This information will be updated on a regular basis as new guidance is issued.
COVID-19 (coronavirus) information for maternity patients planning to give birth at the Royal Free London NHS Foundation Trust London
We would like to take this opportunity to update you about your maternity care at the Royal Free London during the COVID-19 (coronavirus) pandemic and reassure you that yours and your baby’s safety at this time is an absolute priority for us.
The measures outlined by the prime minister on 16 March 2020 regarding pregnant women are precautionary. There is currently no clear evidence to suggest that pregnant women are at a greater risk from COVID-19 than any other healthy individual or that they will pass the infection to their unborn baby while they are pregnant. However, we are still learning more about how this virus affects pregnancy and therefore we advise pregnant women to be cautious and to minimise the risk of catching the virus.
Our maternity services are making changes to help respond to coronavirus and protect our patients staff and visitors. We would like to reassure you that we are taking extra care in how we are looking after all women who come into our services to make sure they stay safe. We have created separate areas and are following government guidance to care for those who have or are suspected to have COVID-19. This ensures that those women who are unaffected are also kept safe and well. As a precaution, you should follow government advice about social distancing; stay away from public places and avoid anyone who has symptoms suggestive of COVID-19.
We know this is a time of concern for you and we have developed an information leaflet (27/07/20), covering some frequently asked questions women may have.
In addition, there will be some key changes to our maternity services as follows:
Re-introduction of partners to some of our maternity services
In line with national recommendations, the maternity service at the Royal Free London ceased all non-essential visiting in March 2020. We are now pleased to inform you that we are in a position to lift some of these restrictions. This will be done in phases and subject to some important conditions, and we will continue to monitor the impact of these changes.
- From 10 December: Your partner will be able to join you 24 hours a day on our antenatal wards if you are in early labour or having your labour induced.
- From 2 November: Your partner will be able to join you at your 20 week scan.
- From 19 October: Your partner will be able to join you at your 12 week scan.
- From 7 September: One consistent partner (the same partner as in labour) will be able to visit you for a period of four hours on our antenatal wards and postnatal wards (5 South at the Royal Free Hospital and Victoria ward at Barnet Hospital).
- Please note, in order to adhere to government guidance on social distancing, we're unable to reintroduce visiting in the following areas: triage, antenatal clinics, maternity day assessment unit.
Your partner will be screened each time they enter a maternity service. If at any time your partner experiences symptoms of coronavirus or presents with a postivie COVID-19 screening, they will need to stay at home and self-isolate. Read the full details in our information leaflets:
- We will contact you to discuss any changes to your upcoming appointment. If we make any changes to your upcoming appointment we will telephone you, otherwise please attend as planned.
- We may offer you a telephone or video appointment to replace your face-to-face appointment, but we will discuss this with you first.
- Glucose tolerance test appointments will still be held in hospital. If you have a glucose tolerance test scheduled, please come to hospital for your appointment.
- If you or a member of your household has any symptoms of COVID-19 or are self-isolating, do not attend your routine appointments or come to the hospital. If you live alone, appointments can be postponed by 7 days. If you live with others, in line with the government’s recommendation this should be 14 days.
- To cancel or postpone your appointment, please telephone our call centre on 020 3758 2022 (open 9am-4pm, Monday to Friday) and if you have any questions you can ask to speak with a midwife or doctor.
- If you have symptoms of COVID-19, and are unwell, or require urgent medical advice, please call the labour ward helpline numbers below:
Labour ward 24-hour helpline:
- Barnet Hospital: 020 8216 4408
- Royal Free Hospital: 020 7794 0500 extension 33850/33849
- We are continuing to offer ultrasound scans at 12 weeks and 20 weeks at present, so if you have a 12-week or 20-week scan scheduled, please come to hospital for this as planned.
- We will continue to arrange additional scans where clinically necessary and your doctor or midwife will tell you if this applies to you.
Please be advised, if you are due to attend an antenatal or ultrasound appointment at the hospital, please do not attend:
- if you or someone you live with is experiencing any of the following symptoms; a new continuous cough or high temperature.
- if you or someone you live with is currently in self-isolation.
If the above applies to you, please contact the maternity call centre on 020 3758 2022 and select option 4.
Antenatal classes and tours
- All face-to-face antenatal classes, tours and drop-in sessions have been cancelled until further notice.
- We have prepared information on useful resources you can access online to help prepare you for the birth of your baby. Please click here.
- You can watch a video about our service by clicking here.
There are also multiple mobile apps that provide helpful information about pregnancy, birth and parenting. The ‘Baby Buddy' app is very popular and free.
What happens if I go into labour during my self-isolation period?
- If you are in self-isolation and think you are in labour, please contact your maternity unit for advice. If you are planning to give birth at the Royal Free Hospital, please call the labour ward helpline on 020 7794 0500 extension 33850/33849. If you are planning to give birth at Barnet Hospital, please call 020 8216 4408.
- Please let us know if you have suspected or confirmed COVID-19 or if someone in your household is affected. If your symptoms are mild, they will encourage you to stay at home in early labour, which is standard practice.
When you and your maternity team decide you need to attend the maternity unit:
- You will be advised to arrive via private transport where possible.
