Maternity Services in Scotland –
Ninewells Hospital, DUNDEE
Health Board :
Tayside
Link Person’s contact details
Margaret P Hogg, Clinical Team Manager, Women & Reproductive Health,
Ninewells Hospital, DUNDEE
Tel: 01382 660111, ext 33114 or ext 32132
Fax: 01382 632096
E-Mail: margaret.p.hogg@tuht.scot.nhs.uk
Tony Wells, Chief Executive, NHS Tayside, Kings Cross, Clepington Road,
DUNDEE
Tel: 01382 424049
Fax: 01382 424003 E-Mail: tony.wells@thb.scot.nhs.uk
Centres providing maternity services/
Levels of service (EGAMS model
Link person’s contact details
Ninewells Maternity Unit
Perth Maternity Unit
Montrose Maternity Unit
Arbroath Maternity Unit
- 11c
- 11a
- 1b
- 1b
Margaret P Hogg, Head of Midwifery, Women & Reproductive Health,
Ninewells Hospital, DUNDEE
Tel: 01382 660111, ext 33114 or ext 32132
Fax: 01382 632096
E-Mail: margaret.p.hogg@tuht.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
By obstetrician
By midwife
Other
Data
12
Additional information
5
Specialist Clinics – Diabetic; Multiple Pregnancy;
High Risk and epileptic
7
44
44
0
10
11
N/A
4
2
18
Monday to Friday service plus 24/7 emergency
service
Monday to Friday Service. Plan to provide 7 day
service from July 2004 making a total of 13
sessions – 1 session recurrent miscarriage
clinic, plus 24/7 emergency service
Staff Grade/Associate Specialist in Obstetric
Ultrasound
2
Service type
Delivery beds
In-patient
beds
Service details
Midwife led
Data
2
Additional information
In obstetric labour suite. Plans to develop
separate CMU in a different location within the
Maternity Unit, Dundee
Obstetric led
5
High dependency
7
Other
1
1
2
Emergency procedure room
Maternity Theatre
Pre-admission assessment rooms
41
Maternity Ward 1 with 20 beds
Maternity Ward 2 with 21 beds
Antenatal
Postnatal
Combined
Other
3
Table 2 Specific Services
Service
type
Special
Needs
Specific Contact person’s email and
telephone number
Service details
Brief outline of service
Teenage
pregnancy
Drug and Alcohol
misuse
Community Midwifery service with
support from parent education midwife
·2 wte midwife to provide specialist
Jane Forbes –
advice
jane.l.forbes@tuht.scot.nhs.uk
Susan Robertson –
susan.x.robertson@tuht.scot.nhs.uk
Domestic abuse
Community Midwifery Service
developing Integrated Care Pathway
Community Midwifery Service in
liaison with other agencies
Counselling Service
Kay Smeaton, Tel 01382 660111, ext 32017;
kay.smeaton@tuht.scot.nhs.uk
Infertility
Infertility service provided by ACU
teams
Smoking cessation
Community Midwifery Service –
Project Health Visitor
A Mills
alison.mills@tuht.scot.nhs.uk
Website:
www.acudundee.co.uk
Margaret Muir
margaret.muir@tpct.scot.nhs.uk
Perinatal Mental
Health
Midwifery Care Pathway with referral
to Health Visitor CPN and other
agencies.
Project leader to be appointed April 2004 to coordinate and facilitate full compliance with
integrated care pathway as detailed in SIGN
Social inclusion
Pregnancy loss
Elizabeth Osborne, Chaplaincy Service, Dundee
& Perth,
elizabeth.m.osborne@tuht.scot.nhs.uk
4
Guideline.
