1.
NORMAL BIRTH PROJECT EARLY LABOUR LOUNGE Ali Herron – Consultant Midwife NECLEs HIEC Optimising opportunities for normal birth

2.
<ul><li>Local reviews of maternity services – MSLC and ward surveys </li></ul><ul><li>User group - Responding and designing services in response to local needs and care provision </li></ul><ul><li>Research results and recommendations </li></ul><ul><li>Acknowledgement that the service was not meeting local needs – in particular </li></ul><ul><ul><li>Poor User Experience </li></ul></ul><ul><li>Relating to Antenatal Ward </li></ul>History and Background

3.
Key issues <ul><li>Poor user experience: </li></ul><ul><li>Environment </li></ul><ul><li>Staff attitude </li></ul><ul><li>Accessibility </li></ul><ul><li>Service perspective: </li></ul><ul><li>Local population who access services early </li></ul>

4.
Antenatal Ward <ul><li>Provides maternity triage </li></ul><ul><li>Long stay in patient services </li></ul><ul><li>Induction of labour </li></ul><ul><li>Overwhelmed with activity </li></ul><ul><li>Poor staff attitude </li></ul>

5.
Ward Changes <ul><li>Reduction in inpatient beds </li></ul><ul><li>IOL suite </li></ul><ul><li>Consolidated triage – women with ?labour and ?SROM </li></ul><ul><li>Main triage moved to MFAU </li></ul><ul><li>Early labour suite </li></ul>

6.
Early Labour provision <ul><li>Comfortable and homely </li></ul><ul><li>Provides safe but “hands off” space for women in early labour </li></ul><ul><li>Soft furnishings, bean bags, low lighting, music, complimentary therapies </li></ul><ul><li>Privacy with screens </li></ul><ul><li>Supports the normal birth project </li></ul><ul><li>Key to reducing caesarean section rates </li></ul>

7.
Guidance and teaching <ul><li>Early labour care bundle </li></ul><ul><li>Teaching of latent phase on in house study days </li></ul><ul><li>Normal birth and active birth training </li></ul><ul><li>Updating/reminders at hand over </li></ul><ul><li>Green rules </li></ul>

8.
User Feedback <ul><li>Picker Survey commissioned by the Care Quality Commission </li></ul><ul><ul><li>81% antenatal (excellent, very good or good) </li></ul></ul><ul><ul><li>85% labour (excellent, very good or good) </li></ul></ul><ul><ul><li>67% post natal (excellent, very good or good) </li></ul></ul><ul><li>Real Time Hospital Surveys in clinical areas </li></ul><ul><li>User Group Reflections – more positive </li></ul><ul><li>Reduced number of complaints re attitude </li></ul>

9.
Future service