Académique Documents
Professionnel Documents
Culture Documents
Maternity Services
September 2014
Contents
1.
2a.
Pathway for Intrapartum and Postnatal Related Complications at MLU/home Maternal Complications
2b.
3a.
Pathway for Intrapartum and postnatal Related Complications at Wrekin MLU Maternal Complications
3b.
4.
Additional Support:
Community Midwife
MLU 24/7 telephone advice
Day Assessment at MLU /
Health Centre /
Childrens Centre
Lactation Consultant
Midwifery Supervision
Low risk
Antenatal care
Low risk
intrapartum care
Care Assessed:
MLU
Childrens Centre
Health Centre
GP practice
Screening
Scanning
Home
MLU
Low risk
postnatal care
Home
MLU
Childrens Centre
GP
Health Centre
Deviation from
normal during
admission assessment
Complications during
second stage
Baby
Complications during
third stage
Discuss findings
Inform Consultant Unit
PRH
Consultant
Labour Ward
Complications during
Postnatal period
Unexpected ill
neonate at
delivery
PRH
NNU
Mother
Non urgent
neonatal
abnormality
apparent
Transitional
Care
OPD Follow up
Transfer to the
consultant Unit either by
separate ambulance or car
Consultant Postnatal
Ward
Deviation from
normal during
admission assessment
Complications during
second stage
Baby
Complications
during third stage
Discuss findings
Inform Consultant Unit
Complications
during Postnatal period
PRH
Consultant
Labour Ward
Unexpected ill
neonate at
delivery
PRH
NNU
Mother
Non urgent
neonatal
abnormality
apparent
Transitional
Care
OPD Follow up
Transfer to the
Consultant Unit
Consultant Postnatal
Ward
High risk
Antenatal care
Consultant antenatal
OPD RSH/PRH/
Ludlow/Oswestry
Specialist clinics
MDT clinics
High Risk
Intrapartum Care
Consultant
Antenatal Ward
PRH
Consultant
Delivery Suite
PRH
High Risk
Postnatal Care
Home OR
Day Assessment at
RSH/PRH or ?
Oswestry, Ludlow,
Welshpool, Bridgenorth
Scanning
MLU at PRH
or RSH/Ludlow/
Oswestry/
Bridgnorth
Home
28 days postnatal
Community Midwife
support +/- postnatal
Consultant clinics