Implementing A Framework for Maternity ... - Scottish Government

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Exit examples <strong>for</strong> Level Ia-d: maternal medical/surgical history (continued) Haematological Disorders Haematological disease – e.g. thrombocytopenia, aplastic anaemia Coagulation abnormality – thrombophilia, disseminated intravascular coagulation (DIC), DVT, pulmonary embolus (any history) Rhesus iso-immunisation including KELL Haemoglobinopathies Reproductive/Genital Tract Mal<strong>for</strong>mations of reproductive/ genital tract Uterine surgery Significant pelvic or cervical surgery Infection Significant infection e.g. Group B haemolytic streptococci Any blood borne virus (HIV, Hep B, Hep C) Sepsis Drug or Alcohol Intake History of drug or alcohol abuse There should be a review if the woman uses therapeutic medication Genetic Disorders Marfan’s syndrome Ehlers Danlos syndrome Endocrine Disorders Any endocrine disease Diabetes (Type I and II) or gestational diabetes Thyroid disease – (hypo and hyper) Adrenal disease e.g. Addisons Musculo-Skeletal Disorders Trauma to pelvis, CDH, Kyphosis Significant connective tissue disorder Malignant Disease Previous malignancy Surgery & Anaesthesia Any history of significant surgery or anaesthetic complication must be considered Special Needs in Pregnancy Will need to be independently considered, e.g. Learning disability Social exclusion Refugee mother Significant Gastro-intestinal Disorders Cholelithiasis Fatty liver of pregnancy Hepatobilary disease Crohn’s disease Ulcerative colitis Renal disease Renal failure, impairment or dialysis Significant Mental Illness Diagnosed schizophrenia Manic depressive psychosis Postnatal depression Transplant Surgery Heart Lung Liver Kidney page 33
Exit examples Level Ia-d: past obstetric and neonatal history Antenatal Antepartum Haemorrhage (including recurrent placental abruption) Preterm labour (500 mls primary or secondary) Retained placenta Perineal tear involving the anal sphincter (3rd or 4th degree tear) Pelvic floor repair or cervical surgery Stillbirth or neonatal death – case review required Previous neonatal birth injury Previous baby with haemorrhagic disease of the newborn Risk of, or known, inherited disease Previous isoimmunisation or ABO incompatibility
Page 1 and 2: Implementing A Framework for Matern
Page 3 and 4: Foreword Our National Health Servic
Page 6 and 7: Contents Key Messages from the Expe
Page 8 and 9: 8. There is no such thing as ‘zer
Page 10 and 11: Introduction 1. Scotland’s mix of
Page 12 and 13: 10. The report shows that in 2002,
Page 14 and 15: Principles 1.1 Acute maternity serv
Page 16 and 17: Assessing and Managing Risk 1. Risk
Page 18 and 19: Risk assessment and management 6. T
Page 20 and 21: Table 1 Levels of intrapartum care
Page 22 and 23: Education, Training and Workforce I
Page 24 and 25: Principles 3.7 A national, post-reg
Page 26 and 27: Developing the maternity workforce
Page 28 and 29: Stakeholder Engagement 1. The Scott
Page 30 and 31: Information Management and Technolo
Page 32 and 33: Transport in Acute Maternity Servic
Page 34 and 35: Appendix 1 Membership of Short Life
Page 36 and 37: Miss Eleanor Stenhouse Senior Midwi
Page 40 and 41: Exit examples Level Ia-d: present p
Page 42 and 43: Exit examples Level IIa: past histo
Page 44 and 45: Exit examples Level IIa: intrapartu
Page 46 and 47: Exit examples for Level IIb: presen
Page 48 and 49: Entry examples for Level III Matern
Page 50 and 51: Clinical judgement and decision-mak
Page 52 and 53: Additional competency which will be
Page 54 and 55: Glossary Accredited Certified as be
Page 56 and 57: Named Midwife A named, qualified mi
Page 58: Further copies are available from T

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