University Hospitals Coventry & Warwickshire NHS Trust

University Hospitals Coventry & Warwickshire NHS Trust

Their website says:

Our services are located in the west wing of University Hospital. We have our own entrance, please follow the signs for Women’s and Children’s when you enter the grounds of University Hospital. If arriving by car, please ensure you use a UHCW car park – UHCW patients parking at the nearby BMI Hospital will receive a penalty notice.

Our Maternity Pledge – Working to support healthy babies and new mothers

As part of University Hospitals Coventry and Warwickshire NHS Trust’s continued commitment to providing the best possible maternity services to the people of Coventry and Warwickshire we have set out five pledges to ensure that every expectant mother and new baby is given support throughout their pregnancy journey to try and achieve the best possible outcomes.

Through this we aim to ensure every expectant mother is supported – from pregnancy, to birth, to those critical first months of parenthood – with a comprehensive package of personalised, high quality support:

  1. During your pregnancy we will help you make informed choices about your own care. This includes giving you open and honest information about your own health, your pregnancy and birth options and support available to you.
  2. During birth we will actively listen to you to ensure we have the opportunity to give you the personalised birth experience you would prefer and answer any questions that you may have.
  3. If there are any difficulties encountered during the birth we will communicate what is going on with you in order for us to provide the correct support to achieve the best possible outcome.
  4. After the birth of your baby we will provide care which is tailored specifically to you and your baby. We will ensure that you have the support and foundations in place before you go home in order to give you both the best possible start to life together.
  5. When you go home we will offer you a comprehensive package, involving your GP and health visitor, incorporating high quality personalised support to give you and your baby the best possible start. This offering will include an offer of ongoing mental health support and health support when needed.

In answer to specific questions about care, they said

Yes we have a guideline titled Weight Management in pregnancy (BMI<18.5 & >30mg/kg2) The criteria is less than a BMI of 18 or over 30mg/kg2

From IVF perspective NHS funding criteria BMI for ICBs we serve is for <30 (NICE CG 156) this has been in place for many years – CG is on NICE website

University Hospitals Coventry and Warwickshire NHS Trust

NICE Clinical Guideline 156 absolutely DOES NOT restrict funding for IVF to people with BMIs less than 30, so that’s pretty crappy that they’re saying that it does. It explains that IVF may be less successful, and advises people to lose weight – advice dated from 2013, and I’m not convinced that this is absolutely true either… I’ve written a post looking into claims about weight loss and fertility here: Can Saxenda Improve Fertility?

Inclusion/exclusion criteria for use of midwife led unit, hospital birthing pool, pool hire, home birth, IVF etc.

BMI for the Lucina Birth centre is a BMI <35 however if women have a higher BMI a personalised care support plan is devised to support women’s choices and assistance in understanding the risks

Clexane prophylaxis

Currently under review due to be discussed at QIPS May 2024

Pre-Birth Anaesthetist referral

Complex anaesthetic appointments are scheduled for women with a BMI of >40

Additional growth scans

Growth scans are requested at 32 and 36 weeks gestation for women with a BMI of >35

University Hospitals Coventry and Warwickshire NHS Trust

Fairly standard stuff. Obviously all these should be ‘offered’, not ‘scheduled’/’requested’ etc. so some concerns about wording and attitudes to patient autonomy… but personalised care support plans are welcomed.

You can find data about University Hospitals Coventry and Warwickshire NHS Trust maternity care on the NHS Data Dashboard here (best attempted on a laptop or PC as it’s a pretty big and complicated Power BI interface!):

It’s a bit confusing to begin with! But you select the trust you’re interested in from the drop down, and then you can look at the various data sets available and see how the trust compares nationally. In the image below, as an example, I’ve selected the NMI+ dataset which looks at how Chesterfield Royal Hospital compares with Derby and Burton on User Experience, from 2019.

Many thanks to Eleanor for requesting these policies from University Hospitals Coventry & Warwickshire NHS Trust and submitting them to Big Birthas. Information on how to submit a Freedom of Information request can be found here.

University Hospitals Coventry and Warwickshire NHS Trust Policies Current at March 2024

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