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SEC Normalising Birth Project

This project aims to support normal birth and reduce Cesarean section rates for nulliparous women through regional innovations. By developing a regional database, addressing Group 1 and Group 5 using extended Robson groups, and providing standard information at the VBAC Clinic, the project seeks to equip staff with evidence-based advice and increase confidence among professionals. The initiative includes debrief sessions, patient satisfaction surveys, and visual material like an ECV information DVD. Successful filming of ECV procedures and positive feedback from parents and healthcare providers contribute to the project's goal of normalizing the birth environment. The Normalising Birth Team at MTW NHS Trust spearheads this effort led by Consultant Obstetrician Leila Frodsham, with facilitators Lynne Thomas and Lisa Massey.

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SEC Normalising Birth Project

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  1. SEC Normalising Birth Project • Successful bid Regional Innovations Fund • Project to support normal birth • Supported by the SHA • Supported by NHS Institute for Innovation and Improvement

  2. Aims of project • Develop regional database using extended Robson groups • Groups 1 and 5 to be addressed • Reduce CS rate/increase normal births

  3. Group 1 nulliparous women • Normalising the birth environment – challenges • 2 low risk rooms at Maidstone • New hospital 7 low risk rooms when fully merged • Art work

  4. Group 5 Previous CS • Using data identified high repeat CS rate in this group • Also identified CS for breech presentation also appeared high

  5. Previous CS • Needed to determine why women not choosing VBAC (inconsistent advice no debrief) • How to address standardising advice and information

  6. VBAC Clinic • Agreement at Clinical governance • Letter to CMW – referral criteria/leaflet • Weekly clinic each site with 4 appts • 45 min Appt (30 min debrief 15 min plan)

  7. Running since August • Well attended • Volume – some still see Obs team first • Debrief – very powerful,emotional • Patient Satisfaction survey • Future plan - P/N letter

  8. ECV • Women not having ECV – why? • Confidence/knowledge of professionals • What could we do to equip staff to give evidence based advice • Visual information for women

  9. ECV information DVD • Including Explanation of risks and benefits Who is suitable Filming of successful ECV Comments from Obs,MW and parents.

  10. First find your breech! • Then get her to agree to be filmed! • First one filmed was a success • Voice over's/interviews- parents very positive • Result is realistic and evidenced based advice • Trust website/issue to CMW/for sale today! • You can view it during the tea break

  11. Normalising Birth Team MTW NHS Trust: Leila Frodsham Consultant Obstetrician Lynne Thomas and Lisa Massey Midwife Facilitators

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