Maternity Services in Scotland – Princess Royal Maternity Health Board Greater Glasgow Link Person’s contact details Heather Dawes, Service Manager (0141 211 5218)/ Mary McGinley, Head of Midwifery (0141 211 4304) Centres providing maternity services Princess Royal Maternity Levels of service (EGAMS model) III Link person’s contact details heather.dawes@northglasgow.scot.nhs.uk mary.mcginley@northglasgow.scot.nhs.uk 1 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/sonographer By obstetrician By midwife Other: EPAS Data 16 Additional information 7 2 Medical obstetric x 2/ACS/twins/diabetic/WRHS x2 Hospital clinics 1 WRHS 68 Consultant and midwife clinics. 4 clinics cons/midwife alternative weeks. One clinic consultant every 2 weeks. 57 6 Yes Yes 59 9 None 5 5-day service Mon-Fri 0900 – 1700 hrs 5-day service Mon-Fri 0900 – 1700 hrs + Outreach clinics at Rutherglen Maternity Care Centre/Easterhouse + OutreaSouthern General - Maternity Services in Greater Glasgowch clinics at Springburn/Kilsyth 2 Service type Delivery beds In-patient beds Service details Midwife led Data 2 Obstetric led 9 High dependency 2 Other Antenatal 2 4 14 Postnatal 40 Combined 18 Other – Day Beds 24 - Theatres - Recovery Additional information We have capacity for 5 however during developmental stage, only 2 are functional. Prenatal Assessment = 8 Ward 68 = 6 All on Level 5 Ward 68 = 10 These beds are for flexible use of Ward 71 = 8 high risk ante/postnatal women Day Care Unit = 20 Early Pregnancy Assessment Unit = 4 3 Table 2 Specific Services Service type Special Needs Service details Brief outline of service Specific Contact person’s email and telephone number Teenage pregnancy Drug and Alcohol misuse Siobhan Greenhalgh 0141 211 5345 siobhan.greenhalgh@northglasgow.scot.nhs.uk Infertility Antenatal input from Health Education staff WRHS. Combined obstetric, midwife, social work, drug addiction and health promotion service Link Midwife - Provides staff training/advice WRHS - Public Health and social support focus Pre/post delivery counselling given by medical/midwifery staff at Day Care/EPAS ACS service on-site at GRI Smoking cessation Others – prepregnancy clinic Link Midwife – offers cessation support Obstetric-lead cervical for high-risk women Debbie Barnett debbie.barnett@northglasgow.scot.nhs.uk Others – recurrent miscarriage clinic Offers support/investigation/ counselling/medical advice. Held in EPAS weekly. Domestic abuse Social inclusion Pregnancy loss Katherine Brittin 0141 211 5212 katherine.brittin@northglasgow.scot.nhs.uk Linda Kergan 0141 211 5326 linda.kergan@northglasgow.scot.nhs.uk Katherine Brittin 0141 211 5212 katherine.brittin@northglasgow.scot.nhs.uk Denise Oxnard 0141 211 5217 denise.oxnard@northglasgow.scot.nhs.uk Dr Robin Yates 0141 211 4333 robin.yates@northglasgow.scot.nhs.uk Professor Ian Greer 0141 211 5236 ian.greer@northglasgow.scot.nhs.uk Dr Fiona Mackenzie 0141 211 5273 fiona.mackenzie@northglasgow.scot.nhs.uk Dr Lynda Newland 0141 211 5217/5317 lynda.newland@northglasgow.scot.nhs.uk Denise Oxnard 0141 211 5217 denise.oxnard@northglasgow.scot.nhs.uk Others 4 Table 3 Preparation for Parenthood Service type Education Service details Brief outline of service Specific Contact person’s email and telephone number General classes 10 sessions per week Evening classes 4 sessions per week for couples and birth partners Health Education 0141 211 5345 Physiotherapy Dept 0141 211 5345 siobhan.greenhalgh@northglasgow.scot.nhs.uk Health Education 0141 211 5345 Physiotherapy Dept 0141 211 5345 siobhan.greenhalgh@northglasgow.scot.nhs.uk Father’s only N/A Refresher 2 sessions per week Postnatal support Included in package for classes also daily 3hrs support given in postnatal ward by Health Ed staff N/A Baby massage Complimentary therapies Others – Breast feeding workshops Others – Physiotherapy N/A Every 2 months Others – Community Psychiatric Nurse Others – Early Pregnancy Every 6 weeks Others – Antenatal exercise class Others – Postnatal exercise class Others – Community Weekly 10 sessions per week Monthly by Physiotherapist and Dietician Weekly Health Education 0141 211 5345 Physiotherapy Dept 0141 211 5345 siobhan.greenhalgh@northglasgow.scot.nhs.uk Health Education 0141 211 5345 Physiotherapy Dept 0141 211 5345 siobhan.greenhalgh@northglasgow.scot.nhs.uk Health Education 0141 211 5345 siobhan.greenhalgh@northglasgow.scot.nhs.uk Physiotherapy 0141 211 5345 Isobel Campbell Physiotherapy Isobel Campbell Physiotherapy Isobel Campbell Physiotherapy Isobel Campbell 0141 211 5345 0141 211 5345 0141 211 5345 All Community midwives facilitate Health Education classes in order to tailor the needs of their specific current group. 5 Table 4 Neonatal Services Service type Service details Data In-patient cots Number of Intensive Care Number of High Dependency Number of Special Care Transitional Care Other Home support 10 23 4 Yes Immunisation service BPD Home oxygen follow up According to need Yes - Prior to discharge - BCG clinic monthly for Public Health dept If required Regional Service provider (Yes/No) No Neonatal transport provided by West of Scotland Transport Service. Co-ordinated by Royal Hospital for Sick Children and based at PRM. PRM clinicians contribute to this service. Outreach services Neonatal transport Additional information This classification not currently used Not currently used Isolation room used as required Community liaison and outpatient clinic If yes, to 8.1 number of transfers in per year If no, to 8.1 the number of transfers out per year Number of neonatal admission (% of births) Other information Paediatric clinics Advanced Neonatal Practitioner Speech/language/developmental therapies Hearing testing 2 4 hospital consultant clinics held weekly 2 developmental clinics – 1 weekly/1 every 2 weeks Undertake discharge examination in postnatal ward Carry out procedures Participate in ward rounds Advise and educate parents and staff 6 Table 5 Birth Statistics (2003) Delivery Type Number per annum Home Births Planned Unplanned Born Before Arrival In own transport In ambulance Spontaneous deliveries Midwife-led care Additional Information 02/03 = 3 booked. 1 actual home birth 02/03 = 37 (0.74%) 02/03 = 2915 (59%) Obstetric-led care Instrumental deliveries Forceps Ventouse 02/03 = 721 (14.6%) Caesarean Sections Elective Emergency 02/03 = 398 (8.1%) 02/03 = 796 (16.1%) Breech vaginal delivery 02/03 = 21 (0.4%) Induction of labour rates 02/03 = 1889 (38.2%) Epidural rates 02/03 = 1676 (33.9%) 7 Further information: Princess Royal Maternity is a UNICEF Baby Friendly Unit Glasgow Breast-Feeding Initiative staff in wards daily Social gynaecology clinics held weekly 8