Implementing A Framework for Maternity ... - Scottish Government
Implementing A Framework for Maternity ... - Scottish Government
Implementing A Framework for Maternity ... - Scottish Government
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Exit examples Level Ia-d: intrapartum<br />
Maternal Neonatal<br />
Unstable lie<br />
Requirement <strong>for</strong> epidural analgesia<br />
Established labour >12 hours review<br />
evidence from partogram and<br />
guidelines (NICE/RCOG)<br />
Prolonged rupture of membranes<br />
>12 hours<br />
Abnormal fetal auscultation – fetal<br />
distress<br />
Malpresentation<br />
Exit examples Level Ia-d: postnatal<br />
Maternal Neonatal<br />
Postpartum haemorrhage<br />
Sepsis<br />
Mother gives cause <strong>for</strong> concern<br />
page 36<br />
Maternal pyrexia >38˚C<br />
on two occasions<br />
(30 mins apart)<br />
Intrapartum haemorrhage<br />
Meconium stained liquor<br />
Hypertension: diastolic of<br />
>100 mm/Hg on 2 occasions<br />
or a rise of 20/ suspicion of<br />
developing pre-eclampsia<br />
Prolonged active second<br />
stage<br />
3rd or 4th degree perineal<br />
tear<br />
Postpartum haemorrhage<br />
(>500 mls)<br />
Neonatal seizures<br />
Persisting hypothermia<br />
Retained placenta<br />
Feeding difficulties<br />
persisting at 36 hours of<br />
age<br />
Failure to pass urine in first<br />
24 hours<br />
Infants of 60/ min or<br />
requiring<br />
supplementary<br />
oxygen to maintain<br />
saturation >92%)<br />
Birth weight<br />
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