Recurrent reports have called for improvement in the way in which obstetric teams work together. The cultural and organisational working practices that differ between these groups can make handover and teamworking a challenge. Dr Edward Prosser-Snelling's article examines the nature of teams and handover in obstetrics and provides some suggested areas for improvement.
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.
Understanding the patient safety issues for some vulnerable groups of women known to be at higher risk of maternal death or morbidity
This literature scoping review was commissioned by the National Patient Safety Agency (NPSA) as part of a project to determine any specific patient safety issues for vulnerable women known to be at higher risk of maternal death or morbidity.
This proposal paper examines the limitations of existing track and trigger systems for deteriorating maternity patients and sets out guidance for creating a system wide obstetric early warning system.