Miscarriage Care and Facilities in Scotland: Scoping Report NHS Borders

Staff guidance, skills and training

Written clinical guidance

NHS Borders reported that they have written clinical guidance for clinical staff on the appropriate treatment and care for miscarriage at all gestations. There is strong agreement that all necessary staff that require access to this clinical guidance have access to it and it was agreed that this guidance is followed for women experiencing miscarriage (Table 22).

The recommendations from the Lancet on skills and training for miscarriage care are shown in Table 23 below.

In NHS Borders there are staff with additional specialist training to deal with all baby losses including miscarriage and stillbirth at Borders General Hospital. Currently, there are no midwives/nurses with additional specialist training for recurrent miscarriage care with Borders General Hospital and there are no plans to implement this as the numbers of women who would require this service are so small they are currently managed through the pregnancy loss clinic. NHS Borders indicated that if a midwife/nurse showed an interest in training for recurrent miscarriage care it could be provided. Additional services listed in Table 23 below are provided at Borders General Hospital.