Roisin Lennon

19. Changing the face of midwifery care through advanced practice in 21st century Ireland

May 5, 2021 @ 16:00 – 16:50 UTC Timezone
Room 1 - BBB

Speaker: Roisin Lennon

Facilitator: Carol Maringa

Background: Midwifery led care is not the norm in Ireland. A locally rising caesarean section rate and unnecessary interventions resulted in the Registered Advanced Midwife Practitioner (RAMP) led service being introduced in 2017 to normalise pregnancy for medium risk women. Aim: To offer choice and to establish a safe, quality service for the agreed caseload of women in this North West of Ireland Maternity Unit. Method: A retrospective analysis of women attending RAMP care from November 2019-November 2020 compared to the birth outcomes for similar risk women attending for obstetric led care in this North West of Ireland Maternity Unit. Findings: Maternal outcomes for those attending for RAMP versus obstetric care shows less inductions of labours, amniotomy, oxytocin, regional analgesia, episiotomy, postpartum haemorrhage and less failed inductions with higher vaginal birth rates, vaginal birth after caesarean section (VBAC) and breastfeeding rates. For the babies fewer are born preterm or weighing

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