Miscarriage Care and Facilities in Scotland: Scoping Report NHS Grampian
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
In NHS Grampian both Aberdeen Maternity Hospital and Dr Gray’s Hospital reported that they have written clinical guidance for clinical staff on the appropriate treatment and care for miscarriage at all gestations. There is agreement across these two sites 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. Both sites also agree that the same pathways of care are followed across sites (Table 22). As the other sites in NHS Grampian refer to Aberdeen Maternity Hospital the guidelines would be utilised there.
| Aberdeen Maternity Hospital | Dr. Gray’s Hospital | Fraserburgh Hospital | Peterhead Community Hospital | Jubilee Hospital | Inverurie Health & Care Hub | |
|---|---|---|---|---|---|---|
| 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 | No | No | No | No |
| All staff that need to have access to the clinical guidance on miscarriage care have access to it | Strongly agree | Agree | Not asked | Not asked | Not asked | Not asked |
| The clinical guidance on miscarriage care is followed by all staff that care for women experiencing miscarriage | Strongly agree | Agree | Not asked | Not asked | Not asked | Not asked |
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 Aberdeen Maternity Hospital and Dr Gray’s Hospital.
Women that present at Peterhead Community Hospital and Inverurie Health & Care Hub are referred to Aberdeen Maternity Hospital for miscarriage management.
Fraserburgh Hospital and Jubilee Hospital would also refer women experiencing miscarriage to Aberdeen Maternity Hospital.
| Aberdeen Maternity Hospital | Dr Gray’s Hospital | Fraserburgh Hospital | Peterhead Community Hospital | Jubilee Hospital | Inverurie Health & Care Hub | |
|---|---|---|---|---|---|---|
| There are staff with additional specialist training to deal with all baby losses from early pregnancy to stillbirth | Provided on site | Provided on site | Not currently provided – no plans to implement | Can refer/access locally – not on site (within HB area) | Not currently provided – no plans to implement | Can refer/access locally – not on site (within HB area) |
| There are midwives/nurses with additional specialist training to provide comprehensive miscarriage care | Provided on site | Provided on site | Not currently provided – no plans to implement | Can refer/access locally – not on site (within HB area) | Not currently provided – no plans to implement | Can refer/access locally – not on site (within HB area) |
| There are midwives/nurses with additional specialist training for recurrent miscarriage care | Provided on site | Not currently provided – no plans to implement | Not currently provided – no plans to implement | Can refer/access locally – not on site (within HB area) | Not currently provided – no plans to implement | Can refer/access locally – not on site (within HB area) |
| Specialised medical staff are trained specifically for recurrent miscarriage care | Provided on site | Not currently provided – no plans to implement | Not currently provided – no plans to implement | Can refer/access locally – not on site (within HB area) | Not currently provided – no plans to implement | Can refer/access locally – not on site (within HB area) |
| Doctors are trained to provide comprehensive miscarriage care | Provided on site | Provided on site | Not currently provided – no plans to implement | Can refer/access locally – not on site (within HB area) | Not currently provided – no plans to implement | Can refer/access locally – not on site (within HB area) |
Contact
Email: socialresearch@gov.scot
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