Arlene and John Mitchell from Longridge in West Lothian have welcomed the first naturally conceived quadruplets to Lothian — Ben, Noah, Harrison, and Rory!
The tiny new arrivals, Ben, Noah, Harrison and Rory, were born on May 14 and tipped the scales at less than 3lb each.
The smallest of the baby brothers, Harrison weighed in at 2lb 14 oz, while Ben, Noah, and Rory each weighed 2lb 15oz.
Naturally conceived quadruplets are extremely rare, with doctors estimating the odds at about one in 700,000 births.
Arlene, 34, and John, 38, who already have a daughter Lauren, 11, and three-year-old son Hunter are now getting used to being a family of eight.
Arlene said:“It was a total shock when we found out there were four babies at the first scan. The nurse said she thought there was more than one baby and then she said there was more than three babies!
“I was absolutely speechless and my husband just couldn’t believe it. They are really beautiful and we are so delighted. We can’t wait to take our four boys home to Lauren and Hunter and start our journey as a family of eight!”
John said:“Life is going to be a bit noisier for all of us but I’m really looking forward to us being one big family.”
Arlene was closely monitored throughout her pregnancy because of risks associated with multiple births, such as premature delivery and preeclampsia.
Arlene added:“Having quadruplets is a high-risk pregnancy and at every scan, I was really anxious that there wouldn’t be four heartbeats.
“The midwifery team were absolutely amazing, they really supported me every step of the way.”
A dedicated team of 17 doctors and midwives delivered the quadruplets in the Simpson’s Centre for Reproductive Health at the Royal Infirmary of Edinburgh on May 14.
Arlene, who is just 5’2, underwent a planned Caesarean section when she was 30-weeks pregnant to reduce risks.
Each baby had an individual team of four clinicians assigned to look after them as soon as they were welcomed into the world.
At first, the boys were each given intensive care in the Neonatal Department to help stabilise their breathing and allow them to grow while they were tube fed.
Two of the boys, Harrison and Rory were then moved to the Special Care Baby Unit in St John’s Hospital to be closer to their family, before Ben and Noah joined them.
Katy Ruggeri, Associate Director of Midwifery, NHS Lothian, said:“Delivering quadruplets is an extraordinary experience and I am immensely proud of our entire midwifery and neonatal team for their dedication and expertise throughout this remarkable journey.
“This was the first set of quadruplets delivered in Lothian and it’s something the entire team will remember for the rest of their careers.”
The boys are now thriving and Arlene and John are preparing for the big move home.
Arlene said: “Welcoming quadruplets into the world has been an incredible and overwhelming experience.
“It’s going to be a very different house and probably a bit noisier but we’re so looking forward to taking our babies home!”
Healthcare Improvement Scotland has published a report relating to an unannounced follow-up inspection visit to the Royal Infirmary of Edinburgh, NHS Lothian. The inspection took place in September 2023.
The purpose of the follow-up inspection was to assess progress and provide assurance on NHS Lothian’s improvement actions in response to serious patient safety concerns that were identified and escalated during a previous inspection of the hospital in February 2023.
To provide assurance of improvement following the concerns previously identified, the main focus of the follow-up inspection was the emergency department. Inspectors also visited a number of wards and the medical assessment unit.
Donna Maclean, Chief Inspector, Healthcare Improvement Scotland, said: ““Serious concerns raised in our previous inspection related specifically to the safe delivery of care and to potential patient safety risks. During this follow-up inspection we observed that considerable progress has been made in responding to these concerns.
“The delivery of fundamental care has improved with the addition of care and mealtime coordinators in the emergency department. Improvements have also been achieved in supporting patient care, dignity and leadership and in the coordination of care within the department.
“Implementation of a new continuous flow model has improved the flow of patients through the hospital during weekdays. However, further work is needed to support the timely flow of patients from the emergency department to an appropriate care area out of hours and at weekends.”
Six of the previous 13 requirements have now been met and progress has been made with four requirements, with further work to be undertaken.
Three requirements have not been met. These include hand hygiene, the use of personal protective equipment and the management of intravenous fluids.
One new additional requirement has been added with regard to the safe management of cleaning products. One new recommendation has been added in relation to the timeframes for the completion of significant adverse event reviews.
An improvement action plan has been developed by NHS Lothian in order to meet the requirements.
The full inspection report is available to view at:
Aberlour Children’s Charity was delighted to welcome the Minister for Mental Wellbeing, Maree Todd MSP to the new Perinatal Befriending Service at the Neonatal Intensive Care Unit (NICU) at the Royal Infirmary of Edinburgh this week.
The new service, launched six weeks ago, offers vital emotional and befriending support to parents impacted by neonatal experiences. Aberlour’s Perinatal Befriending Service is for families living in the Lothians whose babies are born at 34 weeks’ gestation or later and have received neonatal care through the NICU.
