme (formerly known as Improving Access to Psychological Therapies, IAPT) was developed to improve the delivery of, and access to, evidence-based, NICE recommended, psychological therapies for depression and anxiety disorders within the NHS.

From small beginnings in 2008, the programme has steadily grown so that nearly 1.2 million people were able to access services in 2021/22. This expansion was the result of training and deploying thousands of new psychological therapists and practitioners, as well as providing additional training modules for existing therapists. Taken together The Five Year Forward View for Mental Health and The NHS Long Term Plan commit the NHS to further expand the NHS Talking Therapies, for anxiety and depression programme so that 1.9 million people per year will be able to access services by the end of 2023/4.

Details of local NHS Talking Therapies, for anxiety and depression services are available on the nhs.uk website: Find an NHS psychological therapies service.

What are NHS Talking Therapies, for anxiety and depression services?

NHS Talking Therapies, for anxiety and depression services are characterised by three key principles:

1. All psychological therapies offered are evidence-based and delivered at the appropriate dose: where NICE recommended therapies are matched to the mental health problem, and the intensity and duration of delivery is designed to optimise clinical outcomes.

2. All within the clinical workforce are appropriately trained and supervised: high-quality care is provided by clinicians who are trained to an agreed level of competence and accredited in the specific therapies they deliver, and they receive weekly outcomes focused supervision from senior clinical practitioners with the relevant competences to support continual improvement.

3. Routine outcome monitoring via standardised measures is used on a session-by-session basis, so that the person having therapy and the clinician offering it have up-to-date information on the person's progress. The outcomes of all NHS Talking Therapies, for anxiety and depression services are published so that the sector can learn from variation in outcomes and public transparency about the benefits and limitations of the services is maintained. This helps guide the course of each person's treatment and provides a resource for service improvement, transparency, and public accountability.

Services are delivered using a stepped-care model, which works according to the principle that people should be offered the least intrusive intervention appropriate for their needs first.

For more information on how the services work, please see the NHS Talking Therapies, for anxiety and depression manual.

Who are NHS Talking Therapies, for anxiety and depression services for?

NHS Talking Therapies, for anxiety and depression services provide NICE recommended psychological interventions for adults and older adults with anxiety disorders and/or depression. This can be standalone or in the context of a long term physical health condition where this can be managed effectively in a uni-professional service. Evidence-based therapies are delivered by trained clinicians, with or without concurrent pharmacological treatment.

NHS Talking Therapies, for anxiety and depression services provide treatment for people with the following common mental health problems:

agoraphobia

body dysmorphic disorder (BDD)

depression

generalised anxiety disorder

health anxiety (hypochondriasis)

mixed depression and anxiety (the term for sub-syndromal depression and anxiety, rather than both depression and anxiety)

obsessive-compulsive disorder (OCD)

panic disorder

Post-traumatic Stress Disorder (PTSD)

social anxiety disorder

specific phobias (such as heights, flying, spiders etc.).

In addition to evidence-based talking therapies for the common mental health problems listed above, NHS Talking Therapies, for anxiety and depression services also provide employment advice in many areas of England, to support people to reach their employment goals.

Aligned with the Long Term Plan and the Advancing mental health equalities strategy, NHS Talking Therapies, for anxiety and depression services are working to reduce health inequalities, ensuring services meet the needs of all in the population that they serve. Our work on advancing equalities focuses on improving access, outcomes and experiences for specific populations and under-represented groups.

How are NHS Talking Therapies, for anxiety and depression services accessed?

Referral pathways have been specifically developed to promote access and equality. They include:

1. self-referral into every service (find an NHS psychological therapies service - www.nhs.uk)

2. community or voluntary service referral

3. primary care referral

4. secondary care referral (including both mental health and physical health care services).

What does NHS Talking Therapies, for anxiety and depression involve?

All talking therapies involve the patient and therapist, or practitioner, working as a team to understand problems, overcome current difficulties and achieve identified goals. Therapy involves talking, but usually also involves doing practical exercises and tasks both in and outside of sessions. It is an active process, and the therapist or practitioner will regularly check in with the patient to ensure progress.

Talking therapies are provided in different ways, including:

using a self-help workbook or website with the support of a therapist

one-to-one in person, over the phone or through video consultation

in a group.

