Statutory Supervision Trigger List
Category
Definition
Stillbirth
Major obstetric haemorrhage
Baby born dead from 24 weeks of pregnancy
Estimated blood loss ≥2500ml, or transfused 5 or
more units of blood or received treatment for
coagulopathy (fresh frozen plasma,
cryoprecipitate, platelets). (Includes ectopic
pregnancy meeting these criteria).
Seizure associated with antepartum, intrapartum
or postpartum symptoms and signs of preeclampsia.
Acute onset of biochemical disturbance,
No detectable major pulse.
Clinically diagnosed pulmonary oedema
associated with acute breathlessness and O2
saturation <95%, requiring O2, diuretics or
ventilation.
Eclampsia
Renal or liver dysfunction
Cardiac arrest
Pulmonary Oedema
Pulmonary Embolus
Acute respiratory dysfunction
Cerebro-vascular event
Status epilepticus
Anaphylactic shock
Septicaemic shock
Intensive care admission
Coronary care admission
Maternal Death
Increased respiratory rate (>20/min), tachycardia,
hypotension. Diagnosed as ‘high’ probability on
V/Q scan or positive spiral chest CT scan.
Treated by heparin, thrombolysis or embolectomy
Requiring intubation or ventilation for >60 minutes
(not including duration of general anaesthetic).
Stroke, cerebral/cerebellar haemorrhage or
infarction, subarachnoid haemorrhage, dural
venous sinus thrombosis.
Unremitting seizures in patient with known
epilepsy.
An allergic reaction resulting in collapse with
severe hypotension, difficulty breathing and
swelling/rash.
Shock (systolic blood pressure <80) in
association with infection. No other cause for
decreased blood pressure. Pulse of 120bpm or
more.
Unit equipped to ventilate adults. Admission for
one of the above problems or for any other
reason. Include CCU admissions
Women who have booked for maternity services
and up to one year post delivery
Unexpected Admission of a Term Baby to Neonatal
ITU
South East and West Region Supervisors Quality Improvement Group (SQIG)
Document Number: 12
Adapted for use across South East and West Region October 2010
Implement – April 2008 Reviewed - April 2013, Dec 2015
Review – Dec 2018