Following a pilot in the neonatal unit last year, the charity concluded that whilst becoming a new parent can be an exciting and challenging time – parents whose babies have needed specialist neonatal care are at greater risk of increased anxiety and isolation. It is estimated that parents of babies with a neonatal experience are 40% more likely to develop perinatal mental health difficulties. Parents with neonatal babies born at 34 weeks’ or later were identified as a cohort requiring enhanced support.
Funding secured from the National Lottery Community Fund, East Lothian Council, William Grant Foundation and the Charles Gordon Foundation has enabled Aberlour to establish the new Perinatal Befriending Service. It aims to connect with parents at the earliest opportunity both in hospital, community or home settings, building relationships to support parents and babies throughout pregnancy and in the first year of baby’s life.
Working in parallel with the charity’s NHS partners, the service offers in person support from a Perinatal Coordinator, a 1:1 match with a Perinatal Befriender and bespoke digital support all of which connects parents, improves emotional wellbeing, reduces isolation and supports positive relationships between parents and babies. It also recognises the significance of sustaining wider family relationships.
Perinatal befrienders are dedicated trained volunteers who are matched to parents and offer emotional listening support and help accessing services and activities in the community.
The launch of the service coincides with the launch of Aberlour’s Perinatal Connections app. As a result of listening to mums and gathering data, a gap was identified in mental health support services outside normal working hours for new and expectant mums. The app has been developed to offer a safe, facilitated space for new and expectant mothers supported by Aberlour to connect with each other and access information and resources whenever they wish.
Maree Todd,Mental Wellbeing Minister Maree Todd said: “Looking after our mental health is more important than ever before and we are committed to improving the mental health of mothers, fathers, carers and infants throughout pregnancy and during the postnatal period.
“I was pleased to visit Aberlour’s service and learn about their crucial support for families whose babies are receiving neonatal care. I am impressed by this service that offers vital emotional and befriending support to parents impacted by neonatal experiences.”
Emma Cashmore-Gordon, Assistant Director at Aberlour, said: “We were thrilled to welcome Maree Todd in her new capacity as Minister for Mental Wellbeing to the new Perinatal Befriending Service.
“It’s great to demonstrate how we are able to provide greater support with all the strands coming together – our Perinatal Co-ordinator, Perinatal Befrienders and the new app. Knowing that we can help families who have received neonatal care, in particular parents of babies born 34 weeks+ who really will benefit from the enhanced support is amazing”.
Megan, parent of Rosie, said: “The help I got from the service and the relationship with my befriender was unique.
“When I look back, I’m a totally different person now, when I have rough times, I can get through a day at a time”.
LOTHIAN MSPs have spoken out following a critical report on safety issues at the Royal Infirmary of Edinburgh at Little France. Inspectors reported safety concerns following visits to the hospital’s A & E Department in February and subsequent follow-ups.
Conservative Lothian list MSP Miles Briggs said: “These are very serious concerns in regards to overcrowding at Royal Infirmary of Edinburgh and the fire safety risk it creates.
“The A&E department at the hospital has been running over capacity for a number of years now, with SNP Ministers showing an ability to make any progress.
“Patient and staff safety must be the number one priority at the RIE and urgent improvements must be made.
“I have written to NHS Lothian to ask for further details and a timetable for when these improvements are being made .”
Labour list MSP Foysol Choudhury added: “It is incredibly disappointing and worrying that inspectors raised numerous serious concerns about safety in the A&E department at Royal Infirmary Edinburgh (RIE).
“Constituents in Edinburgh need to be sure that they can safely attend hospital for care and treatment. Instead, patient safety, care and dignity were called into question.
“This is terrifying for those patients in the region who need to be able to rely on and trust the A&E department should they ever need it.
“I’m very concerned that our hardworking NHS staff may also be put in danger by this crisis in the NHS, with concerns raised over staff wellbeing at RIE. Our hospital staff work incredibly hard to provide the best service possible.
“Patients at RIE and their relatives spoke highly of the compassionate care they received from staff. “This makes it all the more disappointing that staff and patients alike are being affected by 16 years of SNP incompetence.
“Staff and patients are crying out for help. Will the new Health Secretary answer their call and reverse years of damage done by Humza Yousaf when he held the post?”
NHS Lothian says the concerns expressed in the report are already being addressed. Alison Macdonald, nurse director at NHS Lothian, told the BBC the HIS visit came at a time of “unprecedented pressure” on the hospital.
She said: “We accept and acknowledge the findings of the HIS report and we sincerely apologise to patients for longer than usual waiting times in the emergency department and a poorer experience of care.
“We had already begun our own improvement work when the inspectors carried out their first visit.
