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Maternity Assessment Unit

Maternity Assessment Unit. Triage How did we manage before? Ursula Marsh Caryl Flory Clinical Midwifery Manager Band 7 Midwife. Maternity Assessment Unit. Opened in February 2010 2 examination rooms

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Maternity Assessment Unit

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  1. Maternity Assessment Unit Triage How did we manage before? Ursula Marsh Caryl Flory Clinical Midwifery Manager Band 7 Midwife

  2. Maternity Assessment Unit Opened in February 2010 2 examination rooms 1 larger room with 1 couch and 4 reclining chairs Open 24 hours a day Alongside the Fetal Assessment Unit Staffed by experienced midwives; 2 midwives day time 1 midwife and a MSW night time

  3. Maternity Assessment Unit Aim Relieve pressure on delivery suite To free Midwives time on delivery suite to care for labouring women Quick and appropriate assessment of women via phone or attendance (optimal time spent in triage – 60 minutes) Provide information and reassurance for women Reduce admissions within maternity unit

  4. Maternity Assessment Unit Criteria for assessment on MAU • Women requiring confirmation of labour/SRM(>/= 37/40) • Reduced fetal movements (Out of FAU hours) • Vaginal bleeding in absence of placenta praevia (mild) • Abdominal pain (mild) • Any woman who has phoned more than twice in 24hrs • Postnatal problems • Suspected DVT • Suspected PET (Out of FAU hrs) • Suspected Obstetric Cholestasis (Out of FAU hrs)

  5. Maternity Assessment Unit Exclusion criteria – those who should not be seen on MAU • Suspected labour <37 weeks • Suspected SRM <37 weeks • Multiple pregnancy - suspected labour/SRM • Heavy vaginal bleeding/placenta praevia • Secondary PPH

  6. Maternity Assessment Unit Women who are actually seen on MAU: EVERYONE

  7. Comments from staff on the labour ward: • More rooms available for those who need to be on delivery suite • Able to take IOL/those in labour from Antenatal ward quicker – therefore more beds available for admissions • Midwives able to provide more one to one care • Time saved not answering phone calls- less interruptions • The labour ward environment is quieter!!!!! Maternity Assessment Unit

  8. Total number of clinical episodes since opening 15th February 2010: Maternity Assessment Unit 8949

  9. Maternity Assessment Unit Who refers women to unit?

  10. Maternity Assessment Unit Why are women referred to unit?

  11. Maternity Assessment Unit Where are women referred to following assessment?

  12. Maternity Assessment Unit How long are women spending on unit? Average time when seen by midwife – 52 minutes Average time when seen by Midwife and Doctor – 101 minutes Average time spent on MAU – 68 minutes

  13. Maternity Assessment Unit

  14. Time at which women attend MAU – 15th February to 30th June 2010

  15. Any Questions? Maternity Assessment Unit

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