Implementing A Framework for Maternity ... - Scottish Government
Implementing A Framework for Maternity ... - Scottish Government
Implementing A Framework for Maternity ... - Scottish Government
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Table 1 Levels of intrapartum care in Scotland<br />
Ia<br />
Ib<br />
Ic<br />
Id<br />
IIa<br />
IIb<br />
IIc<br />
III<br />
Location of<br />
delivery<br />
Home (planned)<br />
Stand-alone<br />
community<br />
maternity unit<br />
Community<br />
maternity unit<br />
adjacent to nonobstetric<br />
hospital<br />
Community<br />
maternity unit<br />
adjacent to<br />
maternity unit<br />
Consultant-led<br />
maternity unit<br />
with no neonatal<br />
facility<br />
Consultant-led<br />
maternity unit<br />
with on-site<br />
neonatal facility<br />
Consultant-led<br />
maternity unit<br />
Consultant-led<br />
specialist<br />
maternity unit<br />
Lead carer<br />
Midwife (GP)<br />
Midwife (GP)<br />
Midwife (GP)<br />
Midwife (GP)<br />
Consultant<br />
Obstetrician<br />
(plus midwife)<br />
Consultant<br />
Obstetrician<br />
(plus Midwife)<br />
Consultant<br />
Obstetrician<br />
(plus Midwife)<br />
Consultant<br />
Specialist in<br />
Maternal Fetal<br />
Medicine<br />
(Midwives/others)<br />
Clinical<br />
situation<br />
Normal pregnancy<br />
and labour<br />
Normal pregnancy<br />
and labour<br />
Normal pregnancy<br />
and labour<br />
Normal pregnancy<br />
and labour<br />
Low-risk<br />
pregnancy and<br />
labour<br />
Low- to mediumrisk<br />
pregnancy<br />
and labour<br />
Low- and mosthigh<br />
risk<br />
pregnancies and<br />
labour<br />
Complex and highrisk<br />
pregnancies<br />
and labour<br />
Care need and delivery<br />
Suitable home facility with backup<br />
from the <strong>Scottish</strong> Ambulance<br />
Service (paramedics) and<br />
supporting advice from a linked<br />
maternity unit<br />
Appropriately equipped<br />
midwifery unit <strong>for</strong> normal care<br />
and agreed transfer guidelines to<br />
a linked maternity unit<br />
As Ib above. Medical staff<br />
(surgeon/GP) appropriately<br />
trained to per<strong>for</strong>m emergency<br />
caesarean section<br />
As Ib above<br />
<strong>Maternity</strong> unit care with<br />
monitoring facilities and<br />
anaesthetic cover with no access<br />
to paediatric facilities on site<br />
<strong>Maternity</strong> unit care with<br />
monitoring facilities, access to<br />
anaesthetic and paediatric cover,<br />
but transferring out as required<br />
to special care baby unit or<br />
neonatal intensive care in a larger<br />
maternity unit<br />
Full maternity unit and support<br />
services with easy access to<br />
special care baby unit/neonatal<br />
intensive care and access to adult<br />
high dependency care and adult<br />
intensive care<br />
As <strong>for</strong> level IIc, but with on-site<br />
neonatal intensive care and<br />
access to neonatal surgery and<br />
adult intensive care<br />
Suggested<br />
Number of<br />
deliveries<br />
Change language