Maternity Services in Scotland – Data Template

Maternity Services in Scotland – NHS Lothian – University Hospitals Division Health Board:

Lothian Health Board

Link Person’s contact details:

Maria Wilson, Principal Midwife, 0131 242 2543 (PA Dianne Kerr, 0131 242 2509)

Centres providing maternity services:

NHS Lothian – University Hospitals Division

Levels of service (EGAMS model):

Tertiary

Link person’s contact details:

Dr David Farquharson, Clinical Director (PA Doris Dickson, 0131 242 2508)

1

Table 1 Facilities Service type Service details Out-patient Number of antenatal clinics services sessions per week Number of specialist obstetric clinics per week Number of midwife-led clinics per week Number of special needs clinics per week Number of outreach clinic sessions per week Number of midwife-led outreach clinic sessions Number of obstetric-led clinic sessions per week Day care service? If yes, how many sessions? Early pregnancy assessment unit service? If yes, how many sessions per week? Ultrasound scanning sessions per week: By radiographer By obstetrician By midwife

Data 8

Additional information High risk (consultant - locality)

6

Includes WGH diabetic, haemoglobophilia, epilepsy, twins, cardiac, fetal medicine All midwife led clinics now in community setting. Midwife clinics in most GP surgeries in 8 localities. See above (specialist obstetric)

8

8

Consultant, Obstetric, WGH Diabetic clinic

8

Locality based

6

As above

Yes

5 days per week, Mon – Fri 0830-1630. Day Assessment Unit (Chris Vinestock 0131 242 2403) 5 per week, Mon – Fri 0830-1630 Lisa Starrs / Linda Scott 0131 242 2425

Yes

8 6 5 (DAU)

Outreach scanning in each locality Fetal medicine unit scanning Daily

2

Other

3

Service type Delivery beds

In-patient beds

Service details Midwife led (LDRP)

Data 10

Obstetric led

10

High dependency

3

Other

2

Additional information Labour, delivery, recovery, post natal.

Rooms with birthing pools

Antenatal Postnatal

20

Combined antenatal / post natal.

25

Other Triage & Assessment

6 rooms

Specific maternity assessment room. Telephone triage

4

Table 2 Specific Services Service type Special Needs

Service details

Brief outline of service

Teenage pregnancy Drug and Alcohol misuse

No specific service

Domestic abuse

Social inclusion Pregnancy loss Infertility Smoking cessation Others Others Others

Liaison Midwife SCRH liaises with other links from all areas in midwifery/external organisations Posters and information cards in all areas. Staff awareness sessions have been held, included in staff induction. Involvement of relevant consumer groups in service design. Pregnancy Support Centre Edinburgh Fertility Reproductive Endocrine Centre Study days organised for all staff. Being addressed further via inequality group, Lothian Health Bereavement Counsellor on site Breast Feeding Support Group Drop in Tuesday afternoons Jaundice & Weight Loss clinic

Specific Contact person’s email and telephone number Being addressed as part of Lothian Health Inequality Group Fiona McNeilage, Link midwife, 0131 242 2546

Tel: 0131 242 2425 Sisters Lisa Starrs / Linda Scott Tel: 0131 242 2461 Sister Sheila Smith Link midwife, Fiona McNeilage, 0131 242 2546 Barbara Herkes, 0131 242 2569 Karla Napier, 0131 242 2502 Daily referral via community midwife.

5

Table 3 Preparation for Parenthood Service type Education

Specific Contact person’s email and telephone number Community neonatal nurses teach 1:1 resus to all parents.

Service details

Brief outline of service

General classes Evening classes

Community based parent education session. According to need

Father’s only

No

Refresher

According to need

Postnatal support

Groups – informal

Baby massage

In most locality areas. Weekly classes in Neonatal Unit – programme of 5 sessions. Women can bring own complementary specialist with them.

Aim to provide in all areas

Others

Aquanatal – delivered by midwives at local pools

Others

‘You’re Having A Baby!’ information video for women on coming to hospital/environment. Travelling community – direct access to gynae and midwifery services

Aim to provide in all areas. Currently, North Berwick, Musselburgh, Leith, Portobello, Ainslie Park, Commonweath pool. Copies available for parent education.

Complimentary therapies

Others

0131 242 2601

Contact Isobel Gardiner, Clinical Manager, Community Services.

6

Table 4 Neonatal Services Service type In-patient cots

Outreach services

Neonatal transport

Number of neonatal admission (% of births) Other information

Service details Number of Intensive Care Number of High Dependency Number of Special Care Transitional Care Other Home support

Data 12 8 24

Additional information

Yes

Immunisation service

No

For low birth weight babies, those being fed by nasogastric tube at home and for terminal care. Consultant outreach clinics in all localities.

BPD Home oxygen follow up

Yes

Regional Service provider (Yes/No) If yes, to 8.1 number of transfers in per year If no, to 8.1 the number of transfers out per year

Yes

241 in 2003

Around 600

Babylink

One of 3 service providers for Scotland

71 emergency transfers - 2003 110 planned transfers - 2003 10% of total births

www.babylink.info/edinburgh

7

Table 5 Birth Statistics (2003) Delivery Type Home Births

Planned Unplanned

Number per annum 80 – 90 4-6

Born Before Arrival

In own transport

55

(2003)

Additional Information

We do not identify where delivered at present. We will be auditing this information in future.

120 – 140 bookings

In ambulance Spontaneous deliveries

Midwife-led care

2462 (2003)

Obstetric-led care

1499 (2003)

Instrumental deliveries

Forceps Ventouse

658 323

Caesarean Sections

Elective Emergency

535 (2003) 1100 (2003)

Breech vaginal delivery

(Jan-Dec 2003)

(2003) (2003)

32 (0.7%)

Induction of labour rates

23%

This figure includes prims/paros women

Epidural rates

25%

This figure includes prims/paros women

8

Further Information

9