Models of Care in Maternity Services

Author: Tahir Mahmood; Philip Owen; Sabaratnam Arulkumaran  

Publisher: Royal College of Obstetricians and Gynaecologists (RCOG)‎

Publication year: 2010

E-ISBN: 9781107711006

P-ISBN(Paperback): 9781906985387

Subject: R1 Preventive Medicine , Health

Keyword: 预防医学、卫生学

Language: ENG

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Models of Care in Maternity Services

Description

This book helps all those working in maternity services to improve the quality of the care they offer. Improvement is driven by clinical effectiveness and increasing patient demands, and for each area of practice described this book outlines the service organisation needed to achieve this improvement. The goal is to help clinicians take responsibility for developing services that meet the needs of their patients as well as managing their individual medical conditions. The book demonstrates that much can be achieved within current resources and without major additional expense. Different approaches are demonstrated, but the key issue is the patient pathway. Trainees, clinicians, managers and commissioners of services will find this book of practical value. There should be a copy on the shelves of every hospital obstetric unit.

Chapter

Chapter 2 Developing and implementing a local maternity services strategy: the clinical director’s role

Introduction

Developing a maternity services strategy

Perspective of women using maternity services

Policies standards and regulation

Staff views

Putting the strategy into action

Governance and risk management

Summary

References

Chapter 3 Prepregnancy services for women with social needs

Introduction

What women want

National guidance and clinical guidelines

Service modelling and care pathways

Special issues related to service delivery

Training

Staffing and manpower planning

Audit

Future research

References

Chapter 4 Access to early pregnancy care

Introduction

Why is antenatal care important?

Service users’ views

National guidance and clinical guidelines

Quality indicators and quality accounts

Service modelling and care pathways

Training

Staffing and manpower planning

Audit

References

Chapter 5 Antenatal fetal abnormality screening

Introduction

What women want

National guidance and clinical guidelines

Fetal anomaly screening

Down syndrome screening

Service modelling and care pathways

Special issues related to service delivery

Training

Staffing and manpower planning

Audit

Future research

References

Chapter 6 Antenatal care for low-risk pregnancy

Introduction

What women want

National guidance and clinical guidelines

Service modelling and care pathways

Special issues related to service delivery

Training

Staffing and manpower planning

Audit

References

Chapter 7 Antenatal care for women with pre-existing medical, obstetric or mental health conditions

Introduction

What women want

National guidance and clinical guidelines

Service modelling and care pathways

Special issues related to service delivery

Training

Staffing and manpower planning

Audit

Future research

References

Chapter 8 Antenatal care for women developing medical or obstetric problems during pregnancy

Introduction

What women want

National guidance and clinical guidelines

Service modelling and care pathways

Special issues related to service delivery

Training

Staffing and manpower planning

Audit

Future research

References

Chapter 9 Managing risk in antenatal care

Introduction

What women want

National guidance and clinical guidelines

Service modelling/care pathways

Special issues related to service delivery

Training

Staffing and manpower planning

Future research

References

Chapter 10 Intrapartum care for women assessed as low risk in labour

Introduction

What women want

National guidance and clinical guidelines

Service modelling and care pathways

Special issues related to service delivery

Training

Staffing and manpower planning

Audit

Future research

References

Further reading

Chapter 11 Intrapartum care for high-risk pregnancies

Introduction

Normal intrapartum care

Perinatal mortality

Maternal mortality

National guidance and clinical guidelines

Staffing, manpower planning and training

Service modelling and care pathways

Auditable standards

Future research

Conclusions

References

Chapter 12 Obesity in pregnancy

Introduction

National guidance and clinical guidelines

Services and care required for women who are obese before and during pregnancy

Service models and clinical care pathways

Special issues related to service delivery

Training

Staffing and manpower planning

Audit

Future research

References

Chapter 13 Prevention of hypoxic ischaemic encephalopathy

Introduction

What women want (surveys and commissioning advice)

National and clinical guidance

Special issues related to service delivery

Training

Future research

Audit

References

Chapter 14 Risk management on the labour ward

Introduction

What women want

National guidance and clinical guidelines

Service modelling and care pathways

Special issues related to service delivery

Training

Staffing and manpower planning

Future research

References

Chapter 15 Place of birth

Introduction

Background

What women want

Safety concerns

Risk assessment, workforce, cost and other factors

Service modelling and care pathways

Conclusion

References

Chapter 16 High-risk pregnancy and neonatal services

Introduction

Neonatal complications of high-risk pregnancy

Autoimmune disorders

Thyroid conditions during pregnancy

Maternal epilepsy during pregnancy

Heart disease during pregnancy

Mental health concerns during pregnancy

Illicit drug use during pregnancy

Maternal infection

Concerns regarding safeguarding

References

Chapter 17 Anaesthesia service provision for maternity services

Introduction

What women want

National guidance and clinical guidelines

Service modelling and care pathways

Special issues related to service delivery

Training

Staffing and manpower planning

Audit

Future research

References

Chapter 18 Postnatal care

Introduction

What women want

National guidance and clinical guidelines

Service modelling and care pathways

Training and education

Environment

Audit and user feedback

Special issues related to service delivery

Future research

References

Chapter 19 Supporting families who experience adverse outcomes during pregnancy

Introduction

What women want

National guidance and clinical guidelines

Service modelling and care pathways

Special issues related to service delivery

Training

Staffing and manpower planning

Audit

References

Chapter 20 The maternity dashboard

Introduction

What women want

Definitions

Types of dashboard

Potential uses of a maternity dashboard

National guidance and clinical guidelines

Design and contents of the maternity dashboard

What to do with the dashboard

Training

Staffing and manpower planning

Audit

Future research

References

Chapter 21 Commissioning for regional maternity services: an example from the East of England

Introduction

Translating the vision into action

Key areas of work and achievements

Key challenges

Meeting the challenge

Conclusion

References

Chapter 22 Key indicators

Strategy

Prepregnancy care for women with social needs

Access to early pregnancy care

Antenatal fetal abnormality screening

Antenatal care for low-risk pregnancies

Antenatal care for women with pre-existing medical, obstetric or mental health conditions

Antenatal care for women developing medical or obstetric problems during pregnancy

Managing risk in antenatal care

Intrapartum care for low-risk pregnancies

Intrapartum care for high-risk pregnancies

Obesity in pregnancy

Prevention of hypoxic ischaemic encephalopathy

Risk management on the labour ward

Place of birth

High-risk pregnancy and neonatal services

Anaesthesia service provision for maternity services

Postnatal care

Supporting families who experience adverse outcomes during pregnancy

The maternity dashboard

Commissioning for regional maternity services

Index

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