If a patients first language is not English, talking therapies can be delivered in their chosen language through multi-lingual therapists or confidential translators. NHS Talking Therapies, for anxiety and depression are also available in British Sign Language (BSL) through SignHealth.

What types of therapy are offered in NHS Talking Therapies, for anxiety and depression services?

The following are the NICE recommended talking therapy options for depression, anxiety and post-traumatic stress conditions:

Depression:

Guided self-help based on cognitive behavioural therapy principles

Anxiety which can include disorders such as panic, phobias, obsessive compulsive disorder, and generalised anxiety disorder:

Guided self-help based on cognitive behavioural therapy principles. This is not advised for social anxiety disorder or post-traumatic stress disorder

Post-traumatic stress disorder:

Trauma focused Cognitive behavioural therapy (Tf CBT)

Social anxiety disorder:

Cognitive behavioural therapy (CBT)

How are NHS Talking Therapies, for anxiety and depression services delivered?

Services should offer a choice of in-person or remotely delivered therapies. Most of the in-person therapy is provided in local settings that are as easy for people to access such as GP practices, physical health clinics, community settings and voluntary organisations. In recent years, expedited by the pandemic, more people are opting to have therapy remotely (via video platform, telephone or text talk). Alongside these options, services are also offering digital treatment (digitally enabled therapies, DET), provided via the internet. Such platforms encourage learning through patient self-study, reinforced and supported by a suitably trained therapist. As well as maximising the geographic reach of the NHS Talking Therapies, for anxiety and depression programme, delivering treatment via digital platforms means that treatment can be accessed anywhere and at any time. It can also help promote access to treatment for people who may be less likely to engage with more traditional face-to-face therapy appointments. Other people prefer in person therapy and can choose this. It is a matter of choice.

How are NHS Talking Therapies, for anxiety and depression services commissioned?

Services are commissioned by local integrated care boards (ICBs) and are overseen by NHS England on a regional and national basis.NHS Talking Therapies, for anxiety and depression services will also work closely with community mental health services for people with severe mental health problems (also referred to as severe mental illness) to ensure people are able to receive support from the right service for their needs.

NHS Talking Therapy for Anxiety and Depression services need to develop strong relationships with professionals across a broad range of mental and physical health care pathways, as well as social care, to ensure that people with needs that are either not appropriate or are too complex for NHS Talking Therapy for Anxiety and Depression services receive the necessary care in the right place.

Patient and public participation is an essential part of the NHS Talking Therapies, for anxiety and depression programme. The knowledge and expertise of those using services is key to driving all aspects of our programmes development.

Psychological therapies for severe mental health problems (adults and older adults)

Psychological therapies for people with severe mental health problems (also referred to as severe mental illness) are a key part of the new integrated offer for adults and older adults, as set out in the NHS Long Term Plan. Severe Mental Health problems include psychosis, bipolar disorder, 'personality disorder' and eating disorders. All areas of the country are seeking to increase availability of these therapies as part of a wider transformation of adult and older adult community mental health services. For more information on community mental health services please see our community mental health services page.

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NHS Talking Therapies, for anxiety and depression

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The NHS Talking Therapies, for anxiety and depression programme (formerly known as Improving Access to Psychological Therapies, IAPT) was developed to improve the delivery of, and access to, evidence-based, NICE recommended, psychological therapies for depression and anxiety disorders within the NHS.

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Postnatal Mental Health Support from PANDAS

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Postnatal Mental Health Support from PANDAS

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Mental health support for once your baby is born

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Postnatal depression (PND) is a type of depression that many parents experience after having a baby. It can affect any parent, regardless of whether they've suffered from a mental health condition before. Postnatal depression is linked directly to giving birth and is a common problem, affecting 1 in 10 women within a year of giving birth.

