Future direction of Maternity Services

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Future direction of Maternity Services
Professor Cathy Warwick CBE General Secretary, RCM
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Maternity Matters the National Choice Guarantee

• Choice of how to access maternity care
• Choice of place and type of antenatal care
• Choice of place and method of birth
• Choice of method of pain relief
• Support from a known and trusted midwife
• Choice of place and type of postnatal care

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• Glan-y-Mor Community Midwifery Team
• Caseload-holding midwifery team
• Established the midwife as the first point of
  
• contact
• Women receive antenatal care from midwives
  from a single base
• Home birth rate is now 24!

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Huddersfield
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Wolverhampton
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Results

• 2006 59 women used the pool and gave birth in
  water
• 2007 114 women used the pool and 75 gave birth
  in water
• 2008 (to Oct) 166 women used the pool and 124
  gave birth in water
• LSCS rate 6 lower
• APPG maternity service award for normality in
  childbirth

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Detailed planning

• Design of space
• Waterbirth forum
• Guidelines
• 89 of midwives attended study days
• Multidisciplinary training
• Parent education sessions
• Supervision

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Networks

• high professional engagement
• strong informal networks results in good formal
  networks
• leadership critical
• a strong evidence base helps
• need to invest in clinical management

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Clinical leadership

• one person is rarely all important
• knowledge based authority matters
• innovation drives organisations
• learn from sustained excellence
• characteristics of high performance
• tell a good story

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Maternity Project
Needs Assessment
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