Miscarriage Care and Facilities in Scotland: Scoping Report NHS Forth Valley

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

NHS Forth Valley reported that Forth Valley Royal Hospital offer 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 they agreed that this guidance is followed for women experiencing miscarriage (Table 22).

Table 22: Clinical guidance in NHS Forth Valley
  Forth Valley Royal 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
All staff that need to have access to the clinical guidance on miscarriage care have access to it Strongly agree
The clinical guidance on miscarriage care is followed by all staff that care for women experiencing miscarriage Agree

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

In NHS Forth Valley, the Forth Valley Royal Hospital reported that there were barriers to providing tailored miscarriage services due to a lack of a lead nurse for the EPU. While several nurses have a special interest in this service they do not have time to run a nurse led recurrent miscarriage clinic.

Table 23: Staff skills and training in NHS Forth Valley
  Forth Valley Royal Hospital
There are staff with additional specialist training to deal with all baby losses from early pregnancy to stillbirth Provided on site
There are midwives/nurses with additional specialist training to provide comprehensive miscarriage care Provided on site
There are midwives/nurses with additional specialist training for recurrent miscarriage care Not currently provided - no plans to implement
Specialised medical staff are trained specifically for recurrent miscarriage care Provided on site
Doctors are trained to provide comprehensive miscarriage care Provided on site

Contact

Email: socialresearch@gov.scot

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