Changing Childbirth.
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| a. | the Cumbernauld report was of particular significance | |
| The following were recommended: | ||
| b. | every woman should have an identified lead professional, either a Consultant Obstetrician or General Practitioner | |
| c. | there should be increased scope for home delivery if the woman wished it and there were no contra-indications | |
| d. | "flying squad" services should be available from all specialist maternity units to facilitate an increase in the provision of home delivery. | |
| e. | midwives should be allowed access to hospital beds | |
| f. | service consumers should be involved in planning services | |
| g. | post natal stay in hospital should normally be 24 hours for multiparous patients and 48 hours for nulliparous | |
| h. | rationalisation of antenatal care with reduction in planned visits for low risk women | |
| In assessing implementation: | ||
| i. | assessment should be made within three years | |
| j. | at least 30% of women should be entitled to be responsible for their own antenatal notes | |
| k. | all women should have a "named" midwife as lead professional | |
| l. | at least 50% of women should be delivered by a midwife they know | |
| m. | at least 30% of women delivered in a maternity unit should be under the management of their midwife | |
| n. | all ambulances should have a paramedic trained to support a midwife in an emergency. |
| Answer |
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