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• delighted to be here
• thought it would be helpful to give my impression of where we are with maternity services around the country
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Transfer rates can be high
This slide shows results from one unit in leeds
However these rates do vary from unit to unit and may reduce as there is more experience of this model of care. Transfers are mainly for delay in labour, pain relief and meconium stained liquor and do not represent major emergencies.
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Transfer rates can be high
This slide shows results from one unit in leeds
However these rates do vary from unit to unit and may reduce as there is more experience of this model of care. Transfers are mainly for delay in labour, pain relief and meconium stained liquor and do not represent major emergencies.
Transfer rates can be high
This slide shows results from one unit in leeds
However these rates do vary from unit to unit and may reduce as there is more experience of this model of care. Transfers are mainly for delay in labour, pain relief and meconium stained liquor and do not represent major emergencies.
Transfer rates can be high
This slide shows results from one unit in leeds
However these rates do vary from unit to unit and may reduce as there is more experience of this model of care. Transfers are mainly for delay in labour, pain relief and meconium stained liquor and do not represent major emergencies.
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• the RCM believes that women are getting increasingly being offered a choice of care in  a midwife led unit. These units are often small especially if they stand apart from a main hospital and often deliver around 300 to 400 women a year. Women accessing these units will find a personalised service, will often be looked after by midwives they know from the antenatal period, will always have access to water for pain relief as well as birth balls etc, will use intermittent fetal monitoring and will be able to mobilise in labour. The midwifery led units that stand alongside obstetric units often deliver higher numbers of women and the service may be less personalised but women accessing these services will meet midwives who have a philosophy of promoting normal birth and again will experience birth without the use of technology
• the evidence is that women who are able to choose such services evaluate their care highly and experience lower levels of intervention. I will refer more to this later on.
• the downside to women of choosing these service models is that they will have to transfer if there is a problem in labour.
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• don’t think it can be disputed that we excellent policy for maternity services in the four UK countries of England, Scotland, Wales and Northern Ireland
• the strength of this policy is that it is fundamentally  women centred and is based both on evidence drawn from clinical trials but also from evidence as to what women themselves expect from maternity services. Where the  evidence as to the recommended practice is not clear this is acknowledged and at all times the emphasis is on the right of women to have a choice and to be helped to make that choice based on high quality information.
• the overarching policies for maternity services have sign up from all of the professional groups involved in the provision of maternity services specifically obstetricians, midwives, anaesthetists and paediatricians.
• Emphasise how unique this is
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