1. Day & Night
We work 24 hours a day, 7 days a week. We have periods of on call where we are not technically at work but are on stand-by should we be needed. This means we could be expected to cover in any of the hospital settings; delivery suite, antenatal and postnatal wards, antenatal clinics and also attend homebirths. We may have to change our working days at very short notice.
The first stage of labour begins with the first contraction and ends when your cervix is fully dilated. The stage is split into two phases; the latent phase and the active phase. The latent phase can stop and start, even over the course of days. The active phase is where we see the cervix opening consistently, contractions becoming regular, more intense and lasting for around 60 seconds.
In February the Department of Health announced the new Maternity Budget. There were many aspects of the proposed changes to the way in which maternity services are provided, however the press quickly homed in on the ‘Birth Budget’. This budget would allow women to choose their provider of maternity care by giving them control of their own personal ‘birth budget. This, it was felt, would encourage those providers who lack personalised, women centred care to improve their level of service provision, for women and their families thus lifting the overall level of service offered by the NHS.