Midwifery 2020 has set out to develop an informed vision of the contribution midwives will make to achieving quality, cost-effective maternity services for women, babies and families across the United Kingdom.
In this paper, written mainly for obstetricians and midwives with experience of intrapartum fetal monitoring, consultant obstetrician Mr Sholapurkar gives a detailed outline of the main approaches to intrapartum fetal monitoring and details why it is so critical to safe maternity care. He considers some of the controversies regarding its evidence base and examines future developments in fetal monitoring.
This discussion paper considers how to detect maternal deterioration during both the antenatal and peripartum periods. It discusses the use and validity of early warning scores, the challenges of altered physiological parameters in pregnancy and the extension of the Sepsis Six care bundle used in non-maternity settings to the Sepsis Six Plus Two which can be applied in maternity care.
This report examines four case studies of innovation and improved patient safety in maternity care in the UK. It discusses factors which enable change and promote innovation and identifies strong networks between commissioners and providers appropriately resourced and with strong leadership and relevant information sources as critical in fostering improvement.