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A selection of videos promoting pelvic health, also in other languages

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Pelvic Health and Wellbeing during Pregnancy and After Birth Videos
To translate this page into another language then please use the recite me accessibility toolbar. The accessibility toolbar can be used to adjust elements for individual needs. This looks at aspects such as font style, size, colour, zoom functionality, keyboard navigation, screen readers and more.
The London Maternity Clinical Network has collaborated with Imperial College Healthcare Trust, North West London Local Maternity and Neonatal System (LMNS), South West London LMNS, South East London LMNS, LMNS service-user representatives, Maternity Voices Partnership, and other NHS professionals to create a series of videos about the changes the body undergoes before, during, and after birth. From pelvic floor health and bladder care, to posture and returning to exercise, these videos have been developed by NHS Physiotherapists and Healthcare professionals and will provide information and useful advice about supporting your body's journey through pregnancy and beyond.

These videos will enable women to:​

Understand and manage physiological changes that occur in pregnancy​

Optimise pelvic floor health​

Understand how to exercise safely in pregnancy and after birth ​

Be knowledgeable about self care in the postnatal period​

Know when to seek medical advice and referral​

Pelvic health and wellbeing during pregnancy and after birth
POGP are hosting these videos in support of the educational value and relevance of the content, this does not imply direct involvement in its development.

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Pelvic Health and Wellbeing during Pregnancy Videos

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To translate this page into another language then please use the recite me accessibility toolbar. The accessibility toolbar can be used to adjust elements for individual needs. This looks at aspects such as font style, size, colour, zoom functionality, keyboard navigation, screen readers and more.

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Feeling positive about your birth

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Millie Mackintosh

I listened to a track by The Mindful Birth Group every night to mentally prepare myself for what was to come, and I listened to the same track before going into the theatre which immediately got me in a good headspace.

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Expert-led Mindful Natal® antenatal hypnobirthing live courses and the PregnaHub®. Includes yoga, midwife chat, postnatal doula sessions & more.

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Updated guidelines from June 2025

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Available in multiple languages

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An epidural is an injection in your back to stop you feeling pain in part of your body. Here, you'll find useful information and frequently asked questions on epidural anaesthesia for pain relief in childbirth.

Watch this video in another language

What are epidurals?

Epidurals are the most complicated method of labour pain relief and are given by an anaesthetist. An anaesthetist is a doctor who is specially trained to give anaesthetics and pain relief.

Facts about epidurals:

Epidurals can be the most effective method of pain relief for labour.

For an epidural, the anaesthetist inserts a needle into the lower part of your back and uses it to place an epidural catheter (a very thin tube) near the nerves in your spine. The epidural catheter is left in place when the needle is taken out so you can be given painkillers through it during your labour. The painkillers may be a local anaesthetic to numb your nerves, small doses of opioids, or a mixture of both.

An epidural may take 40 minutes to work to give pain relief (including the time it takes to put in the epidural catheter).

An epidural should not make you feel drowsy or sick.

Having an epidural may increase the chance that your obstetrician will need to use a ventouse (a suction cap on your baby's head) or forceps to deliver your baby.

An epidural can usually be topped up to provide anaesthesia and pain relief if you need a ventouse, forceps or a caesarean birth.

An epidural will have very little effect on your baby.

Epidurals can be slow to work, especially if you have been given on one late in labour. If the painkillers are injected into the bag of fluid surrounding the nerves in your back, they work much faster. This is called a spinal. Unlike an epidural, it is given as a one-off injection without a catheter. If an epidural catheter is put in at the same time, this is called a combined spinal-epidural.

In some hospitals, a combined spinal-epidural may be given to most women who ask for an epidural for stronger pain relief. In other hospitals, a combined spinal-epidural is only used for a selected number of women who may benefit most from this particular type of epidural.

Most people can have an epidural, but certain medical conditions (such as spina bifida, a previous operation on your back or problems with blood clotting) may mean that it is not suitable for you. The best time to find out about this is before you are in labour. If you have a complicated or long labour, your midwife or obstetrician may suggest that you should have an epidural as it may help you or your baby.

If you are overweight, it may take longer to put in an epidural. Once it is in and working, you can have all the benefits.

First, a cannula (a fine plastic tube) will be put in a vein in your hand or arm, and you will usually have a drip (intravenous fluid) running as well (you may also need a drip in labour for other reasons, such as to give you medication to speed up your labour or to treat you if you are feeling sick).

You will be asked to curl up on your side or sit bending forwards, and your anaesthetist will clean your back with an antiseptic solution. Your anaesthetist will inject local anaesthetic under your skin, so that putting in the epidural does not usually hurt much.

