The Birth Centre: Women Centred and Midwifery Led

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The Birth Centre Women Centred and Midwifery Led

• Presentation by Belinda Green PhD
• Consultant Midwife

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Translating rhetoric into practice
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Womens satisfaction key issues

• Offered an informed choice for place of birth
• Confident in staff caring for them in labour
• Being treated with respect and dignity
• Left alone and worried during labour

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Womens satisfaction key issues

• Analgesia what they wanted and when they wanted
  it
• Information giving
• Quality of postnatal support
• Cleanliness and quality of food

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Role of Consultant Midwife

• Expert practice
• Professional leadership / consultancy
• Education, training releasing talent
• Research / service development

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The Birth Centre A New Start

• Services locally-led and women centred
• High quality safe care is at the heart of service
  development
• High quality safe care which is transparent
• High satisfaction with services

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The Birth Centre A New Start

• Waterbirth / hydrotherapy
• Multidisciplinary training
• Parent education sessions
• Good leadership

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Choice birth centre
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High quality safe care

• Effective and timely communication and teamwork
• Learning from incidents and need for transparency
• Listen to what is important to women
• Monitor activity on Score card

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High quality safe care

• Priority to safer care paths
• Maintaining competence of staff
• Evidence based guidelines
• Women reported outcome measures

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Promote safety and normality

• Midwife is primary professional for care
• Utilise key midwifery skills
• Care should be evidenced based
• Support research to further evidence base care

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Promote safety and normality

• Increase use / equity of Birth Centre
• Early labour assessments at home
• Home birth
• Intervene only when clinically indicated
• Normal birth workshops / discussion forums

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Homebirth

• AIMS reports many women having difficulty
  accessing a homebirth
• NE Eng 1.4
• Wales 3.5
• 2006 SW West Somerset , Teignbridge and Penwith
  rates over 10
• In 2007 6 units South Devon Healthcare rates from
  7-17.9

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Education and continuing professional development

• Provide support for learning
• Training needs analysis
• On-site birth workshops
• Encourage post-graduate studies

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The future vision

• A strategy for midwifery led research / audit
• Midwifery in UCLH recognised nationally and
  internationally
• Rated excellent in health care reviews
• Women have a real choice in where and how they
  have their baby

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Conclusion

• High performance midwifery led care is locally
  led, women centred and clinically driven

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Questions