Miscarriage Care and Facilities in Scotland: Scoping Report NHS Ayrshire and Arran
This report details the findings of a scoping exercise to better understand miscarriage care in Scotland within this Health Board. The individual Health Board reports and the national report seek to aid policy makers and Health Boards in making decisions about improvements to Miscarriage Care
Staff guidance, skills and training
Written clinical guidance
All sites in NHS Ayrshire and Arran reported that they have written clinical guidance for clinical staff on the appropriate treatment and care for miscarriage at all gestations. All three sites strongly agreed that all necessary staff that require access to this clinical guidance have access to it and that this guidance is followed for women experiencing miscarriage. All sites also agreed that the same pathways of care are followed in all sites (Table 22)
| University Hospital Crosshouse, including Ayrshire Maternity Unit | University Hospital Ayr | Arran War Memorial Hospital | |
|---|---|---|---|
| Is there written clinical guidance for clinical staff on the appropriate treatment and care for miscarriage at all gestations within this site | Yes, at all gestations | Yes, at all gestations | Yes, at all gestations |
| All staff that need to have access to the clinical guidance on miscarriage care have access to it | Strongly agree | Strongly agree | Strongly agree |
| The clinical guidance on miscarriage care is followed by all staff that care for women experiencing miscarriage | Strongly agree | Strongly agree | Strongly agree |
The recommendations from the Lancet on skills and training for miscarriage care are shown in Table 23 below.
In NHS Ayrshire and Arran, all three sites reported that there are staff with additional specialist training to deal with all baby losses including miscarriage and stillbirth. Additional services listed in Table 25 below are provided at University Hospital Crosshouse.
| University Hospital Crosshouse, including Ayrshire Maternity Unit | University Hospital Ayr | Arran War Memorial Hospital | |
|---|---|---|---|
| There are staff with additional specialist training to deal with all baby losses from early pregnancy to stillbirth | Provided on site | Provided on site | Provided on site |
| There are midwives/nurses with additional specialist training to provide comprehensive miscarriage care | Provided on site | Can refer/access locally – not on this site | Can refer/access – not locally |
| There are midwives/nurses with additional specialist training for recurrent miscarriage care | Provided on site | Can refer/access locally – not on this site | Can refer/access – not locally |
| Specialised medical staff are trained specifically for recurrent miscarriage care | Provided on site | Can refer/access locally – not on this site | Can refer/access – not locally |
| Doctors are trained to provide comprehensive miscarriage care | Provided on site | Can refer/access locally – not on this site | Can refer/access – not locally |
Both Arran War Memorial Hospital and University Hospital Ayr said they can refer or access the above services through University Hospital Crosshouse.
Contact
Email: socialresearch@gov.scot
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