Lucas, Amanda; Midwives; 2012

Hitting performance targets.
Citation: Midwives, Jan 2012, vol. 15, no. 6, p. 44-45, 1479-2915 (2012)
Author(s): Lucas, Amanda
Source: BNI
Full Text: Available from ProQuest in Midwives  (Athens details required)
Available from EBSCOhost in Midwives


Marketing in maternity.
Citation: Midwives, Jan 2012, vol. 15, no. 3, p. 42-43, 1479-2915 (2012)
Author(s): Lucas, Amanda
Source: BNI
Full Text: Available from ProQuest in Midwives
Available from EBSCOhost in Midwives

Maternity guidance for doctors in training

This factsheet from NHS Employers, provides guidance for doctors in training who need to plan maternity leave. The factsheet includes information on timelines for telling your employer you are pregnant, when to take maternity leave, maternity pay and advice for doctors in training who may be moving between employers. It also includes a helpful flowchart, which gives an indication of actions to take and what to expect when planning maternity leave.

NB: Employers need to be aware of the potential for overpayment in circumstances where a doctor moves on rotation at a late stage of the pregnancy when SMP and NHS maternity pay may be paid by different employers. The two employers involved will need to liaise closely to ensure that total pay is at the correct level.

Maternity issues for doctors in training

Lucas, A; BJM, Dec 2012; Interpreting cardiotocographs using soft systems methodology

Another article from Amanda Lucas, Deputy Head of Midwifery and Women’s Services/Supervisor of Midwives, Macclesfield Hospital.

This article in the BJM will outline and contexualise the problem of poor
cardiotocograph (CTG) interpretation within maternity services. By
applying creative thinking or a soft systems methodology to this ‘wicked’
problem, reference to other approaches will be provided and the reasons
for rejection considered. Finally, through reflection, the appropriateness
of the creative thinking approach will be critiqued and future action

Introduction:  Within the health service it is widely acknowledged that practitioners take responsibility for the care they provide and are answerable to their own judgements and actions (Manley et al, 2011). In midwifery, the practitioner is responsible for the health and safety of both the mother and baby. During labour, women with identified potential risks to either themselves or their baby will receive continuous fetal monitoring by cardiotocograph (CTG) (National Institute for Health and Clinical Excellence (NICE), 2007).

Amanda Lucas
British Journal of Midwifery,  Vol. 20, Iss. 12, 05 Dec 2012, pp 866 – 870

£25m maternity ward boost announced

ImageExtra funding for maternity wards will provide ensuites and beds for partners, the Government has announced. The £25m initiative endeavors to keep couples and families close together during childbirth.

The money will also be used to provide separate rooms for mothers who have lost their babies during childbirth, which ensures that they will not have to share wards with new mothers.   Read the full story

Improving safety in maternity services: a toolkit for teams

This toolkit is organised around five key areas for improvement in maternity care: teamworking; communication; training; information and guidance; and staffing and leadership. Each section begins with a brief explanation on how focusing on improvements in each area can contribute to improved safety. It then highlights some of the experiences of the maternity teams who focused on this issue and their key learning points. There are also short summaries of tools that can be used to improve safety.

Kings Fund: 25 November

Royal College of Obstetricians and Gynaecologists (RCOG)

The care of women requesting induced abortion: evidence-based clinical guideline number 7
These guidelines are for all healthcare professionals and aim to ensure that all women considering induced abortion have access to a high quality service based on national standards. The recommendations cover commissioning and organising services, possible side effects and complications, pre-abortion management, abortion procedures and follow up care.

National Institute for Health and Clinical Excellence (NICE)

Caesarean section
NICE has published an update to its existing guidelines on caesarean section. It is hoped that these new recommendations mean more women may avoid unnecessary surgery and that changes in practice will reduce post-operative infections. It also recognises that mental health issues, as well as physical conditions, are possible indications for caesarean section.

Royal College of Midwives

State of maternity services report 2011
This report looks at a number of indicators of the pressures on maternity care and the resources available to cope in each of the four United Kingdom countries. It finds that a significant increase in the number of births in each of the four countries, and a trend towards older mothers, is increasing the pressures on maternity care throughout the UK. In England, and in the last few years Wales, this has led to a substantial deficit in the workforce needed to provide a safe level of care to women and their babies.