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Download Overview of community maternity care
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OVER VIEW OF COMMUNITY MIDWIFERY IN NHS HIGHLAND Sarah McLeod, Midwife IN THIS SESSIONS I WILL.. • Give a brief history on Midwifery Services in Scotland, regulation etc. • Give a brief insight into current policy that drives maternity services in Scotland • Give an overview of how Community Midwifery in Highland functions • Take you through Claire & Peter’s journey from booking to birth and following • Give you an opportunity to discuss and ask questions HISTORY & REGULATION • Midwives (Scotland) Act 1915 • Regulations via Nursing & Midwifery Council (NMC) • Midwifery Supervision – statutory requirement • Midwives are autonomous practitioners of normal midwifery POLICY DRIVERS IN SCOTLAND • NHS Scotland Framework for Maternity Services (2001) refreshed in 2011 • NHS Scotland Expert Group on Acute Maternity Services (2003) • Scottish Government Early Years Framework (2008) • Health Improvement Scotland Scottish Patient Safety Programme (2008) • Scottish Government Getting it Right for Every Child (2008) • Health Improvement Scotland Keeping Child Birth Natural & Dynamic (2009) • NHS Highland Quality Approach OVERVIEW OF COMMUNITY MIDWIFERY IN NHS HIGHLAND • • • • • • • • • • • • Designed to provide care as close to home as possible Women book with a midwife around 10 weeks, named midwife assigned Booking process very detailed, risk assessment, appropriate pathway etc. booking bloods etc. U/S & screening Bulk of care carried out in community, hospital referral only if necessary National Pathway of care followed, care provided in a variety of settings, health centres, home or community hospitals All women and partners offered preparation for parent hood classes, hypnobirthing option etc. Women referred to other agencies if appropriate for further support – collaborative working vital Birth of baby can either be at home, Community Midwifery Unit or Obstetric Unit Post natal care for a minimum of 10 days but can be up to 28 days post birth Breast feeding actively encouraged and very well supported by midwives and support workers Officially care is passed over to Health Visitor colleagues on day 10 – they now become lead professional until school age 4/5yrs A JOURNEY… Claire & Peter….. Claire has missed 2 periods….. IT’S POSTIVE WHAT NOW….! Call The Midwife…..! • Claire & Peter meet their midwife • Lots of chat & questions galore! • All booked in Claire has her hand held notes – ‘Green Pathway’ • Very exciting apart from the blood bit! • Baby can be born in local hospital all being well Claire is a bit too familiar with…. What’s next the scan! All well bump growing only one in there phew! Time for classes – exciting! Claire & Peter inspired by parenting sessions thinking of using hypnobirthing Time marching on all well, birth planning now! Claire & Peter thinking about water birth… Claire is 5 days over her due date, so fed up something must happen soon! D DAY! • 0300 7 days over Claire thinks she is labour. • Peter in a panic! • Claire calms him down • Call the midwife • Off to Birthing Unit • Yes definitely in labour! 1015 Amy makes an appearance a little ‘water baby’ • • • • • Amy weighs 7lbs 2ozs Her birth was entirely natural Claire used hypnobirthing techniques Peter was brilliant so supportive Midwives in attendance had a wonderful birthing experience • A very happy occasion! NEXT 28 DAYS… • Claire, Peter & Amy were visited regularly by their midwife • Claire breast fed Amy – a few tricky & painful moments to start with • Health Visitor took over care on day 10 • Midwives continued to visit until day 28 • Claire also had support from local breast Feeding Support Worker A happy story! QUESTIONS AND DISCUSSION Email: [email protected] twitter: sarah jane mcleod@Mcleod2Sarah
