Maternity Services in Scotland –
Stirling Royal Infirmary
Health Board -
Forth Valley
Link Person’s contact details -
Linda Donaldson, Head of Midwifery
Centres providing maternity services -
Stirling Royal Infirmary
Levels of service (EGAMS model) -
Level IIC
Link person’s contact details -
Linda Donaldson
Head of Midwifery
Email:
linda.Donaldson@fvah.scot.nhs.uk
Mobile: 07909 686521
Tel: 01324 624000 Ext: 8509
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Table 1 Facilities
Service type
Service details
Out-patient
Number of antenatal clinics sessions
services
per week
Number of specialist obstetric clinics
per week
Data
102
2
Additional information
This is a combined total of all
antenatal clinic activities in both
hospital and community environments
across the Forth Valley area
Pre natal diagnosis clinics offered 1
on each site per week, second clinic
arranged alternate weeks if required.
2
Number of midwife-led clinics per
week
15
Booking
clinics
81
midwife led
clinics
Number of special needs clinics per
week
2
Number of outreach clinic sessions per
week
Number of midwife-led outreach clinic
sessions
Number of obstetric-led clinic sessions
per week
1
Day care service? If yes, how many
sessions?
20
2
8
Combined medical/obstetric clinic
weekly on both sites. This is attended
by Obstetrician, Physician, Named
Midwife and specialist nurses
(diabetes)
Across Forth Valley, Midwifery teams
provide clinics to all GP surgeries.
Within the 13 areas, Midwives share
clinics with their named GP’s and
provide a midwife led clinic in parallel
to these. Booking clinics are all
Midwife led in Forth Valley. This is
replicated in the hospital clinic
environment at all sessions
There are 2 genetics clinics per
month in Forth Valley – one in Falkirk
and the other in Stirling. This is linked
to Glasgow. Genetic Liaison
Midwives manage the service
One in Alloa
1 in Alloa and 1 in Corton Vale prison
which has a weekly midwife-led clinic
All outpatient services are provided
on both Falkirk and Stirling sites: In
Falkirk there are 4 antenatal hospital
clinic sessions per week and the
same in Stirling
There is a dedicated Daycare service
provided in both Falkirk and Stirling
Units. These areas are staffed by
experienced Midwives, the majority of
whom have undertaken training in
ultrasound. These services are
provided 5 days a week MondayFriday on both sites. Care is mainly
protocol driven and midwife-led.
There is access to Registrar /
Obstetric consultant throughout the
duration of these sessions. Outwith
these hours daycare is accessed by
the Midwifery Teams on duty
2
Early pregnancy assessment unit
service? If yes, how many sessions
per week?
10
In Falkirk, the Early Pregnancy
Assessment Unit service is provided in
a dedicated area in the mornings of
Monday to Friday (5 sessions).
Access to this service is strictly
protocol / criteria driven for GPs /
Midwives. Midwives and
Radiographers provide the scans in
Falkirk.
In Stirling, the early pregnancy
assessment unit service is provided in
a dedicated area on the mornings of
Monday to Thursday and in the
afternoon of Friday (5 sessions)
Scans are provided by Midwives and
Radiographers
SRI 6
FDRI 2
Mixed EPAS and obstetric sessions
EPAS
By obstetrician
SRI 2
FDRI 2
2 Pre Natal Diagnosis sessions
2 Pre Natal Diagnosis session
By midwife
SRI 6
FDRI 15
Other
FDRI 8
These will be mixed EPAS and
obstetric lists
Midwives do 12 obstetric sessions
(lists) and 3 EPAS sessions
Subfertility scans by Specialist Nurse /
Midwife
There are no “named “ midwife-led
beds in Stirling but over 60% care is
provided by midwife only with no
medical intervention. Care is multidisciplinary, evidence based and
protocol driven.
There are 9 Labour rooms, 2 obstetric
theatres, a 3 bedded area and
recovery room with 5 bed spaces
Ultrasound scanning sessions per
week:
By radiographer
Delivery beds
In-patient beds
Midwife led
*
Obstetric led
9
High dependency
*
Other
*
There is 24/7 access to high
dependency and intensive care unit on
site. Care is managed by anaesthetist
/ obstetrician and midwife
2 obstetric theatres, a 3 bedded area
and recovery room with 5 bed spaces
Antenatal
Postnatal
Combined
47
47 beds, 4 of these beds are
transitional care beds that are jointly
managed with the Neonatal Intensive
care unit
These beds are on the one floor, split
into 2 distinct areas
Other
3
Table 2 Specific Services
Service type
Brief outline of service
Special
Needs
Teenage Pregnancy Drop In Centre
Rapploch, Stirling – weekly sessions on a
Wednesday afternoon – Midwife led
Other initiatives within Forth Valley – Sexual
Health and relationships education services
(SHARE)
Caledonia Youth Falkirk
Sorted in Sex (SOS) – Stirling
School Education service provided by
Midwives in collaboration with the education
authority – participating schools include:
Bannockburn, Stirling High, Grangemouth
High
Liaison with Community Addiction Team
(CADS)
Stirling Project - provides support for
pregnant women and mothers who have a
substance misuse problem
Amber Midwifery Team – cover Corntonvale
HM Prison and liase with Princess Royal
Maternity Unit
In-service study days at Stirling Royal
Infirmary. It is mandatory this year for all
Midwives to undertake domestic violence
training. This is being provided by the
Health Promotion Department (Liz Watson)
Forth Valley Wide steering group –
information on signposting women to the
appropriate services
Various antenatal education classes held in
family centres throughout Forth Valley
One to one with midwife
Information on support groups given SANDS, Miscarriage Association
Level 2 subfertility service offered includes
routine and surgical investigations of female
partner, semen analysis, oral fertility
treatment, tracking scans and IUI if required.
