Maternity Morbidity & Mortality Forum

SW Victoria

(Your Service Name and Brand here)e.g Timboon District Healthcare Service

15 minutes to present STATS & case presentation 5 minute group comment

Service Capability

Level of service aligned with Department of Health Capability framework

Level = Variance to Capability (no of episodes /

cases) over past 12 months = Reasons (Workforce / equipment)

General Service Stats

Total Number of Births = Primigravida = Multigravida = Total Number of babies Born =

Mode of birth

Your Service Normal birth % Forceps % Ventouse % EL LUSCS % EM LUSCS % Vaginal Breech % VBAC %

Statewide STATS Normal Birth % Forceps % Ventouse % EL LUSCS % EM LUSCS % Vaginal Breech % VBAC %

Maternity STATS

Your Service IOL Primips %Gestation @ induction = IOL Multi’s %Gestation @ Induction = PPH = MROP = Stillbirths = Neonatal Deaths =

State STATS IOL Primips %Gestation @ induction = IOL Multi’sGestation @ induction = PPH = MROP = Stillbirths = Neonatal deaths =

Analgesia / Anaesthesia Labour & Birth Your Service Nil % Inhalational % Narcotic % Epidural % Spinal % GA % Other %

State STATS Nil % Inhalational % Narcotic % Epidural % Spinal % GA % Other %

Maternal transfers out to a service / clinician providing higher level of care (brief reason for transfer)

Number of Antenatal Transfers = Number of Intrapartum Transfers = Number of Postnatal Transfers = Transfers back to referring service <

24hrs (if > 24hrs provide comment)

Neonatal Transfers out

Your Service IUGR Prematurity < 37 weeks Prematurity < 32 weeks Low Apgar Scores Sepsis Respiratory Distress Asphyxia / HIE Other

State STATS Mat Indicator 2 – term

infants transferred out.

Case presentation guide(omit this slide when you have selected your case)

e.g. IOL CTG reduced variability / reactivity- baseline FHR 100 method of induction Labour History Birth History (type of birth, NVB, Assisted, LUSCS) Apgar Scores Neonatal management (resuscitation) Transfer details Investigations Outcome Discharge Post discharge follow up

Case presentation selected by service Age, Primip / Multi Intended place of birth, actual place of birth - ? Transfer Description of condition / diagnosis Past Obstetric History Past Medical History relevant to clinical situation Tests & Investigations this pregnancy?

Clinical Picture; pregnancy / birth post partum Sequence of events Treatment Outcome Implications for ongoing practice Evidence Base

Group Discussion Expert Comments Analyse the circumstances Recommendations for future practice Initiate appropriate action for process

improvement