5
Table 3 Preparation for Parenthood
Service
type
Education
Service details
Brief outline of service
General classes







Women Only Parent Education –
6 classes per session – 30+
weeks gestation
Women and Birth Partners – 3
classes per session – 32 + weeks
gestation
Parent Education – 1 class per
session – 32 + weeks gestation
Breastfeeding Workshop – 1 class
per session week – 34 + weeks
gestation
Twins Classes – 1 class per
session – 26+ weeks gestation
Grandparents/Carers/Parents – 1
class per session
Physio input into Women only
groups – 5 classes per session –
30+ wks gestation
Specific Contact person’s email and
telephone number
Carrie Brown – Parent Education
Tel: 01382 660111, ext 32994 or e-mail
carrie.brown@tuht.scot.nhs.uk
Evening classes
Father’s only
None
Refresher
None
6
Postnatal support
Baby massage

Reunion Groups – Women only –
1 class per session – 6 – 12
weeks postpartum
 Breastfeeding Support Groups –
weekly
NICU
Complimentary
therapies
None
Community
Range of classes provided by
Community Midwives – Tel 01382
660111, ext 32812
Aquanatal
Alywn Marshall alwyn.a.marshall@tuht.scot.nhs.uk
L Stewart –
lillian.p.stewart@tuht.scot.nhs.uk
J Muir –
jennifer.m.muir@tuht.scot.nhs.uk
M Meldrum –
mary.meldrum@tuht.scot.nhs.uk
Morag Livie morag.livie@tuht.scot.nhs.uk
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Table 4 Neonatal Services
Service type
In-patient cots
Outreach
services
Service details
Number of Intensive Care
Number of High Dependency
Number of Special Care
Transitional Care
Other
Home support
Data
4
3
11
4
Additional information
1 wte
Liaison
Nurse
Home oxygen and home phototherapy
programmes. Tayside wide and North Fife
support for babies discharged from NICU with
ongoing nursing care needs
0.4
Bereave
ment
Support
Child Bereavement Trust trained counsellor for
pregnancy and neonatal loss
Immunisation service
Neonatal
transport
BPD Home oxygen follow up
Yes
Regional Service provider
(Yes/No)
If yes, to 8.1 number of
transfers in per year
Yes
Yes, BCG clinics. Other relevant immunisations
in NICU as appropriate to individual baby
6 babies in 2003
25-30 per annum. Transport service also
provided to North of Scotland in collaboration
with Aberdeen
If no, to 8.1 the number of
transfers out per year
Number of
2003 – 461 admissions (10.7% births)
8
neonatal
admission
(% of births)
Other
information
Newborn Hearing Screening
Service
All babies born in Tayside have hearing
screening, normally prior to discharge home.
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Table 5 Birth Statistics (2003)
Delivery Type
Planned
Unplanned
Number per
annum
11 (0.4%)
21 (0.7%)
Born Before Arrival
In own transport
In ambulance
Not available
Not available
Spontaneous
deliveries
Midwife-led care
09/06/03 – 31/12/03
Obstetric-led care
SVD
Forceps
Ventouse
367 – 11.9%
Elective
Emergency
295 (9.6%)
431 (14.0%)
Home Births
Instrumental deliveries
Caesarean Sections
Additional Information
Classified as born before arrival
498 women in IMLC (16.1%) – 131 transferred
out IMLC.
1881 (61%)
314 (14.4%)
131 (4.3%)
Breech vaginal
delivery
30(1%)
Induction of labour
rates
794 – 26.4%
Epidural rates
845 – 28.1%
10
Further Information
The maternity services in Tayside will change significantly from July 2004 when all obstetrician led intrapartum care will be provided
in Ninewells. The number of births is initially expected to increase in Ninewells by up to 800, giving a total of 3600 – 3700 per
annum. Plans are currently underway to change facilities and service arrangements in Ninewells to cope with the additional
number of women using the service. A Community Maternity Unit facility will be created in Ninewells with the work commencing
this year. Perth Maternity Unit may become a Community Unit in July 2004 where it is envisaged up to 400 women who have a
normal pregnancy and no other health problems could give birth in this unit.
Community midwives are linked to GP practices. Throughout Tayside Midwives, GPs and Obstetricians follow Tayside Pregnancy
Plan which sets out antenatal care pathway for women with high, medium and low risk pregnancies.
11