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Substance Misuse in Pregnancy - NHS Lothian

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Services List<br />

Services provid<strong>in</strong>g maternity care <strong>in</strong> <strong>Lothian</strong><br />

Maternity services <strong>in</strong> <strong>Lothian</strong> are part of the acute sector. Approximately<br />

6000 births per year are now delivered <strong>in</strong> Simpson’s Centre for<br />

Reproductive Health at the Royal Infirmary of Ed<strong>in</strong>burgh, Little France.<br />

In West <strong>Lothian</strong> 2000 births per year are delivered <strong>in</strong> the Maternity Unit<br />

at St John’s Hospital, Liv<strong>in</strong>gston.<br />

Maternity care is now essentially community based and midwife & GP<br />

managed. Most Consultant Obstetricians run outreach cl<strong>in</strong>ics <strong>in</strong> community<br />

health centres throughout <strong>Lothian</strong>. Both Simpson’s Centre for<br />

Reproductive Health at the Royal Infirmary of Ed<strong>in</strong>burgh and St John’s<br />

Hospital Maternity Unit run ‘high risk’ pregnancy cl<strong>in</strong>ics.<br />

Hospital maternity units <strong>in</strong> <strong>Lothian</strong><br />

� The Simpson Centre for Reproductive Health, Royal Infirmary of<br />

Ed<strong>in</strong>burgh, 51 Little France Crescent, Ed<strong>in</strong>burgh EH16 4SA.<br />

Tele. 0131 536 1000<br />

� Maternity Unit, St John’s Hospital, Howden Road West, Liv<strong>in</strong>gston,<br />

West <strong>Lothian</strong> EH54 6PP.<br />

Tele. 01506 419 666<br />

Midwives are specially tra<strong>in</strong>ed <strong>in</strong> pregnancy, childbirth and postnatal care.<br />

They are usually the lead professional for women with ‘low risk’<br />

pregnancies. The midwife undertakes a cont<strong>in</strong>uous risk assessment<br />

throughout pregnancy and refers to other appropriate medical<br />

professionals if they detect deviations from the norm (Scottish Executive<br />

2001). They also have a significant role <strong>in</strong> health education and <strong>in</strong><br />

support<strong>in</strong>g parents <strong>in</strong> the transition to parenthood. All pregnant women <strong>in</strong><br />

<strong>Lothian</strong> are allocated a named midwife at book<strong>in</strong>g. This will normally be a<br />

midwife attached to their GP surgery.<br />

Obstetricians/Gynaecologists are experts <strong>in</strong> all aspects of pregnancy and<br />

childbirth. Obstetricians have expertise <strong>in</strong> treat<strong>in</strong>g complications of<br />

pregnancy and childbirth and offer<strong>in</strong>g specialist advice, screen<strong>in</strong>g and<br />

treatment. Women with a medium to high risk pregnancy will have their<br />

<strong>Substance</strong> <strong>Misuse</strong> <strong>in</strong> <strong>Pregnancy</strong><br />

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