Choosing a maternity unit – checklist
What questions should I ask about the maternity unit?
Everyone has different thoughts on what their ideal birth environment should be like, so it can be a good idea to have a think about which aspects of birth are important to you.
Below, we have listed some of the questions you may like to ask, depending on your own circumstances and preferences. You can use the list as a starting point when thinking about what you’d like to know about the unit and midwives.
Can I go on a tour of maternity units?
A birth centre or labour ward that you’ve never been to before is likely to feel like a very unfamiliar place. Some maternity units offer tours to expectant parents, usually in the third trimester, which can be really helpful in preparing for birth.
To find out if your unit offers tours, talk to your midwife or contact the maternity unit directly.
What is this facility like?
- What type of maternity unit is this? Is it a labour ward (obstetric unit) led by doctors, or is it a birth centre (midwifery-led unit)?
- If it’s a birth centre, are there restrictions on who can give birth here? For example, based on age of mother, weeks of pregnancy, Group B Strep positive, or BMI?
- How many delivery rooms are there?
- Does this unit ever close and, if so, for what reasons? Where will I be asked to go if this unit is closed when I go into labour?
- Can I take a tour of the unit? If so, how do I arrange this?
How will I be cared for during my pregnancy?
- Can I get continuity of care (be looked after by the same midwife throughout my pregnancy) if I book in with this unit?
- Where will my antenatal care take place? Can I choose where?
- Can I do birth preparation classes at this hospital? When would I need to book? Are these classes taught by midwives or antenatal teachers?
Who will look after me when I’m in labour?
- Does this unit have midwives trained in hypnobirthing or aromatherapy?
- Are all midwives in the unit trained to attend to women labouring or giving birth in water? If not, how many midwives on any one shift will be able to attend to a woman using a birth pool?
- Are all midwives trained so that I can give birth in an upright position, or will I be encouraged to lie or sit on the bed?
- Will I be able to see the same midwife during labour as for my antenatal appointments?
- How many birth partners can I have with me?
What types of pain relief and comfort methods will I have access to?
- Will I be able to use self-help methods such as hypnobirthing or aromatherapy here?
- Which pain relief drug does this unit offer: pethidine, diamorphine or meptid?
- Does the unit have a dedicated anaesthetist and are epidurals available 24-hours-a-day?
- Can I borrow or hire a TENs machine or do I need to bring my own?
- What non-medical equipment is available to use during labour, e.g. birth ball, bean bags, cushions, floor mats?
How likely am I to get to use a birth pool?
- How many of the delivery rooms have a birth pool?
- How often are all pools occupied?
- May I bring a hired pool into the unit?
- How many women use the pool for pain relief and what percentage of babies are born in water in this unit?
How likely am I to have interventions if I give birth here?
- What percentage of women giving birth at this unit have their labour induced?
- What percentage of women have their birth assisted by forceps or ventouse cap at this unit?
- What percentage of women give birth by emergency c-section at this unit?
- What percentage of women attempting to have a VBAC (vaginal birth after caesarean) at this unit are successful?
How will this unit support me if I’ve had a previous c-section or am at higher risk of complications?
- Does this unit encourage women who’ve had previous caesareans to give birth vaginally - or will I automatically be offered another caesarean?
- Is there a policy of continuous monitoring for women planning a VBAC?
- If I agree to be continuously monitored, can it be arranged so that I can remain upright and mobile?
- Will I be supported in my decision if I don’t want continuous monitoring, and would like intermittent monitoring instead?
- Will I be able to give birth in the midwife-led birth centre?
- Will this unit support me if I want to have a home birth?
- If I’m advised to give birth on the labour ward and agree to it, how can I make the environment as homely as possible?
Will this unit support my accessibility requirements and individual preferences?
- Is there easy wheelchair access to the delivery suite and the wards?
- Does the hospital provide equipment to help disabled women in labour?
- Does this unit have specialist midwifery teams? For example, diabetes, perinatal mental health or smoking cessation.
- Are female doctors always available?
- Does the hospital provide an interpreting service for women who would prefer to speak their own language?
How does this unit help mothers who want to breastfeed?
- Does this maternity unit have a Baby Friendly award?
- Does this maternity unit employ a breastfeeding specialist or counsellor who can help me getting started with breastfeeding my baby, either while I’m in hospital or after I’ve gone home?
What care will I receive after my baby is born?
- Assuming there are no problems, how long will I stay in the unit after my baby is born?
- If I have to be moved to a postnatal ward, how many women will be in the ward?
- What are the visiting hours for my partner and family members?
- Can my partner stay overnight with me after the baby is born?
- Are there private rooms on the postnatal ward? If so, how much does this cost?
- Is there a special care unit here if my baby should need it after birth? If not, where would my baby be transferred to?
- Can I see the same midwives for postnatal appointments as I do during my pregnancy and birth?