We don’t have a set system to deal with deaf mothers to be, we take the lead from their GP. One lady I had, relied on her sister for every appointment; we just managed. We try and use interpreters but it is difficult. One lady had an interpreter during her birth but it was hard. I had no rapport with her as I couldn’t make eye contact; she was looking at her interpreter for every word and not me. All of the information was delayed too and came from the interpreter rather than directly from me. It had a big effect on how I normally interact.