Implementing A Framework for Maternity ... - Scottish Government

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Exit examples for Level IIb: present pregnancy Maternal Fetal Combined Maternal choice Malignancy identified in early pregnancy or any significant newly diagnosed morbidity Women at high obstetric anaesthetic risk Women at high risk of obstetric interventions which may require assistance of interventional radiology (e.g. placenta accreta) or severe PPH >4000 mls Below 10th centile for gestational age Suspected or proven fetal abnormality including cardiac, metabolic disorders, CNS or facial abnormality Ultrasound identified twin-twin transfusion Congenital diaphragmatic hernia Severe pregnancy induced hypertension (early onset,
Exit examples for Level IIc: past history Significant Respiratory Disease Significant Neurological Disease Cardiac Disorders Significant infection Haematological Disorders Haematological disease – e.g. thrombocytopenia, aplastic anaemia Coagulation abnormality – thrombophilia, disseminated intravascular coagulation (DIC) Kidney Genetic Disorders Marfan’s syndrome Ehlers Danlos syndrome Exit examples for Level IIc: present pregnancy Maternal Fetal Combined Women at high obstetric anaesthetic risk Women at high risk of obstetric interventions which may require assistance of interventional radiology (e.g. placenta accreta) or severe PPH >4000 mls Malignancy identified in early pregnancy page 42 Spina bifida /hydrocephaly Paraplegia Endocrine Disorders Significant medical disease if associated with severe complications Musculo-Skeletal Disorders Significant connective tissue disorder Suspected or proven fetal abnormality including cardiac, metabolic disorders, CNS or facial abnormality Congenital diaphragmatic hernia Abdominal wall defect Ultrasound identified twin-twin transfusion Viral infection Urogenital malformations (genital malformations, posterior urethral valves) Congenital heart disease – corrected or uncorrected Acquired heart disease – ischaemic heart disease, cardiomyopathy Transplant Surgery Heart Lung Liver Kidney Renal disease Renal failure, impairment or dialysis Severe pregnancy induced hypertension (early onset,
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 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 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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