- Someone will meet you at the entrance to give you a mask, which you need to keep on until you are in a room.
- COVID-19 testing will be arranged for you.
Home birth services and the Edgware Birth Centre
**** Home birth services have been resinstated and Edgware Birth Centre has reopened - updated 25 January ****
The Royal Free London has reinstated home birth services and reopened Edgware Birth Centre.
If you would like more information about the centre/options on where you can give birth, please contact your midwife.
What to expect when you get home after you have given birth
Your midwife will call you the day after you are discharged to ask you how you and your baby are, to answer any questions you may have and to plan your care. If you do not receive a call by 3pm the day after you are discharged, please call the unit where you had your baby:
- Barnet Hospital / Edgware Birthing Centre: 020 8216 4408
- Royal Free Hospital: 020 7794 0500 ext 33850/33849
You can also call us on our maternity helpline: 0203 758 2022, option 4 (open Monday-Friday, 9am to 4pm)
Your midwife will visit you at home when your baby is five days old and telephone you after your baby’s birth to check in and make a plan if you need further care. The health visitor will contact you between 10 and 14 days.
Before the midwife visits you, they will contact you to ask if you or any member of your househould has symptoms of COVID-19 (a fever and/or a new and persistent cough) or are self-isolating.
It is very important that you tell your midwife if you or a member of your household has symptoms or are self-isolating. Unless there is a pressing emergency, midwives will not be able to complete home visits until the last member of the family has completed their 7 days of self-isolating for symptoms, or 14 days if self-isolating for a household member with symptoms.
When your midwife visits you, to reduce the risk of COVID-19 transmission they will:
- wear a mask, apron and gloves
- ask to see only mum and baby, and in a separate room to other members of the household
- maintain social distancing as far as possible leave the used apron, gloves and masks in a sealed orange bag in your house which can be disposed of after 72 hours in your normal household disposal
If you have any questions, please don’t hesitate to contact the maternity team on one of the numbers above.
Before leaving the hospital you should have received a booklet titled 'Your postnatal maternity guide'. This booklet provides supplementary information about your recovery following childbirth, what to look out for as well as well as information about the care of your baby. It also signposts you and your family to other sources of information.
Feeding and caring for your baby
We have prepared information for you with regard to feeding and caring for your baby – please click here. This information provides details of useful resources that you can access online.
Advice if tongue tie is suspected or confirmed
To help protect babies, parents and staff from the risk of COVID-19, we have decided to temporarily suspend our tongue tie clinic. The following resources provide information that may help:
Expressing may be necessary for babies who cannot drain the breast effectively. Expressed milk can be given as top ups after feeds; this will ensure that your baby is getting the amount of milk they need.
Your infant feeding team, community midwife or online breast feeding support service can provide you with additional help and information.
Please contact the maternity helpline in the first instance with any questions about your care. The maternity helpline team will answer your questions, or transfer you to another team if required:
020 3758 2022 and select option 4, available 9am-4pm, Monday to Friday
Please remember you can also call us on the labour ward helpline numbers (above) if you have any other general (non-COVID 19) concerns about your pregnancy. These include:
- reduction in your baby’s movements
- vaginal bleeding
- if your waters have broken
- abdominal pain
Suspension of birth registrations
We have been notified by the registry offices in Barnet, Camden, Enfield, Haringey and Islington that birth registrations have been suspended until further notice due to the pandemic.
This means the 42-day legal deadline for registering a birth is not applicable during this time. Families can make a claim for child benefit or universal credit prior to the birth being registered. For more information, please see below links:
- Barnet: new.enfield.gov.uk/services/births-deaths-and-marriages/births/
- Camden: www.camden.gov.uk/register-birth
- Enfield: book.enfield.gov.uk/Registrars.Live/BirthBookingProcess
- Haringey: www.haringey.gov.uk/births-death-and-marriages/registering-birth
- Islington: www.islington.gov.uk/contact-us/changes-to-services
Information from the NHS: Pregnancy and coronavirus
NHS.uk has dedicated information about pregnancy and coronavirus here: www.nhs.uk/pregnancy-and-coronavirus
The following information leaflets are available on their website:
- Planning your birth
- Looking after yourself and your baby in pregnancy
- Parent information for newborn babies
- COVID-19 FAQs for pregnant women (RFL resource: updated 27/07/20)
- Re-introduction of partners to our maternity services (RFL resources: published 15/12/20)
- Your pregnancy and coronavirus (North London Partners resource)
- Infant feeding support during the COVID-19 (coronavirus) outbreak (RFL resource)
- Postnatal discharge from hospital (RFL resource)
- Government guidance on social distancing for all vulnerable people (including pregnant women) (government resource)
Thank you for your understanding and support
We remain committed to providing you with outstanding care and have dedicated staff working hard to ensure you have a safe and positive pregnancy and birth. Our maternity staff will remain working at the hospital to care for you and your baby throughout the antenatal, labour and postnatal periods. There may be times when less staff are available than usual, but we have an extra layer of midwives and doctors on duty 24 hours a day to provide support.
Our top priority is to provide the best service we can for you and we thank you for your understand during this challenging time and your support in helping us to keep you, your family and your baby safe.