The intrapartum period is relatively
short but requires close observation. Good record keeping
is a cornerstone of best practice, and has been emphasised
repeatedly by CEMACH and other surveys on patient safety
and avoidable harm. Good record keeping is also an NMC
and CNST requirement.
Therefore it is important
to have a comprehensive document which is evidence
based and supports care provision.
It should clearly record the care provided, and have
prompts to alert to risk factors according to the NICE
guidelines.
Listed below are the key documents used in the development
of the birth notes.
| • |
Confidential Enquiry into stillbirths
and deaths in infancy (2000) -7th Annual Report.
www.cemach.org.uk |
| • |
Confidential Enquiry into maternal and child
Health (2004) - Why mothers die 2000-2002, 6th
Report.
www.cemach.org.uk |
| • |
Royal College of Midwives (2005) Midwifery practice
guideline- Evidence based guidelines for midwifery
care in labour.
www.rcm.org.uk |
| • |
National Institute for Clinical Excellence (2001).
The use of electronic
fetal monitoring.
www.nice.org.uk |
| • |
National Institute for Clinical Excellence (2001).
Induction of labour.
www.nice.org.uk |
| • |
Royal College of Obstetricians and Gynaecologists
(2005) Shoulder dystocia.
www.rcog.org.uk |
| • |
Royal College of Obstetricians and Gynaecologists
(2001) Management of third and fourth degree perineal
tears following vaginal delivery.
www.rcog.org.uk |
| • |
Royal College of Obstetricians and Gynaecologists
(2005). Operative vaginal
delivery.
www.rcog.org.uk |
| • |
Royal College of Obstetricians and Gynaecologists
(2002). The investigation and management of the
small for
gestational age fetus.
www.rcog.org.uk |
| • |
National Institute for Clinical Excellence (2003).
Antenatal care, routine care for the healthy pregnant
woman. www.nice.org.uk |
| • |
Clinical Negligence Scheme for Trust (2005).
Maternity Clinical Risk
Management Standards www.nhsla.com/RiskManagement/CnstStandards |
| • |
Nursing and Midwifery Council (2004) Guidelines
for records and record
keeping.
www.nmc-uk.org |
| • |
National Institute for Clinical Excellence (2004)
Caesarean section.
www.nice.org.uk |
