Torbay runs caseload midwifery who also operate on this principle. In the
light of the poor predictive ability of most risk factors of actual
complications occurring, we are looking at this issue on the birth sub-group
of the NSF EWG for maternity care. I would welcome any other examples of
sites who are operating on this principle that I can feed into the group.
regards
Jane Sandall
----- Original Message -----
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To: <[log in to unmask]>
Sent: Friday, January 17, 2003 1:40 PM
Subject: [birthcentres] Digest Number 485


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> Topics in this digest:
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>       1. Re: RE:quantiying risk in low risk women and guidelines
>            From: Soo Downe <[log in to unmask]>
>
>
> ________________________________________________________________________
> ________________________________________________________________________
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> Message: 1
>    Date: Fri, 17 Jan 2003 10:33:06 +0000 (GMT)
>    From: Soo Downe <[log in to unmask]>
> Subject: Re: RE:quantiying risk in low risk women and guidelines
>
>
> I agree 100% with you and others on this Susan - whatever a womens
personal or family background, she is not at risk in this current pregnancy
until there are clear and present signs of developing pathology, in my
opinion, and the nature and threat of this pathology will be individual and
specific, and not easily captured in a pre-defined list of 'risk factors'
derived from population based data.  As I understand it, the Bath & Wells
midwife led units operate this philosophy, with women being booked at the
mlu's by default (unless they choose the consultant unit) and only referred
for obstetric opinion and/or transferring if there is actual and imminent
pathology. Is this true? Can anyone let us know how it works, if this true?
> all the best
>
> soo
>  "Burvill, Susan" <[log in to unmask]> wrote: Dear
Colleagues,
> Lots of interesting emails on the list about guidelines. Anyone got any
> suggestions about how we 'Quantify low risk' ? I have a huge problem with
> measuring risk in normal midwifery and have said so at many meetings. I
> think it buys in to the medical model and distracts as from midwifery
health
> and wellbeing assessments that we do constantly thoughout our contacts
with
> women. But the present climate is 'risk'orientated and I have been asked
to
> look at how to quantify the low risk population. Anyone else talking this?
> Your thoughts.
> For those I have been in contact with re: feasibility study for a Birth
> Centre in Cambridge, it was submitted today - watch this space!
> Regards
> Susan
>
> Susan Burvill
> Consultant Midwife
> Rosie Hospital, Box 224
> Addenbrookes NHS trust
> Robinson Way
> Cambridge CB2 2AW
> Direct line: 01223 217745
> Ext: 3745
> Pager: 08700 555500 ask operator for 'susan20' then leave message)
>
>
> -----Original Message-----
> From: [log in to unmask] [mailto:[log in to unmask]]
> Sent: 07 January 2003 18:40
> To: [log in to unmask]
> Subject: [birthcentres] MLU guidelines
>
> Hi Carole
> I'm also a member of this group. We have almost identical criteria for
both
> the birthcentre at Watford and the up and coming Hemel BC. Hemel are more
up
>
> to date though. Would you be interested when we start reviewing our older
> giudelines?
> Birte
>
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