Implementing A Framework for Maternity ... - Scottish Government

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Exit examples Level Ia-d: present pregnancy Maternal Maternal choice Hyperemesis gravidarum Suspected PIH, raised BP Cholestasis (including fatty liver of pregnancy and HELPP) Raised AFP with abnormal growth scan at 34-36 weeks Anaemia (Hb 40/52+10 days Suspected or proven fetal abnormality Intrauterine death Combined Multiple pregnancy Preterm labour 12 hours Oligohydramnios Polyhydramnios Maternal infection (HIV, Hepatitis carrier, Hep B, Hep C, Group B streptococcal) Active viral infections such as chickenpox, rubella, measles, parvovirus page 35
Exit examples Level Ia-d: intrapartum Maternal Neonatal Unstable lie Requirement <strong>for</strong> epidural analgesia Established labour >12 hours review evidence from partogram and guidelines (NICE/RCOG) Prolonged rupture of membranes >12 hours Abnormal fetal auscultation – fetal distress Malpresentation Exit examples Level Ia-d: postnatal Maternal Neonatal Postpartum haemorrhage Sepsis Mother gives cause <strong>for</strong> concern page 36 Maternal pyrexia >38˚C on two occasions (30 mins apart) Intrapartum haemorrhage Meconium stained liquor Hypertension: diastolic of >100 mm/Hg on 2 occasions or a rise of 20/ suspicion of developing pre-eclampsia Prolonged active second stage 3rd or 4th degree perineal tear Postpartum haemorrhage (>500 mls) Neonatal seizures Persisting hypothermia Retained placenta Feeding difficulties persisting at 36 hours of age Failure to pass urine in first 24 hours Infants of 60/ min or requiring supplementary oxygen to maintain saturation >92%) Birth weight
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 38 and 39: Exit examples for Level Ia-d: mater
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

Implementing A Framework for Maternity ... - Scottish Government

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