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Complex Pregnancies

What is the programme and its aims?
This programme focuses on women who have complex pregnancies for a variety of reasons. Our overall aim is to improve the identification and care of women in the East Midlands who are at higher risk, and to ensure a consistent, optimised approach to the care of these women to improve their experience and outcomes. Focusing on selected risk factors we are endeavouring to agree an East Midlands approach, building on national recommendations and evidence, then supporting implementation and audit. We engage clinicians and commissioners to maintain a sustainable East Midlands Complex Pregnancies Network that will improve services in accordance with national service standards, delivering care as close to home as possible. This work will encompass both fetal medicine and maternal medicine.              

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What is the programme and its aims?
Fetal medicine is the speciality that encompasses any extra care required for babies in the womb, such as for smaller babies or babies with other complications. All maternity services provide some fetal medicine care, with some services providing more specialised care for mothers and babies with particularly complex or highly specialised needs. In order to provide the best care closest to home within the East Midlands we are approaching the provision of fetal medicine via the development of a virtual operational delivery network, which includes all trusts, to provide a comprehensive service, with placental laser treatment being the only specialised care that is not delivered in the area.

Fetal medicine has been separated from standard maternity care provision, and is provided to differing levels within different services. Recognising the importance of provision of these services to pregnant women, trusts within the East Midlands have universally agreed to the ongoing provision of these services whilst participating in a network arrangement to allow local expertise and care close to home. In addition, a networked delivery approach will allow effective pathways into and out of specialist services and ensure sustainable local services which fulfil specialised services specifications and meet the criteria for dedicated funding.

             

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