The epidural catheter is put into your back to be near the nerves in your spine. Your anaesthetist has to be careful not to puncture the bag of fluid that surrounds your spinal cord so to avoid you getting a headache afterwards. It is important to keep still while the anaesthetist is putting in the epidural, but after the epidural catheter is stuck into place with a dressing and tape you will be free to move. Once the epidural catheter is in place, you will be given painkillers through it.

During labour, you can have extra doses of painkillers through the epidural catheter either as a quick injection (a top-up), a slow, steady flow using a pump, or with a patient-controlled epidural analgesia (PCEA) pump. With patient-controlled epidural analgesia, you can give yourself doses of the painkiller when you need them by pressing a button attached to the pump.

In each hospital there will usually only be one, or possibly two, of these methods for keeping the epidural pain relief going.

After each epidural top-up, the midwife will take your blood pressure regularly in the same way as when the epidural was started.

Having an epidural should not affect the condition of your baby when it is born, in fact newborns are less likely to have acid in their blood. Having an epidural does not make it any harder to breastfeed.

Sources:

Anim-Somuah M, Smyth R, Howell C. Epidural versus non-epidural or no analgesia in labour. Cochrane Database of Systematic Reviews 2005, Issue 4. Article number: CD000331. Date of issue: 10.1002/14651858.CD000331.pub2.

Reynolds F, Sharma S, Seed PT. Analgesia in labour and funic acid-base balance: a meta-analysis comparing epidural with systemic opioid analgesia. British Journal of Obstetrics and Gynaecology 2002; 109: 1344-1353.

Wilson MJA, MacArthur C, Cooper, GM, Bick D, Moore PAS, Shennan A. Epidural Analgesia and breastfeeding: a randomised controlled trial of epidural techniques with and without fentanyl and a non-epidural comparison group. Anaesthesia 2010 65: 145-153.

No, with an epidural, you do not have a higher chance of needing a caesarean birth. There is also no greater chance of long-term backache. Backache is common during pregnancy and often continues afterwards. You may have a tender spot in your back after an epidural which, on rare occasions, may last for months. There is no increased chance of long-term backache.

Sources:

Anim-Somuah M, Smyth R, Howell C. Epidural versus non-epidural or no analgesia in labour. Cochrane Database of Systematic Reviews 2005, Issue 4. Article number: CD000331. Date of issue: 10.1002/14651858.CD000331.pub2.

16 Russell R, Dundas R, Reynolds F. Long term backache after childbirth: prospective search for causative factors. British Medical Journal 1996; 312: 1384-1388.

One in every 100 women who have an epidural may get a headache. You can read more about this on our headache after an epidural or spinal injection page.

Permanent nerve damage is very rare with an epidural, affecting about 1 in 13,000 women. Find more information on our Epidural Information Card.

For 1 in 8 women, the epidural might not work well enough to reduce labour pain so you need to use other ways of reducing the pain.

Strong solutions of local anaesthetic in your epidural can increase the risk of instrumental delivery but there is no evidence that this is the case for most commonly used "low dose" epidurals.

With an epidural, the second stage of labour (when your cervix is fully dilated) is longer and you are more likely to need medication (oxytocin) to make your contractions stronger.

You have more chance of having low blood pressure.

Your legs may feel weak while the epidural is working.

You will find it difficult to urinate. You will probably need to have a tube passed into your bladder (a bladder catheter) to drain the urine.

You may feel itchy or develop a slight fever.

To get more information on the side effects of epidurals and spinals, please see our Epidural Information Card.

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An epidural is an injection in your back to stop you feeling pain in part of your body. Here, you’ll find useful information and frequently asked questions on epidural anaesthesia for pain relief in childbirth.

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Video about caesarean birth in multiple languages

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A caesarean birth is an operation to deliver your baby through a cut made in your tummy and womb. About a quarter of babies are born by caesarean birth and two thirds of these deliveries are unexpected. Our information helps you to understand the pain relief choices available to you should you need a caesarean birth.

Watch this video in another language

Elective vs emergency caesarean birth

If you know beforehand you'll be having a caesarean birth, it's called an elective operation. Your appointment will normally be before your baby's due date, so you don't go into labour.

