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Birth Centres The Journey

Birth Centres The Journey. Sue Eve Community Midwifery Manager 15 th May 2010. Background. 800 square miles 2 Midwifery-Led Units 2 Stand alone Birth Centres 12 Community Midwifery teams Birth rate 7336. East Kent Hospitals University Trust. Birth Centre: Definition.

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Birth Centres The Journey

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  1. Birth CentresThe Journey Sue Eve Community Midwifery Manager 15th May 2010

  2. Background • 800 square miles • 2 Midwifery-Led Units • 2 Stand alone Birth Centres • 12 Community Midwifery teams • Birth rate 7336

  3. East Kent Hospitals University Trust

  4. Birth Centre: Definition A birth centre is an institution that offers care to women with a straightforward pregnancy and where midwives take primary professional responsibility for care. During labour and birth medical services, including obstetric, neonatal and anaesthetic care are available should they be needed, but they may be on a separate site, or in a separate building, which may involve a transfer by car or ambulance. (NPEU 2004)

  5. Model of Care • Community Model • Small core staff • Support from community teams • Many advantages • Few disadvantages

  6. Number of birth centre deliveries at DFBC and CBC 2007-2009

  7. Comparison of Total Transfers and Intrapartum Transfers from DFBC and CBC 2007-2009

  8. Percentage of Primips and Multips transferred from DFBC and CBC 2007-2009

  9. Units and transfer distances

  10. Journey times by ambulance

  11. Breakdown of the most common reasons for Maternity Transfers from CBC and DFBC2007-2009

  12. Breakdown of the outcome of intrapartum transfers from DFBC and CBC2007-2009

  13. Breakdown of the outcome of intrapartum transfers from DFBC and CBC2007-2009

  14. Comparison of the number of transfers from DFBC and CBC resulting in baby visiting SCBU 2007-2009

  15. Percentage of delivery outcomes of birth centre births and transfers from DFBC and CBC2007-2009

  16. Number of intrapartum transfers from DFBC and CBC resulting in a stillbirth 2007-2009

  17. Why do we need them? • Increases woman’s satisfaction • Better outcomes in terms of normal birth • Lower LSCS rates • Fewer complaints • Working environment

  18. Essentials • Commitment from all staff and community • Good IT systems, databases and clerical support

  19. Birth Centres – Reports • Report of maternity services at Wyre Forest Birth centre (2004) NICE Draft Guidelines (2006) • Cochrane Collaboration (2005 and 2006) • National Perinatal Epidemiology Unit (2004) • Independentreport of maternity services at Wyre Forest Birth centre (2004)

  20. Thank you for listening

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