Maternity Services in Scotland – NHS Lothian – University Hospitals Division
Health Board:
Lothian Health Board
Link Person’s contact details:
Maria Wilson, Principal Midwife, 0131 242 2543
(PA Dianne Kerr, 0131 242 2509)
Centres providing maternity services:
NHS Lothian – University Hospitals Division
Levels of service (EGAMS model):
Tertiary
Link person’s contact details:
Dr David Farquharson, Clinical Director
(PA Doris Dickson, 0131 242 2508)
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Table 1 Facilities
Service type
Service details
Out-patient
Number of antenatal clinics
services
sessions per week
Number of specialist obstetric
clinics per week
Number of midwife-led clinics
per week
Number of special needs clinics
per week
Number of outreach clinic
sessions per week
Number of midwife-led
outreach clinic sessions
Number of obstetric-led clinic
sessions per week
Day care service? If yes, how
many sessions?
Early pregnancy assessment
unit service? If yes, how many
sessions per week?
Ultrasound scanning sessions
per week:
By radiographer
By obstetrician
By midwife
Data
8
Additional information
High risk (consultant - locality)
6
Includes WGH diabetic, haemoglobophilia,
epilepsy, twins, cardiac, fetal medicine
All midwife led clinics now in community setting.
Midwife clinics in most GP surgeries in 8
localities.
See above (specialist obstetric)
8
8
Consultant, Obstetric, WGH Diabetic clinic
8
Locality based
6
As above
Yes
5 days per week, Mon – Fri 0830-1630.
Day Assessment Unit (Chris Vinestock 0131 242
2403)
5 per week, Mon – Fri 0830-1630
Lisa Starrs / Linda Scott 0131 242 2425
Yes
8
6
5 (DAU)
Outreach scanning in each locality
Fetal medicine unit scanning
Daily
2
Other
3
Service type
Delivery beds
In-patient
beds
Service details
Midwife led (LDRP)
Data
10
Obstetric led
10
High dependency
3
Other
2
Additional information
Labour, delivery, recovery, post natal.
Rooms with birthing pools
Antenatal
Postnatal
20
Combined antenatal / post
natal.
25
Other
Triage & Assessment
6 rooms
Specific maternity assessment room.
Telephone triage
4
Table 2 Specific Services
Service
type
Special
Needs
Service details
Brief outline of service
Teenage
pregnancy
Drug and Alcohol
misuse
No specific service
Domestic abuse
Social inclusion
Pregnancy loss
Infertility
Smoking
cessation
Others
Others
Others
Liaison Midwife SCRH liaises with
other links from all areas in
midwifery/external organisations
Posters and information cards in all
areas. Staff awareness sessions
have been held, included in staff
induction.
Involvement of relevant consumer
groups in service design.
Pregnancy Support Centre
Edinburgh Fertility Reproductive
Endocrine Centre
Study days organised for all staff.
Being addressed further via
inequality group, Lothian Health
Bereavement Counsellor on site
Breast Feeding Support Group
Drop in Tuesday afternoons
Jaundice & Weight Loss clinic
Specific Contact person’s email and
telephone number
Being addressed as part of Lothian Health
Inequality Group
Fiona McNeilage, Link midwife, 0131 242
2546
Tel: 0131 242 2425
Sisters Lisa Starrs / Linda Scott
Tel: 0131 242 2461
Sister Sheila Smith
Link midwife, Fiona McNeilage, 0131 242
2546
Barbara Herkes, 0131 242 2569
Karla Napier, 0131 242 2502
Daily referral via community midwife.
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Table 3 Preparation for Parenthood
Service
type
Education
Specific Contact person’s email and
telephone number
Community neonatal nurses teach 1:1
resus to all parents.
Service details
Brief outline of service
General classes
Evening classes
Community based parent education
session.
According to need
Father’s only
No
Refresher
According to need
Postnatal support
Groups – informal
Baby massage
In most locality areas.
Weekly classes in Neonatal Unit –
programme of 5 sessions.
Women can bring own
complementary specialist with them.
Aim to provide in all areas
Others
Aquanatal – delivered by midwives at
local pools
Others
‘You’re Having A Baby!’ information
video for women on coming to
hospital/environment.
Travelling community – direct access
to gynae and midwifery services
Aim to provide in all areas. Currently,
North Berwick, Musselburgh, Leith,
Portobello, Ainslie Park, Commonweath
pool.
Copies available for parent education.
Complimentary
therapies
Others
0131 242 2601
Contact Isobel Gardiner, Clinical Manager,
Community Services.
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Table 4 Neonatal Services
Service type
In-patient cots
Outreach
services
Neonatal
transport
Number of
neonatal
admission
(% of births)
Other
information
Service details
Number of Intensive Care
Number of High Dependency
Number of Special Care
Transitional Care
Other
Home support
Data
12
8
24
Additional information
Yes
Immunisation service
No
For low birth weight babies, those being fed by
nasogastric tube at home and for terminal care.
Consultant outreach clinics in all localities.
BPD Home oxygen follow up
Yes
Regional Service provider
(Yes/No)
If yes, to 8.1 number of
transfers in per year
If no, to 8.1 the number of
transfers out per year
Yes
241 in 2003
Around
600
Babylink
One of 3 service providers for Scotland
71 emergency transfers - 2003
110 planned transfers - 2003
10% of total births
www.babylink.info/edinburgh
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Table 5 Birth Statistics (2003)
Delivery Type
Home Births
Planned
Unplanned
Number per
annum
80 – 90
4-6
Born Before Arrival
In own transport
55
(2003)
Additional Information
We do not identify where delivered at present.
We will be auditing this information in future.
120 – 140 bookings
In ambulance
Spontaneous
deliveries
Midwife-led care
2462 (2003)
Obstetric-led care
1499 (2003)
Instrumental deliveries
Forceps
Ventouse
658
323
Caesarean Sections
Elective
Emergency
535 (2003)
1100 (2003)
Breech vaginal
delivery
(Jan-Dec 2003)
(2003)
(2003)
32 (0.7%)
Induction of labour
rates
23%
This figure includes prims/paros women
Epidural rates
25%
This figure includes prims/paros women
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Further Information
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