An emergency caesarean is where your obstetrician recommends a caesarean birth, usually when you are already in labour. If it is very urgent (usually because there is a sudden problem with your baby), then some of the preparations we would normally do may be changed or even left out.

Types of pain relief

There are two main types of anaesthetic for your caesarean birth: you will either be awake (regional anaesthetic) or asleep (general anaesthetic).

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A caesarean birth is an operation to deliver your baby through a cut made in your tummy and womb. About a quarter of babies are born by caesarean birth and two thirds of these deliveries are unexpected. Our information helps you to understand the pain relief choices available to you should you need a caesarean birth.

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Information about pain management during labour

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About our translations

We are now expanding our portfolio of translations of our main publications beyond the 20 most common languages used in the UK following feedback at meetings and our enquiries page. We are really grateful to the charity Translators without Borders who are helping us to reach mothers and families of all nationalities. Newer additional translations have been generously provided by OAA members to help us to support some other languages. Where possible, these have been quality assured by professionals and/or peer colleagues. We trust these translations to be as accurate as possible and hope that they are useful to you.

Can you help grow our range of translations?

We are always looking for volunteers to help us expand the range of translated material we offer. If you are able to help translate our materials into new languages we would love to hear from you.
Get in touch

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We are now expanding our portfolio of translations of our main publications beyond the 20 most common languages used in the UK following feedback at meetings and our enquiries page. We are really grateful to the charity Translators without Borders who are helping us to reach mothers and families of…

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A class to help you explore your options for Birth after Caesarean

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Take part in research

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Techniques to help you relax during labour and beyond

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Techniques to help you relax during labour and beyond

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Information on how and why we listen to your baby's heartbeat during labour

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The latest guidelines from The Lullaby Trust

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Some tips on helping baby into a good position for labour, which can sometimes even help to avoid induction

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These can be printed out and used in your room or looked at on a phone or tablet

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A selection of videos promoting pelvic health, also in other languages

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Pelvic Health and Wellbeing during Pregnancy and After Birth Videos
To translate this page into another language then please use the recite me accessibility toolbar. The accessibility toolbar can be used to adjust elements for individual needs. This looks at aspects such as font style, size, colour, zoom functionality, keyboard navigation, screen readers and more.
The London Maternity Clinical Network has collaborated with Imperial College Healthcare Trust, North West London Local Maternity and Neonatal System (LMNS), South West London LMNS, South East London LMNS, LMNS service-user representatives, Maternity Voices Partnership, and other NHS professionals to create a series of videos about the changes the body undergoes before, during, and after birth. From pelvic floor health and bladder care, to posture and returning to exercise, these videos have been developed by NHS Physiotherapists and Healthcare professionals and will provide information and useful advice about supporting your body's journey through pregnancy and beyond.

These videos will enable women to:​

Understand and manage physiological changes that occur in pregnancy​

Optimise pelvic floor health​

Understand how to exercise safely in pregnancy and after birth ​

Be knowledgeable about self care in the postnatal period​

Know when to seek medical advice and referral​

Pelvic health and wellbeing during pregnancy and after birth
POGP are hosting these videos in support of the educational value and relevance of the content, this does not imply direct involvement in its development.

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Pelvic Health and Wellbeing during Pregnancy Videos

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To translate this page into another language then please use the recite me accessibility toolbar. The accessibility toolbar can be used to adjust elements for individual needs. This looks at aspects such as font style, size, colour, zoom functionality, keyboard navigation, screen readers and more.

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One of our lovely birthing rooms

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A post shared by 🌕 𝐿𝓊𝓃𝒶𝓇 𝐵𝒾𝓇𝓉𝒽 𝒞𝑒𝓃𝓉𝓇𝑒 (@lunarbirthcentre)

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Ways you can use your bed to aid labour (this one is in the Lunar Birth Centre at West Mid).

