The Hands-on Guide to Midwifery Placements by Cescutti-Butler Luisa; Fisher Margaret;

Author:Cescutti-Butler, Luisa; Fisher, Margaret; [Fisher, Margaret]
Language: eng
Format: epub
ISBN: 9781118712511
Publisher: Wiley
Published: 2015-12-30T00:00:00+00:00

Learning Opportunities Available

Clinical areas to which you are allocated will vary in what ‘high-risk’ situations may present. At one end of the scale, you may be placed in low-risk settings such as community and stand-alone, midwife-led or alongside birth centres. At the other end, you may be allocated to an acute, specialist maternity unit in which ‘high risk’ is bread and butter to the staff. Somewhere in between you may be placed in maternity units which cater for women and babies who are in low and medium risk categories, having the facilities to cope with deviations within certain constraints before they may require tertiary referral to a more specialised hospital. These may include, for example, maternity units which will accommodate women after a certain gestation (e.g. 29 weeks) – prior to which they would have been under the care of a centre with more specialist neonatal facilities. The following categorisation of neonatal care was introduced in the United Kingdom in 2011 by the British Association of Perinatal Medicine (2011):

Intensive care: Care provided for babies who are the most unwell or unstable and have the greatest needs in relation to staff skills and staff to patient ratios.

High dependency care: Care provided for babies who require highly skilled staff but where the ratio of nurse to patient is less than intensive care.

Special care: Care provided for babies who require additional care delivered by the neonatal service but do not require either intensive or high dependency care.

Transitional care: Care that can be delivered in two service models, within a dedicated transitional care ward or within a postnatal ward. In either case, the mother must be resident with her baby and provide care.

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