“When they returned for their follow-up, it was clear to see that improvements had already been made, but more was required. We are now focused on our improvement and safety action plans.”
HEALTHCARE IMPROVEMENT SCOTLAND’S REPORT
HEALTH watchdog Healthcare Improvement Scotland carried out an unannounced inspection to the Royal Infirmary of Edinburgh, NHS Lothian on Monday 20 to Wednesday 22 February 2023 using our safe delivery of care inspection methodology.
During our inspection, we:
inspected the ward and hospital environment
observed staff practice and interactions with patients, such as during patient mealtimes
spoke with patients, visitors and ward staff (where appropriate), and
accessed patients’ health records, monitoring reports, policies and procedures.
As part of our inspection, we also asked NHS Lothian to provide evidence of its policies and procedures relevant to this inspection. The purpose of this is to limit the time the inspection team is onsite, reduce the burden on ward staff and to inform the virtual discussion session.
On Tuesday 14 March 2023, we carried out an unannounced follow-up visit to the Royal Infirmary of Edinburgh to establish if concerns we raised during our initial visit had been addressed.
On Thursday 16 March 2023, we held a virtual discussion session with key members of NHS Lothian staff to discuss the evidence provided and the findings of the inspection.
As a result of serious concerns about patient safety within the emergency department identified during this inspection we wrote to NHS Lothian to formal escalate our concerns in accordance with level 1 of our escalation process in the Healthcare Improvement Scotland and Scottish Government: operating framework.
A copy of the letter has been published with this report.
Summary of our findings
At the time of inspection, the Royal Infirmary of Edinburgh, like much of NHS Scotland, was experiencing a significant range of pressures including increased hospital admissions, increased pressures in the emergency department and admission units and reduced staff availability. During our onsite inspections the hospital was operating at over 100% capacity.
In ward areas, senior managers were visible, wards were generally calm and well organised and we observed good leadership and care being delivered. Patients and relatives spoken with described a good experience of care and helpful staff.
During the safety huddles we attended, we observed a strong focus on patient care needs across the hospital. However, serious patient safety concerns within the emergency department were identified during this inspection.
Inspectors raised a number of serious patient safety concerns regarding the emergency department during both our onsite inspection and return visit regarding the delivery of fundamental care for patients, patient safety, care and dignity, the current operating environment, leadership and coordination of care in the emergency department, as well as concerns about staff wellbeing.
Other areas for improvement identified during the inspection include the management of intravenous fluids, medicine administration processes, locked doors policies and procedures, and feedback to staff following incident reporting.
NHS Lothian senior managers responded quickly to concerns raised during the initial inspection. However, during our return visit on 14 March 2023, we remained concerned that the immediate actions put in place by NHS Lothian did not lead to significant improvements in the delivery of safe and effective care within the emergency department.
This resulted in us writing a formal letter of non-compliance to NHS Lothian in accordance with level 1 of our escalation process, setting out the serious patient safety concerns that required immediate action.
NHS Lothian promptly responded to this escalation, providing a detailed plan of improvement action to address each of the concerns. We will seek assurance on progress with planned improvement actions in accordance with our published inspection methodology.
This inspection resulted in five areas of good practice, three recommendations and 13 requirements.
Aberlour Children’s Charity is today launching a service which offers vital emotional and befriending support to parents impacted by neonatal experiences.
The new Aberlour Perinatal Befriending Service is for families living in the Lothians whose babies are born at 34 weeks’ gestation or later and have received neonatal care through the NICU at the Royal Infirmary of Edinburgh.
Following a pilot in the neonatal unit last year, the charity concluded that whilst becoming a new parent can be an exciting and challenging time – parents whose babies have needed specialist neonatal care are at greater risk of increased anxiety and isolation.
It is estimated that parents of babies with a neonatal experience are 40% more likely to develop perinatal mental health difficulties. Parents with neonatal babies born at 34 weeks’ or later were identified as a cohort requiring enhanced support.
Funding secured from the National Lottery Community Fund, East Lothian Council, William Grant Foundation and the Charles Gordon Foundation has enabled Aberlour to establish the new Perinatal Befriending Service.
It aims to connect with parents at the earliest opportunity both in hospital, community or home settings, building relationships to support parents and babies throughout pregnancy and in the first year of baby’s life.
Working in parallel with the charity’s NHS partners, the service will offer in person support from a Perinatal Coordinator, a 1:1 match with a Perinatal Befriender and bespoke digital support all of which connects parents, improves emotional wellbeing, reduces isolation and supports positive relationships between parents and babies. It also recognises the significance of sustaining wider family relationships.
Perinatal befrienders are dedicated trained volunteers who are matched to parents and offer emotional listening support and help accessing services and activities in the community.
