lsa midwifery conference ‘lessons learnt’
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LSA Midwifery Conference ‘Lessons Learnt’. Freebirth - the Challenges for Supervisors of Midwives Wed 29 th January 2014 Martina Doolan CMTL and SOM Bid McKeown Lead MW Community & Public Health and SOM. What is a Freebirth?. - PowerPoint PPT PresentationTRANSCRIPT
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LSA Midwifery Conference ‘Lessons Learnt’
LSA Midwifery Conference ‘Lessons Learnt’
Freebirth - the Challenges forSupervisors of Midwives
Wed 29th January 2014
Martina Doolan CMTL and SOM
Bid McKeown Lead MW Community & Public Health and SOM
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What is a Freebirth?What is a Freebirth?
“Free or unassisted birth…means a woman giving birth without medical or professional help”
NMC 9/13
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What are the Challenges for the SOM?What are the Challenges for the SOM?
Knowledge base?Experience?Best Practice Guidelines?Safety – Protection of the Public?Meeting Service User Expectations
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Is it Legal?Is it Legal?
“Free birthing is legal as long as the birth is not attended or the
responsibility for care is not assumed or undertaken by an unqualified
individual”
NMC 9/13
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ScenarioScenario
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So what advice could a SOM give??!So what advice could a SOM give??!
Inform managerSeek Advice/SupportLiterature searchBuild a Trusting RelationshipPatient Choice
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Informed ‘Consent’ Informed ‘Consent’
Home Visit •Open discussion with client by CMTL and Named CMW•Information•Options discussion including tailored home birth
but………..
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Outcome: DisengagementOutcome: Disengagement
Thanks but No Thanks
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What now?What now?
Management Plan On call rota Local Maternity Unit aware Other Maternity Unit informed NIAS advised - Alert Flag raised if emergency call received
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Management Plan cont.Management Plan cont.
Supporting StaffCMW Team meeting with CMTL & Consultant MW / PDev Midwife Skills DrillsEmergency kit for midwives ‘just in case’
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Open Door ApproachOpen Door Approach
Letter to mother •All services still available•‘unqualified individual’•Emergency Advice
999 initially contact CDS for further advice
•Request – inform us P/N •Birth documentation
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Lessons Learnt So far….Lessons Learnt So far….
Freebirth is legal (although ?not yet tested through court process)
• Very unusual in Northern Ireland • Open Door Approach • Communication & Documentation• Networking for advice and support
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Not Alone……..Not Alone……..
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Ah but…………….Ah but…………….
What about
Safeguarding?
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Thank-You
Martina Doolan CMTL and SOM
email: [email protected]
Bid McKeown Lead MW Community & Public Health and SOM
email: [email protected]