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🌕 𝐿𝓊𝓃𝒶𝓇 𝐵𝒾𝓇𝓉𝒽 𝒞𝑒𝓃𝓉𝓇𝑒 on Instagram: "🌼𝒞𝒽𝒶𝓃𝑔𝒾𝓃𝑔 𝓅𝑜𝓈𝒾𝓉𝒾𝑜𝓃𝓈 𝒹𝓊𝓇𝒾𝓃𝑔 𝑒𝒶𝓇𝓁𝓎/𝒶𝒸𝓉𝒾𝓋𝑒 𝓈𝓉𝒶𝑔𝑒 𝑜𝒻 𝓁𝒶𝒷𝑜𝓊𝓇 𝒾𝓈 𝓉𝒽𝑒 𝒷𝑒𝓈𝓉 𝓌𝒶𝓎 𝒻𝑜𝓇 𝓎𝑜𝓊 𝓉𝑜 𝓊𝓈𝑒 𝑔𝓇𝒶𝓋𝒾𝓉𝓎 𝓉𝑜 𝒽𝑒𝓁𝓅 𝓎𝑜𝓊𝓇 𝒷𝒶𝒷𝓎 𝒸𝑜𝓂𝑒 𝒹𝑜𝓌𝓃 𝒶𝓃𝒹 𝓉𝑜 𝒾𝓃𝒸𝓇𝑒𝒶𝓈𝑒 𝓉𝒽𝑒 𝓈𝒾𝓏𝑒 𝒶𝓃𝒹 𝓈𝒽𝒶𝓅𝑒 𝑜𝒻 𝓎𝑜𝓊𝓇 𝓅𝑒𝓁𝓋𝒾𝓈. 

🌼𝐼𝓉 𝒽𝑒𝓁𝓅𝓈 𝓉𝑜 𝒸𝑜𝓅𝑒 𝓌𝒾𝓉𝒽 𝓅𝒶𝒾𝓃 𝒾𝓃 𝒶𝓃 𝒶𝒸𝓉𝒾𝓋𝑒 𝓌𝒶𝓎, 𝒶𝓃𝒹 𝒾𝓉 𝓂𝒶𝓀𝑒𝓈 𝓉𝒽𝑒 𝒷𝒾𝓇𝓉𝒽 𝑜𝒻 𝓎𝑜𝓊𝓇 𝒷𝒶𝒷𝓎 𝑒𝒶𝓈𝒾𝑒𝓇. 

🌼𝐻𝑜𝓈𝓅𝒾𝓉𝒶𝓁 𝒷𝑒𝒹𝓈 𝒸𝒶𝓃 𝒷𝑒 𝓊𝓈𝑒 𝓉𝑜 𝒻𝒶𝒸𝒾𝓁𝒾𝓉𝒶𝓉𝑒 𝓈𝑒𝓋𝑒𝓇𝒶𝓁 𝓅𝑜𝓈𝒾𝓉𝒾𝑜𝓃𝓈 𝒶𝓈 𝓈𝒽𝑜𝓌𝓃. 

#birthcentre #birth #positioninlabour #relaxing #focus #incontrol #experience #movementsinlabour #positivevibes"

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lunarbirthcentre on March 29, 2024: "🌼𝒞𝒽𝒶𝓃𝑔𝒾𝓃𝑔 𝓅𝑜𝓈𝒾𝓉𝒾𝑜𝓃𝓈 𝒹𝓊𝓇𝒾𝓃𝑔 𝑒𝒶𝓇𝓁𝓎/𝒶𝒸𝓉𝒾𝓋𝑒 𝓈𝓉𝒶𝑔𝑒 𝑜𝒻 𝓁𝒶𝒷𝑜𝓊𝓇 𝒾𝓈 𝓉𝒽𝑒 𝒷𝑒𝓈𝓉 𝓌𝒶𝓎 𝒻𝑜𝓇 𝓎𝑜𝓊 𝓉𝑜 𝓊𝓈𝑒 𝑔𝓇𝒶𝓋𝒾𝓉𝓎 𝓉𝑜 𝒽𝑒𝓁𝓅 𝓎𝑜𝓊𝓇 𝒷𝒶𝒷𝓎 𝒸𝑜𝓂𝑒 𝒹𝑜𝓌𝓃 𝒶𝓃𝒹 𝓉𝑜 𝒾𝓃𝒸𝓇𝑒𝒶𝓈𝑒 𝓉𝒽𝑒 𝓈𝒾𝓏𝑒 𝒶𝓃𝒹 𝓈𝒽𝒶𝓅𝑒 𝑜𝒻 𝓎𝑜𝓊𝓇 𝓅𝑒𝓁𝓋𝒾𝓈. 

