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