DFM 2016-2017 Annual Report

ANNUAL REPORT 2016-17
MATERNAL NEWBORN CARE
Section Chief – Dr. Norma Spence
FMC Site Lead – Dr. Norma Spence
PLC Site Lead – Dr. Valerie Lewis
RGH Site Lead – Dr. Nicola Chappell (until December 31, 2016)
Dr. Allison Denesuk (as of January 1, 2017)
SHC Site Lead – Dr. Deborah Hitchcock
The DFM Maternal Newborn Care section provides prenatal care to approximately
50% of Calgary patients, and is responsible for approximately 40% of the deliveries
in the City of Calgary. Physicians work within a dynamic multidisciplinary care model
with close interaction with Obstetrics, Anaesthesia, Nursing and Midwifery.
The Maternal Newborn Care section has a strong presence at all four adult hospitals
providing antenatal, intrapartum and postpartum care.
Family Medicine admitted 46.1% (8580)
Family Medicine delivered 33.2% (5991)
Total births in Calgary in 2016= 18623 (Family Medicine, Obstetrics, and Midwifery)
Guideline Development
Care
Collaborative
The newly revised Maternity Care Team Collaborative Care Guideline demonstrates commitment to a patient-first
approach and culture of quality and safety. The guideline acknowledges complex situations and challenges that
obstetrical providers may face, and provides recommendations about how work together to provide optimal patient
care. The guideline will be implemented at each acute care site in Calgary over the coming year.
Procedure
Frenotomy
As access providers who perform procedures to release a tongue-tie (frenotomy) became increasingly available,
the number of procedures performed to correct a tongue-tie has increased. The existing zonal guideline for tonguetie
treatment did not include information about feeding (both bottle and breast) or functional assessments. Updates
to the guideline include tools required to assess and treat a tongue-tie. Following the final approval of this
Guideline, the DFM will host a Frenotomy workshop at which Calgary providers will receive training for the
assessment and treatment of a tongue-tie.
Thromboembolism Prophylaxis in Pregnancy
Venous
The DFM is working to update the Venous Thromboembolism (VTE): Peri-natal Prevention and Treatment Policy and
Procedure with other Obstetrical providers. These providers include Family Medicine, Internal Medicine, Obstetrics,
and Midwifery. Provincially, there has been effort to standardize VTE Prophylaxis in Alberta facilities, and this work
will align with the provincial strategy.
PLC Renovations
The Peter Lougheed Centre (PLC) began a renovation of the neonatal intensive care unit (NICU), post-partum unit,
labour and delivery unit, antepartum unit, triage unit, and obstetrical operating rooms and recovery rooms in August.
To ensure the safety of patients during the renovation, stakeholders at PLC have established monitoring processes
to manage potential overcapacity times during the construction process. The renovations are expected to be
completed in 2018.
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