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Maternity Morbidity & Mortality Forum SW Victoria

Maternity Morbidity & Mortality Forum SW Victoria. (Your Service Name and Brand here) e.g Timboon District Healthcare Service 15 minutes to present STATS & case presentation 5 minute group comment. Service Capability. Level of service aligned with Department of Health Capability framework

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Maternity Morbidity & Mortality Forum SW Victoria

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  1. Maternity Morbidity & Mortality Forum SW Victoria (Your Service Name and Brand here) e.g Timboon District Healthcare Service 15 minutes to present STATS & case presentation 5 minute group comment

  2. Service Capability • Level of service aligned with Department of Health Capability framework • Level = • Variance to Capability (no of episodes / cases) over past 12 months = • Reasons (Workforce / equipment)

  3. General Service Stats • Total Number of Births = • Primigravida = • Multigravida = • Total Number of babies Born =

  4. Your Service Normal birth % Forceps % Ventouse % EL LUSCS % EM LUSCS % Vaginal Breech % VBAC % Statewide STATS Normal Birth % Forceps % Ventouse % EL LUSCS % EM LUSCS % Vaginal Breech % VBAC % Mode of birth

  5. Your Service IOL Primips % Gestation @ induction = IOL Multi’s % Gestation @ Induction = PPH = MROP = Stillbirths = Neonatal Deaths = State STATS IOL Primips % Gestation @ induction = IOL Multi’s Gestation @ induction = PPH = MROP = Stillbirths = Neonatal deaths = Maternity STATS

  6. Your Service Nil % Inhalational % Narcotic % Epidural % Spinal % GA % Other % State STATS Nil % Inhalational % Narcotic % Epidural % Spinal % GA % Other % Analgesia / Anaesthesia Labour & Birth

  7. Maternal transfers out to a service / clinician providing higher level of care (brief reason for transfer) • Number of Antenatal Transfers = • Number of Intrapartum Transfers = • Number of Postnatal Transfers = • Transfers back to referring service < 24hrs (if > 24hrs provide comment)

  8. Your Service IUGR Prematurity < 37 weeks Prematurity < 32 weeks Low Apgar Scores Sepsis Respiratory Distress Asphyxia / HIE Other State STATS Mat Indicator 2 – term infants transferred out. Neonatal Transfers out

  9. Case presentation guide(omit this slide when you have selected your case) e.g. IOL CTG reduced variability / reactivity- baseline FHR 100 • method of induction • Labour History • Birth History (type of birth, NVB, Assisted, LUSCS) • Apgar Scores • Neonatal management (resuscitation) • Transfer details • Investigations • Outcome • Discharge • Post discharge follow up

  10. Case presentation selected by service • Age, Primip / Multi • Intended place of birth, actual place of birth - ? Transfer • Description of condition / diagnosis • Past Obstetric History • Past Medical History relevant to clinical situation • Tests & Investigations this pregnancy? • Clinical Picture; pregnancy / birth post partum • Sequence of events • Treatment • Outcome • Implications for ongoing practice • Evidence Base

  11. Group Discussion Expert Comments • Analyse the circumstances • Recommendations for future practice • Initiate appropriate action for process improvement

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