🌼𝐼𝓉 𝒽𝑒𝓁𝓅𝓈 𝓉𝑜 𝒸𝑜𝓅𝑒 𝓌𝒾𝓉𝒽 𝓅𝒶𝒾𝓃 𝒾𝓃 𝒶𝓃 𝒶𝒸𝓉𝒾𝓋𝑒 𝓌𝒶𝓎, 𝒶𝓃𝒹 𝒾𝓉 𝓂𝒶𝓀𝑒𝓈 𝓉𝒽𝑒 𝒷𝒾𝓇𝓉𝒽 𝑜𝒻 𝓎𝑜𝓊𝓇 𝒷𝒶𝒷𝓎 𝑒𝒶𝓈𝒾𝑒𝓇. 

🌼𝐻𝑜𝓈𝓅𝒾𝓉𝒶𝓁 𝒷𝑒𝒹𝓈 𝒸𝒶𝓃 𝒷𝑒 𝓊𝓈𝑒 𝓉𝑜 𝒻𝒶𝒸𝒾𝓁𝒾𝓉𝒶𝓉𝑒 𝓈𝑒𝓋𝑒𝓇𝒶𝓁 𝓅𝑜𝓈𝒾𝓉𝒾𝑜𝓃𝓈 𝒶𝓈 𝓈𝒽𝑜𝓌𝓃. 

#birthcentre #birth #positioninlabour #relaxing #focus #incontrol #experience #movementsinlabour #positivevibes". 

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A post shared by 🌕 𝐿𝓊𝓃𝒶𝓇 𝐵𝒾𝓇𝓉𝒽 𝒞𝑒𝓃𝓉𝓇𝑒 (@lunarbirthcentre)

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Why do I need to think about contraception so soon?

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Why do I need to think about contraception so soon?

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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.

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Would you like to take part in new and important research?

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Maternity and Neonatal Voices Partnership

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Maternity and Neonatal Voices Partnership

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Giving your feedback and shaping the future

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Information padlet from the Venus Team (West Middlesex)

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Join one of our regular talks with the Venus team (West Mid) about homebirth and its benefits

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For birth partners to attend (without mum/birthing person). This class is held once a month in the evening.

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A “Partner’s-eye” view of labour and birth for partners of women giving birth at either Chelsea & Westminster or West Middlesex Hospitals.

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Helping your baby into a better position for birth

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More information for couples whose babies have decided to position themselves bottom first !

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Things to consider ....

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Information in other languages

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Would you like to take part in an exciting new study that could benefit the future health of your and other babies - read more here.

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Our study tests your baby for 200+ conditions. The test is free, safe, and takes place just after birth.

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The Generation Study is a long-term research study that tests newborn babies for 200+ rare genetic conditions. We want to understand if we can improve how we diagnose and treat genetic conditions by looking at the DNA of newborn babies. The test is free, safe, and takes place just after birth.

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Birth Centre Postnatal Room Tour (Chelwest)

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Birth Centre Postnatal Room Tour (Chelwest)

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Where will I stay after the birth?

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What does the birthing room look like?

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Frequently Asked questions

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Would you like to take part in our MOLI study?

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MOLI Flyer Version 7.2 11DEC2024_CW localised_JUL25

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An in-house service for couples who may need to "debrief" a difficult birth experience

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Comfort measures for babies in a posterior position

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Preparing for labour—partner massage | Labour | Mater Mothers

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Preparing for labour—partner massage | Labour | Mater Mothers

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Pain Relief in Labour and Caesarean Birth

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Pain Relief in Labour and Caesarean Birth

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More information from the Obstetric Anaesthetic Team about the use and effects of various forms of pain relief

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Support for parents in the Kensington/Chelsea area

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Support for families in the Hounslow area

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Support for families in the South of the Borough

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Support for families in the North of the Borough

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Information for you whilst on the Ward

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More information about your time on the Labour Ward

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More information about your time on the Labour Ward

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A programme for parents who may have experienced domestic abuse themselves

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Try this 3 minute breathing exercise to help you cope when you are feeling panicky

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Where can I go for help locally ?