Tag Archives: Childbirth

RCM – “The gathering storm: England’s midwifery workforce challenges”

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Image Source: NHS Photobank

An Royal College of Midwives press release discusses a new report on the threats faced by maternity services.

The report ‘The gathering storm: England’s midwifery workforce challenges’  outlines how issues such as rising levels of complexity in pregnancy, midwife shortages and financial constraints in the NHS are ramping up the pressure on England’s maternity workforce and services.

The report also puts forward solutions to the problems in maternity services. It sets out ways in which decision makers across government and England’s NHS can tackle the situation. These include a more adaptable approach to requests for flexible working, and allowing the NHS Pay Review Body free reign to recommend staff pay wards. This will help retain midwives and not push them into costlier agency work. Implementing other changes will also help too, such as ensuring more low-risk women give birth outside of obstetric units.

To read the press release click here

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Management of Breech Presentation (RCOG Green-top Guideline No. 20b)

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Image Source: NHS Photobank

This guideline provides up-to-date information on methods of delivery for women with breech presentation, this is the fourth edition of this guideline, first published in 1999 and revised in 2001 and 2006 under the same title.

The aim of this guideline is to aid decision making regarding the route of delivery and choice of various techniques used during delivery. It does not include antenatal or postnatal care. Information regarding external cephalic version is the topic of the separate Royal College of Obstetricians and Gynaecologists Green-top Guideline No. 20a External Cephalic Version and Reducing the Incidence of Term Breech Presentation.

To access the full guideline click here

External Cephalic Version and Reducing the Incidence of Term Breech Presentation (RCOG Green-top Guideline No. 20a)

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Image source: NHS Photobank

This guideline summarises the evidence regarding the routine use of external cephalic version (ECV) for breech presentation, and is the second edition of this guideline, first published in 2006 under the title External Cephalic Version (ECV) and Reducing the Incidence of Breech Presentation.

It presents the best evidence concerning methods to prevent noncephalic presentation at delivery and therefore caesarean section and its sequalae. The mode and technique of delivering a breech presentation is summarised in the Royal College of Obstetricians and Gynaecologists Green-top Guideline No. 20b Management of Breech Presentation.

For the full guidance click here

Severe birth injury compensation scheme

RRR scheme

The Department of Health has launched a consultation A rapid resolution and redress scheme for severe avoidable birth injury: a consultation.  The consultation seeks views on the proposed investigations into severe avoidable birth injury and the support and compensation scheme. The consultation closes on 26 May 2017.

View details of the scheme here

View details of the consultation here

Major increase in midwifery unit births since 2010

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Image Source: NHS Photo Bank

Births in midwifery units in England have trebled, up from five per cent to 14 per cent over the last six years, a new study by researchers at The University of Nottingham has shown.

The research, led by a team of academics in the University’s School of Health Sciences, revealed that the number of midwifery units alongside hospital obstetric units almost doubled from 53 to 97 during the period 2010 to 2016.

However, despite this increase, 25 per cent of all NHS trusts in England still have no midwifery units, denying women the opportunity to access this type of care, which has been shown to provide personalised care to women, to decrease caesarean birth rates and costs per birthing.

Press release here

RCOG Greentop 52: Postpartum haemorrhage, prevention and management

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Source: NHS Photo Library

 

The Royal College of Obstetrics and Gynaecologists has updated their guideline Postpartum haemorrhage, prevention and management (Green-top Guideline No. 52). This provides information about the prevention and management of postpartum haemorrhage, primarily for clinicians working in obstetric-led units in the UK.

Link to Greentop Guideline here