1. Roisin Lennon RAMP Midwifery Care SUH
RAMP SUH
Responding to the Challenges of Change Maternity Services Sligo University Hospital
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Roisin Lennon RAMP Midwifery Care SUH

2. Roisin Lennon RAMP Midwifery Care SUH
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Roisin Lennon RAMP Midwifery Care SUH

3. Roisin Lennon RAMP Midwifery Care SUH
“The greatest privilege of a human life is to become a midwife to the awakening of the Soul in another person.” Plato
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Roisin Lennon RAMP Midwifery Care SUH

4. Roisin Lennon RAMP Midwifery Care SUH
Highly skilled and recognised expert who provides a complete episode of care for healthy pregnant women and their new-born babies
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Roisin Lennon RAMP Midwifery Care SUH

5. Roisin Lennon RAMP Midwifery Care SUH
Policy Change UK
1940s birth shifted from home to hospital
/3rd births in hospital
1970 <5% home birth
>1970 ↑ technology
>Intervention no ↓ problems
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Roisin Lennon RAMP Midwifery Care SUH

6. Roisin Lennon RAMP Midwifery Care SUH
1990s on
Research/Evidence Based Practice
Woman’s Choice
National Maternity Strategy
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Roisin Lennon RAMP Midwifery Care SUH

7. Roisin Lennon RAMP Midwifery Care SUH
Changing Practice
Normalise birth
Reduce Unnecessary Intervention
Continuity of care
Partnership woman, family and midwife
Informed decision making
One to one Midwifery Care
Educate woman and family
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Roisin Lennon RAMP Midwifery Care SUH

8. Roisin Lennon RAMP Midwifery Care SUH
Irish Midwives
4000 Practising Midwives 10 RAMP births/year 19 maternity units 2 Midwife Led Units 3 DOMINO/Home birth
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Roisin Lennon RAMP Midwifery Care SUH

9. Roisin Lennon RAMP Midwifery Care SUH
Births SUH
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Roisin Lennon RAMP Midwifery Care SUH

10. Service Needs Analysis
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Roisin Lennon RAMP Midwifery Care SUH

11. “Every women needs a midwife and some need a doctor too.”
Sandall 2011
“Every women needs a midwife and some need a doctor too.”
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Roisin Lennon RAMP Midwifery Care SUH

12. Roisin Lennon RAMP Midwifery Care SUH
Vision for AMP
Midwifery model of care for supported care
Normalising pregnancy and birth assisted care-e.g. raised BMI/VBAC, stable medical conditions
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Roisin Lennon RAMP Midwifery Care SUH

13. Roisin Lennon RAMP Midwifery Care SUH
Change
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Roisin Lennon RAMP Midwifery Care SUH

14. Roisin Lennon RAMP Midwifery Care SUH
Criteria
Supported Care
Assisted/Advanced Practice Care
Stakeholder agreement
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Roisin Lennon RAMP Midwifery Care SUH

15. Roisin Lennon RAMP Midwifery Care SUH
RAMP Pathway
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Roisin Lennon RAMP Midwifery Care SUH

16. RAMP SUH Ongoing recruitment at each ANC
Option 1: Midwife couch at consultant clinic SUH (supported and assisted care)
Option 2: Midwife antenatal clinic Mon pm (supported care)
Option 3: Outreach antenatal clinic Tues pm (supported and assisted care)
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Roisin Lennon RAMP Midwifery Care SUH

17. Roisin Lennon RAMP Midwifery Care SUH
SUH ANC Care 2017
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Roisin Lennon RAMP Midwifery Care SUH

18. Roisin Lennon RAMP Midwifery Care SUH
RAMP Care 2017
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Roisin Lennon RAMP Midwifery Care SUH

19. Roisin Lennon RAMP Midwifery Care SUH
Caseload 2017
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Roisin Lennon RAMP Midwifery Care SUH

20. Roisin Lennon RAMP Midwifery Care SUH
Caseload 2017
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Roisin Lennon RAMP Midwifery Care SUH

21. Roisin Lennon RAMP Midwifery Care SUH
Support Services
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Roisin Lennon RAMP Midwifery Care SUH

22. Roisin Lennon RAMP Midwifery Care SUH
RAMP Birth 2017
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Roisin Lennon RAMP Midwifery Care SUH

23. Roisin Lennon RAMP Midwifery Care SUH
Comparing SUH
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Roisin Lennon RAMP Midwifery Care SUH

24. Roisin Lennon RAMP Midwifery Care SUH
EM CS RAMP
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Roisin Lennon RAMP Midwifery Care SUH

25. Roisin Lennon RAMP Midwifery Care SUH
To be done
Midwife discharge
Midwife suturing
Community service
Extend clinics
Midwife Care Birthing Room
Early transfer home
2nd RAMP
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Roisin Lennon RAMP Midwifery Care SUH

26. Thanks for Listening Any Questions?
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Roisin Lennon RAMP Midwifery Care SUH

27. Roisin Lennon RAMP Midwifery Care SUH
Sheila Stubbs
“The midwife considers the miracle of childbirth as normal, and leaves it alone unless there's trouble. The obstetrician normally sees childbirth as trouble; if he leaves it alone, it's a miracle.” 
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Roisin Lennon RAMP Midwifery Care SUH