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OVER VIEW OF COMMUNITY MIDWIFERY IN NHS HIGHLAND

OVER VIEW OF COMMUNITY MIDWIFERY IN NHS HIGHLAND. Sarah McLeod, Midwife. IN THIS SESSIONS I WILL. Give a brief history on Midwifery Services in Scotland, regulation etc. Give a brief insight into current policy that drives maternity services in Scotland

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OVER VIEW OF COMMUNITY MIDWIFERY IN NHS HIGHLAND

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  1. OVER VIEW OF COMMUNITY MIDWIFERY IN NHS HIGHLAND Sarah McLeod, Midwife

  2. IN THIS SESSIONS I WILL.. • Give a brief history on Midwifery Services in Scotland, regulation etc. • Give a brief insight into current policy that drives maternity services in Scotland • Give an overview of how Community Midwifery in Highland functions • Take you through Claire & Peter’s journey from booking to birth and following • Give you an opportunity to discuss and ask questions

  3. HISTORY & REGULATION • Midwives (Scotland) Act 1915 • Regulations via Nursing & Midwifery Council (NMC) • Midwifery Supervision – statutory requirement • Midwives are autonomous practitioners of normal midwifery

  4. POLICY DRIVERS IN SCOTLAND • NHS Scotland Framework for Maternity Services (2001) refreshed in 2011 • NHS Scotland Expert Group on Acute Maternity Services (2003) • Scottish Government Early Years Framework (2008) • Health Improvement Scotland Scottish Patient Safety Programme (2008) • Scottish Government Getting it Right for Every Child (2008) • Health Improvement Scotland Keeping Child Birth Natural & Dynamic (2009) • NHS Highland Quality Approach

  5. OVERVIEW OF COMMUNITY MIDWIFERY IN NHS HIGHLAND • Designed to provide care as close to home as possible • Women book with a midwife around 10 weeks, named midwife assigned • Booking process very detailed, risk assessment, appropriate pathway etc. booking bloods etc. • U/S & screening • Bulk of care carried out in community, hospital referral only if necessary • National Pathway of care followed, care provided in a variety of settings, health centres, home or community hospitals • All women and partners offered preparation for parent hood classes, hypnobirthing option etc. • Women referred to other agencies if appropriate for further support – collaborative working vital • Birth of baby can either be at home, Community Midwifery Unit or Obstetric Unit • Post natal care for a minimum of 10 days but can be up to 28 days post birth • Breast feeding actively encouraged and very well supported by midwives and support workers • Officially care is passed over to Health Visitor colleagues on day 10 – they now become lead professional until school age 4/5yrs

  6. A JOURNEY… Claire & Peter…..

  7. Claire has missed 2 periods…..

  8. IT’S POSTIVE WHAT NOW….!

  9. Call The Midwife…..!

  10. Claire & Peter meet their midwife Lots of chat & questions galore! All booked in Claire has her hand held notes – ‘Green Pathway’ Very exciting apart from the blood bit! Baby can be born in local hospital all being well

  11. Claire is a bit too familiar with….

  12. What’s next the scan!

  13. All well bump growing only one in there phew!

  14. Time for classes – exciting!

  15. Claire & Peter inspired by parenting sessions thinking of using hypnobirthing

  16. Time marching on all well, birth planning now! Claire & Peter thinking about water birth…

  17. Claire is 5 days over her due date, so fed up something must happen soon!

  18. D DAY! • 0300 7 days over Claire thinks she is labour. • Peter in a panic! • Claire calms him down • Call the midwife • Off to Birthing Unit • Yes definitely in labour!

  19. Amy makes an appearance a little ‘water baby’

  20. Amy weighs 7lbs 2ozs • Her birth was entirely natural • Claire used hypnobirthing techniques • Peter was brilliant so supportive • Midwives in attendance had a wonderful birthing experience • A very happy occasion!

  21. NEXT 28 DAYS… • Claire, Peter & Amy were visited regularly by their midwife • Claire breast fed Amy – a few tricky & painful moments to start with • Health Visitor took over care on day 10 • Midwives continued to visit until day 28 • Claire also had support from local breast Feeding Support Worker

  22. A happy story!

  23. QUESTIONS AND DISCUSSION

  24. Email: sarah.mcleod2@nhs.nettwitter: sarah jane mcleod@Mcleod2Sarah

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