SEC Normalising Birth Project
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Transcript SEC Normalising Birth Project
SEC Normalising Birth Project
Successful bid Regional Innovations Fund
Project to support normal birth
Supported by the SHA
Supported by NHS Institute for Innovation
and Improvement
Aims of project
Develop regional database using
extended Robson groups
Groups 1 and 5 to be addressed
Reduce CS rate/increase normal births
Group 1 nulliparous women
Normalising the birth environment –
challenges
2 low risk rooms at Maidstone
New hospital 7 low risk rooms when fully
merged
Art work
Group 5 Previous CS
Using data identified high repeat CS
rate in this group
Also identified CS for breech
presentation also appeared high
Previous CS
Needed to determine why women not
choosing VBAC (inconsistent advice no
debrief)
How to address standardising advice and
information
VBAC Clinic
Agreement at Clinical governance
Letter to CMW – referral criteria/leaflet
Weekly clinic each site with 4 appts
45 min Appt (30 min debrief 15 min plan)
Running since August
Well attended
Volume – some still see Obs team first
Debrief – very powerful,emotional
Patient Satisfaction survey
Future plan - P/N letter
ECV
Women not having ECV – why?
Confidence/knowledge of professionals
What could we do to equip staff to give
evidence based advice
Visual information for women
ECV information DVD
Including
Explanation of risks and benefits
Who is suitable
Filming of successful ECV
Comments from Obs,MW and
parents.
First find your breech!
Then get her to agree to be filmed!
First one filmed was a success
Voice over's/interviews- parents very positive
Result is realistic and evidenced based
advice
Trust website/issue to CMW/for sale today!
You can view it during the tea break
Normalising Birth Team MTW NHS Trust:
Leila Frodsham Consultant Obstetrician
Lynne Thomas and Lisa Massey Midwife
Facilitators