Miscarriage Care and Facilities in Scotland: Scoping Report NHS Dumfries and Galloway

Staff guidance, skills and training

Written clinical guidance

Both sites in NHS Dumfries and Galloway offer written clinical guidance for clinical staff on the appropriate treatment and care for miscarriage at all gestations. There is agreement across both sites that all necessary staff that require access to this clinical guidance have access to it. Galloway Community Hospital agree that clinical guidance on miscarriage care is followed by all staff that care for women experiencing miscarriage, while Dumfries and Galloway Royal Infirmary neither agree or disagree (Table 22)

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

There are staff with additional specialist training to deal with all baby losses including miscarriage and stillbirth at Dumfries and Galloway Royal Infirmary (Table 23). Both sites noted that a small number of women use these services and Galloway Community Hospital reported that they act as a community midwifery hub only with no additional staff specifically for baby loss.