Caring for Emma in 2031
Emma is 35 and is experiencing an uncomplicated pregnancy. She would
like to give birth at home and wants clear, balanced information so she can make an informed choice about where to have her baby.
Emma understands that her preferences will be respected and reviewed alongside clinical information throughout pregnancy, and that the same safe, personalised and culturally sensitive approach is made available to every woman
and birthing person.
From her first maternity appointment, Emma feels listened to and involved. Her midwife explains her choices clearly, including the benefits and considerations of a planned home birth. Together, they develop a personalised care plan that reflects Emma’s wishes and is reviewed throughout her pregnancy.
Emma receives routine antenatal care close to home, with appointments arranged at convenient times and clear information about what to expect. Her results, preferences and care plan are recorded in the electronic patient record, so everyone involved has the same up-to-date information, and Emma does not have to repeat herself.
As her pregnancy progresses, the maternity team continues to assess whether a home birth remains a safe option. Emma knows who to contact if she has concerns or thinks labour has started. She understands the circumstances in which hospital care might be recommended and what would happen if a transfer to hospital became necessary.
When Emma goes into labour, she contacts the maternity team and is assessed promptly. A midwife comes to her home with the equipment needed to support a planned home birth. Emma is cared for with kindness and respect, and her
birth preferences are followed wherever it is safe to do so. She feels informed and in control, with those she has chosen to support her.
The midwife monitors Emma and her baby throughout labour. There is a clear escalation plan and direct communication with the hospital team if either of them needs additional support. If transfer is required, information is shared quickly and the move is coordinated safely, without Emma having to explain everything again.
After the birth, Emma and her baby receive the appropriate checks at home. Feeding support, newborn screening and postnatal follow-up are coordinated, and Emma knows how to get help if she is worried about her own recovery or her baby’s health. Her emotional wellbeing is considered alongside her physical recovery.
Five years from now, Emma’s experience of LGT is defined by informed choice, personalised and respectful care, safe support for birth at home and joined-up follow-up for her and her baby.
Emma is an illustrative patient.