Referral to regional centres if further
treatment required.
Tobacco Action Group established in Forth
Valley
Midwives play an active role in providing
consistent advise regarding smoking
cessation and referral to smoking cessation
services
Community Mothers Peer Breastfeeding
Support Project in Viewfield Practice
Forth Valley have attained the Certificate of
Commitment to WHO Baby Friendly initiative
All patients are invited to team specific
breastfeeding workshops run by their
Midwives
Specific Contact person’s email and telephone
number
Anne Clubb - 01786 434000 ext 4117
Forth Valley Health Board – 01786 477200
Evelyn O’Neill – 01786 483149
Therese Shearer – 01786 434000 ext 4117
National Women’s Aid Help line – 0800 271 234
Stirling Women’s Aid – 01786 470 897
Team Midwifery Room SRI – 01786 434000 ext
4117
Miscarriage Association – 0131 334 8883
Miscarriage Support (Local) Mary and Gail 01786
842239 / 01786 870491
SANDS – Beatrice MacRae – 01786 870298
Sr. J Burrage 01324 624000 ext 5140
Forth Valley Health Board – Carol Graham –
01786 477200
4
Information on the multiple breastfeeding
support groups in Forth Valley is given to all
patients
Dedicated Breast feeding support midwife
Working with PCT to integrate the Breast
Feeding Strategy for Forth Valley
Child Protection
All Midwives in Forth Valley will be trained in
Child Protection issues – this is another
mandatory session for 2004
Violence and Aggression
All Midwives in Forth Valley will be trained in
Violence and aggressions issues by Dec 04
Training provided in house
Postnatal Depression
All Midwives are trained in postnatal
depression and the implementation of the
pathway
HIV
All Midwives have undertaken training for
HIV screening
Obstetric Emergencies
A Practice Development Midwife has been
appointed. Training in Obstetric
Emergencies is mandatory in Forth Valley
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Table 3 Preparation for Parenthood
Service type
Service details
Brief outline of service
Education
General classes
Father’s only
Within Forth Valley there are 13 Teams of
Midwives covering specific geographical
areas with dedicated caseloads of approx
200 patients per year. All 13 teams provide
parenthood education for their clients.
Some during daytime hours in the
community setting and others in the hospital
1:1 parenthood education is available as
necessary
No
Refresher
Midwife and Physiotherapist
Postnatal support
Individual women led postnatal screening
needs
Health Visitor liaison
Postnatal reunion classes
Some Midwives have undertaken training but
no classes as yet
Some Midwives have undertaken training in
aromatherapy, reiki, massage but no classes
as yet
Evening classes
Baby massage
Complimentary
therapies
Specific Contact
person’s email and
telephone number
Team Midwifery Room
SRI – 01786 434000 ext
4117
Team Midwifery Room
SRI – 01786 434000 ext
4117
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Table 4 Neonatal Services
Service type
In-patient cots
Outreach
services
Neonatal
transport
Service details
Number of Intensive Care
Number of High Dependency
Number of Special Care
Transitional Care
Other
Home support
Data
5
2
15
4
Immunisation service
GP
BPD Home oxygen follow up
-
Regional Service provider (Yes/No)
No
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)
Additional information
Administered in the ward if needed
Still providing nursing input additional
on call nurse bank. The unit provides
nurse for OPD appointments.
6
278
Approximately 10%
7
Table 5 Birth Statistics (NB: 1st August 2003 to 20th April 2004*)
Delivery Type
Number per
annum
5
1
Home Births
Planned
Unplanned
Born Before Arrival
In own transport
In ambulance
9
Spontaneous deliveries
Midwife-led care
*
Obstetric-led care
2040
Forceps
128
Ventouse
71
Elective
Emergency
155
308
Instrumental deliveries
Caesarean Sections
Breech vaginal delivery
10
Induction of labour rates
409
Epidural rates
537
Additional Information
Over 65% of care by midwife
only with no intervention by
medical staff
This is for a 9 month period
from 1st August 2003 to 30th
April 2004
Keillands (28)
Milne Murray (93)
Wrigleys (7)
Further Information
1st August 2003 – Falkirk Maternity Unit and Stirling Maternity Unit combined in Stirling site.
* On this document we have provided 9 months of data from centralisation of services on the 1st August 2003 to
20th April 2004. As soon as the complete years worth of data is available the figures will be updated.
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