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Meet the team

Also:

  • Paula Kelleher, Community Midwife
  • Shona Hamilton, Consultant Midwife
  • Valerie Myles Family, Nurse Practitioner ,
  • Barbara Crawford Family, Nurse Partnership
  • Finvola McKenna, Community Midwife
  • Eleni McCrea, Community Midwife
  • Denise Bennett, Teenage Pregnancy Midwife
  • Teenage Mums to Be x2 (TBC)

What is the positive change that has emerged through new collaborations or partnerships during Covid-19 that your project is going to embed?

Covid 19 required Maternity Services to adapt to meet the needs of clients and their families. This included accessing antenatal care, information and support in labour,  supporting new mothers and their families,  and enabling them to access their midwife and appointments.

This also dramatically changed not only our Health Promotion Advice and services, but also the way in which we had to deliver this care and support.  Technology, time, access to care, telephone calls, new clinics, and new ways of working became every day challenges while also facing the fear and impact of lockdown, isolation, shielding and PPE.

Challenges were met through texting, messaging , zoom meetings  and setting up local hubs in clinics – feedback has been good. We continued to provide individualised and personal care, support, appointments and advice to all mums.  All of this was only possible through collaboration and partnership working across primary, secondary and community care.

What does your project aim to achieve?

Provide Teenage Mums to Be, with access to an App to access resources and programs specifically designed for them. Providing an up to date and innovative way for them to interact with Midwifery Services, with access to Health and Wellbeing Programs, information on pregnancy and related issues, utilising technology that they are using on an everyday basis and comfortable interacting with.  Applying a multi-disciplinary approach, pregnant teenagers aged 19yrs or younger will have access the following expertise: teenage pregnancy midwife, smoking cessation midwife, family nurse practitioner, health visitor, Sure Start, Mental Health.

A new Care Pathway will be designed, providing direct access to specific information and resource apps, with the aim of increasing engagement with mums in awareness of messages regarding immunisations, advice and support for antenatal care, mental health, finances and parenting programs, and support in relation to the risks of smoking to both mother and baby during pregnancy.

How will the project be delivered?

The project will apply QI methodology, using the Model for Improvement and an action research cycle.  The pathway, content and accompanying App will be co-produced with with teenage mums and professionals, exploring experiences and needs through appropriate media.  The design of the 6-12wk programme will look at identifying participants suitable for access to the programme and addressing complications of access due to COVID 19 through innovation solutions.

The supporting measurement plan will include:

Quantitative metrics:

teenage mums to be:

identified as smoking in pregnancy

accessing and engaging with Smoking Cessation Midwives/teenage pregnancy midwife

referred/accepted onto or declined to be part of the Family Nurse Partnership

accessed information re pregnancy on other sources

completed online/face to face Getting Ready for Baby Parenting Program

Qualitative metrics:

Reasons why teenage Mums to be do not access support/advice in relation to their pregnancy  i.e. lack of curiosity, embarrassment, boredom, stress, fear, lack of knowledge etc.

How is your project going to share learning?

The programme content, pathway, management policy and accompanying App can all be shared across the Q Community.  This project provides a valuable opportunity to capture data useful to both health professionals and participants which can support needs identification and further service development in line with Teenage Mum To Be needs.  The project will help test the appetite and uptake of information to support pregnancy using an interactive approach, which may be more appealing to teenage mums than more traditional methods of service engagement.  The programme will also provide access to wider sources of information that may help address some of the wider social determinants of health that impact this group i.e. access to information about finance, budgeting, housing etc.

There is a vibrant and engaged Q Network community across Ireland and the UK with which the learning form this project can be shared.

How you can contribute

  • The project team would welcome any suggestions from Q Members on content, methods of successful engagement with the target group for this work and experience of developing similar applications and resources.

Plan timeline

21 Sep 2020 App development, testing and implementation - early 2022
21 Sep 2020 Co-producing content and pathway - by end of quarter 1 2021
21 Sep 2020 Develop specification for App - by end quarter 3 2021
21 Sep 2020 Procure App - by end quarter for 2021
21 Sep 2020 Project Set up - Late 2020/early 2021
21 Sep 2020 Testing content and pathway across stakeholders - by end quarter 2 2021

Comments

  1. Love the idea of using apps interactively. Just wondering how this would be different to the Baby Buddy app from Best Beginnings? Perhaps there is potential for a collaboration with Best Beginnings here?

    Good luck!

    Sarah

    1. Thank you for the comment. The Teenage Mum 2 Be APP  would be different as it would be

      -more focused on the interaction and  relationship between professionals in specialist practice and our young vulnerable mums

      - its aims and objectives are targeted to developing and building a team approach

      - increasing our young mums knowledge and understanding of their pregnancy

      - highlighting and explaining  all of the services and team members who are  available  and who will be involved in their care .

      It would be a great idea to discuss  this proposal with Best Beginnings and possibly ask for a collaboration., especially as we are based in NI .

  2. It would be interesting to see the impact on engagement with the face to face appts needed and whether the app can prompt with reminders. This would be a useful quantitative measure.

    ’preparedness for birth’ would be a good qualitative measure postnatally.

     

    As an obstetric anaesthetist wondering if you can.also include access to anaesthetic information as a significant proportion will have either epidural or operative/ instrumental delivery and may not access other sources of info -you could link to www.labourpains.com

    1. Thank you  for this comment. This is a very interesting point in relation to engagement as this is definitely a quantitative measure, Especially when a young mum to be is referred to a Specialist Midwife. The young mum is bombarded at the booking appointment with referrals . When it comes to engagement it is then difficult to establish contact and maintain it so that support, advice and help are offered and given.

      Preparedness for birth for qualitative measures would definitely give us the data we require especially with our Antenatal Parenting Programs and if our young mums are more likely to access them now they are being offered via different methods . We will also be linking in with our Antenatal Education Co-ordinator in relation to exploring the addition of adding in the link and data on instrumental deliveries and epidurals in our teenage mums.

  3. A great way to engage with an often hard to reach group

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