Hello and Welcome to the City & Hackney Maternity page

IMPORTANT UPDATE ON MATERNITY AND NEONATAL DOCUMENTS - February 2026

Message from Digital Midwife Team
‘Following our previous bulletins, we would like to provide an update regarding maternity documents sent to EMIS. The documents are being received; however, they are not displaying in the correct format in some practices. This issue has been escalated to both relevant technical teams for investigation and resolution. In the meantime, we recommend accessing all maternity-related documents, including booking and delivery records via HIE/cernor to ensure the information is reviewed in its intended format. However, we have also recently been informed that some practices cannot visualise the documents via HIE/cernor and the document appears blank. If this is the case, please contact the digital midwives on huh-tr.digital-midwives@nhs.net who will email you the document directly as a PDF. You should also inform IT support.

We apologise for the inconvenience and will provide further updates as soon as we receive progress from the technical teams.’
 

Click here for Homerton Maternity Services Updates - Oct 2025

Click here for Useful Preconception Patient Information Links

Update to the care pathways for pregnant patients between 16–18 weeks gestation

a)    Previous pathway: Patients in this gestational range were routinely seen in Early Pregnancy Assessment Unit (EPAU).

b)    Updated guidance: EPAU is not always the most suitable environment. We anticipate this change will affect approximately 2–4 additional patients per week, and activity will be heavily audited. 

c)    Patients at 16 weeks with acute problems (e.g. bleeding, pain) can present to the Emergency Obstetric Unit (EOU) for review.

•    Midwives will triage these patients and then they will see a doctor.
•    The gynae team can assist if acuity is high.
•    If admission is required (e.g. inevitable miscarriage), this should be to a maternity area.

d)    Hyperemesis presentations remain unchanged — patients should attend A&E and follow the hyperemesis pathway. 
e)    If the patient is not booked at Homerton, they should be referred to their local unit.
f)    If the patient is unbooked, they should attend EPAU for dating.
g)    For all other issues, the GP remains the appropriate referral point.
 

Obstetric physiotherapy referrals

Please email huh-tr.pelvichealthphysiohuh@nhs.net to refer patients for obstetric physiotherapy. There is no referral form but please add as much detail as possible in the email.

Eligibility criteria are:
a)     patient is living in hackney or
b)    having their baby in Homerton hospital 
c)     >12 gestation
d)    pain associated / caused by pregnancy (no longstanding issues)
e)    pelvic floor dysfunction during pregnancy
f)    can be referred up to 3 months post-natal 

Advice and Guidance 
The Maternity and Obstetric Advice and Guidance Service is via email huh-tr.obstetricquery@nhs.net. You can expect a response within 72 hours. For any more urgent issues, bleep the Emergency Obstetric Unit (EOU) registrar on bleep 364 (>18/40 gestation) or the on-call obstetrics registrar on bleep 003 via Homerton switchboard (0208 510 5555)
 
Within this webpage we use the terms woman and women's health. However, it is important to acknowledge that it is not only women for whom it is necessary to access maternity services to maintain their gynaecological health and reproductive wellbeing. Maternity services and delivery of care must therefore be appropriate, inclusive and sensitive to the needs of those individuals whose gender identity does not align with the sex they were assigned at birth.

Information pack for pregnant smokers

Public Health England have launched a new information pack for pregnant smokers.

The pack includes information about the health risks, a myth buster, advice on the support available from local stop smoking services and tips on dealing with cravings and stress. It is a clinical resource designed to be shared as part of a confidential and supportive 1-1 intervention by a midwife, or member of the midwifery team – if you feel it would help.

Your can order the pack for your patients here (Password: stopsmoking).