WHAT MATTERS TO ME ?

Midwife led VBAC and trauma clinic

Maureen McSherryConsultant Midwife NHs

Lanarkshire

A healthy baby is all that matters?

Birth is a life defining experience that sticks with you.

Ask most mums about their birth story and you can see and hear the emotions rush as they share these stories good or bad that we vividly relive over and over whether we want to or not

Vaginal Birth after Caesarean (VBAC) and trauma clinic Aims

90% of women experience a positive, respectful, family centered birth.

Women are invited to attend clinic and discuss what would give them the most positive birth experience. Information and communication which is understood facilitates the shared decision making.

Results so Far

Referrals to Midwife Led VBAC clinic

0

5

10

15

20

25

30

35

40

Jun/Aug13

Sep/ Nov13

Dec/Feb14

Mar/May14

Jun/Aug14

Sep/Dec14

Number of referrals

outcome of VBAC request

47%

13%

33%

7%

SVD

instrument vaginal

el c/section

em c/section

•14 women with previous traumatic births all requesting elective C Section – outcome 11 SVD; 2 Emergency C Section & 1 elective C Section•All 16 women referred with anxiety/trauma not associated with childbirth have achieved the birth outcome they requested

At your VBAC clinic you talked me through my past labour and explained why decisions were taken and in our hour meeting you lifted a huge weight and relieved me of guilt I have silently carried for a year.You were supportive in my hope for a VBAC and I left feeling positive about my second birth

You helped make a very calm entrance for my baby boy and I will always be thankful to you You being there

made such a difference to us and thankfully say a much better experienceThank you for your input in

ensuring my daughter had a positive labour and birth experience. The preparation and care given was excellent

Lorna’s Story

• Her first birth 2 ½ years ago A boy Cameron.

• Forcep delivery.

• Requested an Elective C Section in this pregnancy due to previous birth trauma – referred to clinic…………

What matters to me -Wordle

Birth Matters

A positive,

respectful,

family centred birth experience

for everyone.