The launch of the service coincides with the launch of Aberlour’s Perinatal Connections app. As a result of listening to mums and gathering data, a gap was identified in mental health support services outside normal working hours for new and expectant mums.
The app has been developed to offer a safe, facilitated space for new and expectant mothers supported by Aberlour to connect with each other and access information and resources whenever they wish.
Emma Cashmore-Gordon, Assistant Director at Aberlour, said: “We are thrilled to be able to establish the new Perinatal Befriending Service. It’s great to see all the strands come together and provide greater support – Perinatal Coordinator, Perinatal Befrienders and the new app.
“Knowing that we can help families who have received neonatal care, in particular parents of babies born 34 weeks+ who really will benefit from the enhanced support is amazing. Special thanks to the Pilgrim Trust who funded the pilot and to all our other funders who have helped bring the service to fruition.”
Megan, parent of Rosie, said: “The help I got from the service and the relationship with my befriender was unique. When I look back, I’m a totally different person now, when I have rough times, I can get through a day at a time”.
Mums in the Neonatal unit in the Royal Infirmary of Edinburgh are to benefit from a dedicated Perinatal Mental Health Support Service which will match mothers with highly trained perinatal befrienders.
Aberlour Children’s Charity has secured funding which is enabling them to pilot an expansion of their successful Perinatal Mental Health Befriending Service with an experienced perinatal co-ordinator based at the hospital. The support will be accessible to mums with premature and unwell babies in the unit from Monday 9th May.
Three years ago, Aberlour recognised the need to support and improve the mental health of perinatal women and their children and set up a Perinatal Befriending Support Service for those who live within the East Lothian community.
The service helps mothers and mothers-to-be who are struggling with anxiety, isolation and depression in pregnancy, and after their baby is born up to the age of 12 months. It does this by matching mothers with highly-trained volunteer perinatal befrienders, who offer practical and emotional support to help tackle poor mental health and wellbeing.
Since it launched the service has supported 130 women, 134 babies and siblings and has recruited and delivered specialised perinatal befriending training to 67 befrienders in East Lothian.
Having a new perinatal co-ordinator based at the hospital means that more mums from all over the Lothians and other health boards will be given additional emotional and practical support when they need it most. The co-ordinator will build positive relationships, provide an emotional listening ear and when necessary signpost to appropriate services within the mums’ own communities.
Katy Ruggeri, Associate Director of Midwifery, Maternity, Gynaecology and Neonatal services at NHS Lothian, said: “We are thrilled that a Perinatal Mental Health Co-ordinator has been appointed and we welcome this innovative service from Aberlour.
“Mums who have babies in the Neonatal unit can be very fragile and having a dedicated Perinatal Co-ordinator who fully understands the challenges mums can face by providing additional support will be invaluable.”
Emma Cashmore-Gordon, Service Manager for Aberlour Perinatal Mental Health service said: “Having worked with women through their perinatal period for the past three years in East Lothian, we know what a difference our service makes to them as well as the lives of their families.
“We are so pleased that we can take this to the next level and provide support to mums throughout the whole of the Lothian region.
“This development is however a pilot, and we are seeking vital external funding to ensure continuity of our service to provide crucial support to families and secure employment for our staff. Any suggestions or assistance that can be given to help secure funding will be greatly appreciated.”
One mum who has received support from the service, said: “It’s a lifeline. Someone to listen to my crazy chat and have crazy normal chat with me!!!
“I’d be lost without my befriender. She is incredible, she juggles so much yet still has the time to speak with me and help me. She is amazing and she gets me through this difficult time.”
For more information about the service please contact Emma Cashmore Gordon, Service Manager, by calling 01875 632055 or email her at: enquiries@aberlour.org.uk .
Police are appealing for information from the public to trace a missing woman from the Edinburgh area.
Alexandra Capone (45), who is also known to use the name Olga or Maria Woonough, was last seen leaving the Royal Infirmary of Edinburgh around 8.50am on Thursday, (22 October, 2020).
She is described as white, around 5 ft 9 ins, medium build with short blonde hair and dark roots. Police believe she may be wearing a long beige cardigan, dark leggings or jeans and dark shoes.
Inspector Richard Emerson, of Leith Police Station, said: “Ms Capone is originally from the Brighton and Hove area of Sussex, and we do not believe she has any connections with Edinburgh. She was last seen on Thursday morning.
“It’s not like her to be out of touch with family and friends for this length of time and we are becoming increasingly concerned for her welfare.
“We believe she may be in the Leith area or could possibly have travelled further afield. Officers are keen to hear from anyone who knows where Ms Capone is or anyone she may have been in contact with.
“We are also appealing to Ms Capone herself to get in touch with police to let us know she is okay.”
“Anyone who may have seen Ms Capone or has any information on her whereabouts is asked to contact police on 101, quoting reference number 0847 of 22 October.”
