Miscarriage Care and Facilities in Scotland: Scoping Report NHS Shetland

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 Shetland, the Gilbert Bain Hospital reported that they have written clinical guidance for clinical staff on the appropriate treatment and care for miscarriage for first trimester losses. The Gilbert Bain Hospital agrees 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 (Table 19).

Table 19: Clinical guidance in NHS Shetland

Gilbert Bain Hospital

Is there written clinical guidance for clinical staff on the appropriate treatment and care for miscarriage at all gestations within this site?

Yes, but only for the first trimester

All staff that need to have access to the clinical guidance on miscarriage care have access to it

Agree

The clinical guidance on miscarriage care is followed by all staff that care for women experiencing miscarriage

Agree

The recommendations from The Lancet in regard to skills and training for miscarriage care are shown in Table 20 below.

In NHS Shetland, there are staff with additional specialist training to deal with all baby losses from early pregnancy to stillbirth at the Gilbert Bain Hospital. Additional services listed in Table 20 are not currently provided within NHS Shetland, however these can be accessed outwith the Health Board area at a tertiary referral centre (NHS Grampian) where all services are provided.

Table 20: Staff skills and training in NHS Shetland

Gilbert Bain 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

Can refer/access (outwith HB area)

There are midwives/nurses with additional specialist training for recurrent miscarriage care

Can refer/access (outwith HB area)

Specialised medical staff are trained specifically for recurrent miscarriage care

Can refer/access (outwith HB area)

Doctors are trained to provide comprehensive miscarriage care

Can refer/access (outwith HB area)

Contact

Email: socialresearch@gov.scot

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