Seanad debates

Friday, 30 April 2021

Nithe i dtosach suíonna - Commencement Matters

Maternity Services

10:00 am

Photo of Frank FeighanFrank Feighan (Sligo-Leitrim, Fine Gael) | Oireachtas source

I thank the Senator for raising what is a very important issue. The senior Minister, Deputy Donnelly, myself and many others fully appreciate how restrictions across the health system are affecting service users. I acknowledge that the restrictions in maternity hospitals are particularly difficult for expectant mums and their partners. Indeed, a year and a half ago I was the partner of an expectant mum and the support that we were able to give one another, and especially, that I was able to give her was huge. Many of my friends and constituents have raised this issue and it is one that we would like resolved as quickly as possible.

It is our aim that the impact of Covid-19 on women and their families in maternity hospitals be kept to an absolute minimum. Unfortunately, with the prevalence of Covid-19 in our communities, it has been necessary to introduce restrictions in our maternity hospitals to protect not only women, babies and staff, but the maternity services as a whole. This has been achieved in part by the introduction of restrictions on persons attending in maternity hospitals and this, regrettably, has affected the access of partners to maternity wards, theatres, and appointments.

It is worth remembering that some of the most vulnerable members of our society are cared for in our maternity hospitals, including fragile infants at the very extremes of prematurity and the sickness of newborns with very complex needs. There are also many vulnerable mums with additional medical needs and everyone can agree that their safety and that of their babies must be a priority.

To date, our maternity hospitals have performed very well in that regard and have continued to protect the well-being of women, babies and staff while providing safe, quality, maternity care.

Throughout this pandemic, maternity sites have continued to review their restrictions on a weekly basis, with some undertaking reviews daily. We need to recognise that the challenges faced by our maternity hospitals vary considerably between hospitals and that significant variations in caseload, complexity and infrastructure exist throughout the system. That is why we cannot have a one-size-fits-all approach to restrictions and some local flexibility is required to provide for the different circumstances that may arise in different maternity units. Decisions on restrictions are, therefore, made, implemented and reviewed at hospital level.

The national women and infants health programme has advised the Department of Health that it has issued a communication to clinical leads in each maternity network requesting that the improving situation regarding community transmission and immunisation of front-line workers be taken into consideration when restrictions are being reviewed. The programme will continue to engage with the clinical leads to support a phased relaxation of restrictions and to provide advice on any area of particular challenge while continuing to advise that the overarching requirement is to protect the health of our pregnant population.I assure the Senator the decision to restrict attendance in maternity hospitals has not been taken lightly. Front-line staff and hospital management are acutely aware of the very important support provided by partners and the national women and infants health programme has assured the Department that maternity hospitals wish to facilitate this support as far as possible and that restrictions are being reviewed regularly with a view to phased relaxation, bearing in mind the overarching need to protect the health of our pregnant population.

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