Quality of care provided in two Scottish rural community maternity units: a retrospective case review.
Denham, Sara Helen
MetadataShow full item record
DENHAM, S., HUMPHREY, T. and TAYLOR, R. 2017. Quality of care provided in two Scottish rural community maternity units: a retrospective case review. BMC pregnancy and childbirth [online], 17, article 198. Available from: https://doi.org/10.1186/s12884-017-1374-9
Background: Women in Scotland with uncomplicated pregnancies are encouraged by professional bodies and national guidelines to access community based models of midwife-led care for their labour and birth. The evidence base for these guidelines relates to comparisons of predominantly urban birth settings in England. There appears to be little evidence available about the quality of the care during the antenatal, birth and post birth periods available for women within the Scottish Community Maternity Unit (CMU) model. The research aim was to explore the safety and effectiveness of the maternity services provided at two rural Community Maternity Units in Scotland, both 40 miles by main road access from a tertiary obstetric unit. Methods: Following appropriate NHS and University ethical approval, an anonymous retrospective review of consecutive maternity records for all women who accessed care at the CMUs over a 12 month period (June 2011 to May 2012) was undertaken in 2013 - 14. Data was extracted using variables chosen to provide a description of the socio-demographics of the cohort and the process and outcomes of the care provided. Data were analysed using descriptive statistics. Results: Regarding effectiveness, the correct care pathway was allocated to 97.5% of women, early access to antenatal care achieved by 95.7% of women, 94.8% of women at one CMU received continuity of carer and 78.6% of those clinically eligible accessed care in labour. 11.9% were appropriately transferred to obstetrician-led care antenatally and 16.9% were transferred in labour. All women received one-to one care in labour and 67.1% of babies born at the CMUs were breastfed at birth. Regarding safety, severe morbidity for women was rare, perineal trauma of 3rd degree tear occurred for 0.3% of women and 1.0% experienced an episiotomy. Severe post partum haemorrhage occurred for 0.3% of women. Babies admitted to the Neonatal unit were discharged within 48 hrs. Conclusion: These findings support the recommendations of professional bodies and national guidelines. Maternity service provision at rural CMUs achieved a consistently high standard of safety and effectiveness when measured against national standards and international evidence.
Permalink for this recordhttp://hdl.handle.net/10059/2405
Collections in which this item appears
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by/4.0
Showing items related by title, author, creator and subject.
McDougall, Basia Halina (Robert Gordon University, 2010-11)MCDOUGALL, B., 2010. Reflections of career, perceptions of maternity leave: a pilot study using narrative analysis. Aberdeen: Robert Gordon University.Maternity leave is linked to role-conflict and gender discrimination in the workplace. Decisions on working life at this time are unavoidable; it is a natural time for self reflection. It is a time when work and career ...
Healy, Sandra; Humphreys, Eileen; Kennedy, Catriona (Mark Allen Healthcare http://dx.doi.org/10.12968/bjom.2016.24.3.203, 2016-03-03)HEALY, S., HUMPHREYS, E. and KENNEDY, C. 2016. Can maternity care move beyond risk? Implications for midwifery as a profession. British journal of midwifery [online], 24(3), pages 203-209. Available from: http://dx.doi.org/10.12968/bjom.2016.24.3.203Maternal and infant mortality rates are reassuringly low in developed countries. Despite this, birth is increasingly seen as risky by women, health professionals and society in general. In wider society, women are subjected ...
The effectiveness of mHealth interventions for maternal, newborn and child health in low- and middle-income countries: protocol for a systematic review and meta-analysis. [Protocol] Nurmatov, Ulugbek B.; Lee, Siew Hwa; Nwaru, Bright I.; Mukherjee, Mome; Grant, Liz; Pagliari, Claudia (Edinburgh University Global Health Society http://dx.doi.org/10.7189/jogh.04.010407, 2014-06-10)NURMATOV, U.B., LEE, S.H., NWARU, B.I., MUKHERJEE, M., GRANT, L. and PAGLIARI, C. 2014. The effectiveness of mHealth interventions for maternal, newborn and child health in low- and middle-income countries: protocol for a systematic review and meta-analysis. [Protocol]. Journal of global health [online], 4(1), article number 010407. Available from: http://dx.doi.org/10.7189/jogh.04.010407Rates of maternal, newborn and child (MNCH) mortality and morbidity are vastly greater in low– than in high–income countries and represent a major source of global health inequity. A host of systemic, economic, geopolitical ...