State of Maternity Services Report 2015

Recommendations

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Not Scotland enough midwives under the age of 50 250 250 Thousands 225 225 more midwives since 2005, but only 66 were under the age of 50 Student midwife intake (direct) Student midwife intake (conversion) Source: ISD Scotland Student midwives 200 200 175 175 150 150 125 125 100 100 75 75 50 50 25 25 0 0 2% midwives under age 50 342 rise in midwives over the age of 50 2001 2001 2015 Northern Ireland 224 fall in midwives under the age of 50 2015 England Academic year 2000/01 2001/02 2002/03 2003/04 2004/05 We urge the Scottish Government to look at the current number of student midwife places it is commissioning, with particular regard to the need to correct the imbalance in the age profile. More, younger midwives are needed if we are to avoid a serious problem in the near future caused by the retirement of so many midwives. 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 It might feel difficult to justify when there is no current shortage of midwives in Scotland, but if nothing is done to address the age profile issue there could be serious consequences for the quality and even the safety of Scottish maternity services. Rise in births to women over 40 78% increase in births to women aged 40+ in England 76% increase in births to women aged 40+ in Scotland 2001 2014 15% increase in births to women aged 40+ in Wales 57% increase in births to women aged 40+ in Northern Ireland 10 | The Royal College of Midwives
Wales Live births 36,000 36000 35,000 35000 34,000 34000 33,000 33000 32,000 32000 31,000 31000 30,000 30000 Number of live births Source: StatsWales 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Just like Scotland, Wales saw a rise in the number of births between 2002 and 2008; in Wales the increase was 18 per cent, or about 5,500. Also like Scotland, Wales then witnessed a small tailing off Age profile of mothers 20 of the number, before falling noticeably in 2013. And in the most recent year for which we have figures, 2014, the number pretty much stopped falling, down just 0.6 per cent on the previous year. 10% rise in births in Wales between 2001 and 2014 10 0 -10 -20 % change in number of live births, 2007–2012 -30 under 16 16–19 20–24 25–29 30–34 35–39 40 and over Source: StatsWales Like elsewhere in the UK, Wales has seen a fall in the number of births to women and girls aged under 20 and a rise in the number of babies born to older women. In Wales however both changes have been less pronounced than elsewhere. Between 2007 and 2012, the fall in births to those aged under 16 was 27 per cent, and for those aged 16 to 19 the figure was 26 per cent. During the same period, births to women in their early thirties was up, but by just 11 per cent, but births to women in their late thirties actually fell, by 10 per cent. For the oldest age group, women aged 40 or above, the number was up, but by 15 per cent. Overall the changes in Wales – in midwife and birth numbers – were less pronounced than elsewhere in the UK. State of Maternity Services | 11
Page 1 and 2: State of Maternity Services Report
Page 3 and 4: England Live births 700000 700,000
Page 5 and 6: England Midwives: monthly figures 2
Page 7 and 8: England Midwife shortage 25000 25,0
Page 9: Scotland Midwives 2450 2,450 2425 2
Page 13 and 14: Northern Ireland Live births 26000
Page 15 and 16: Northern Ireland Student midwives 7

State of Maternity Services Report 2015

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