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About the Notes

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Good record keeping is an accepted cornerstone of best practice, and has been emphasised by CESDI and other surveys on patient safety and avoidable harm. A review of the intrapartum notes currently used in units in the West Midlands have shown wide disparity and lack of standardisation, and the same appears to apply throughout the country. Often, intrapartum notes rely on addition of loose pages, which means that it is impossible to know whether a record is complete or pages are missing. Standardisation is also important for the care of mothers who need to be transferred, and for midwifery and obstetric staff who move between units.

In the absence of a viable national initiative, the Perinatal Institute is undertaking the development of new intrapartum notes (‘Birth Notes’), consistent with the principles applied in the Pregnancy Notes, and the core dataset collected through our new Maternal and Neonatal Electronic Recording System (MANNERS).

Project History

  • 2001- Project commenced
  • Initial draft presented at sub –regional meetings during 2002
  • First draft printed early 2003, presented at a multidisciplinary seminar
  • May 2003 -First draft presented at annual regional supervisors of midwives meeting
  • July 2003- version 2 disseminated throughout the region for consultation, further feedback received
  • August 2003 – two field trials undertaken
  • October 2003 – field trial findings presented at regional forum – further feedback agreed
  • December 2003 – final version printed.
  • March 2004 – first regional training workshop
  • May 2004 – birth notes presented in combination with pregnancy notes during a national training workshop
  • December 2004 – evaluation commenced on the use of the notes in clinical practice
  • February 2005 - Version 5.1 produced in response to evaluation process.
  • May 6th 2004 – Sixth National Improving Perinatal Care workshop,
  • July 8th 2004 – Seventh National Improving Perinatal Care workshop
  • October 14th 2004 – Eighth National Improving Perinatal Care workshop
  • January 11th 2005 - Ninth National Improving Perinatal Care workshop, with representation from 4 units and one independent midwife outside the West Midlands
  • March 15th 2005 - Tenth National Improving Perinatal Care workshop, with representation from 3 units outside the West Midlands
  • July 6th 2005 - 11th National Improving Perinatal Care workshop
  • September 29th 2005 - 12th National Improving Perinatal Care workshop
  • March 15th 2006- 13th National Improving Perinatal Care workshop

Please e-mail your comments to notes@pi.nhs.uk

The project is run by an in house development team, aided by an external advisory group:

WMPI in-house development team:

Jason Gardosi Director and Consultant Obstetrician
Pat McGeown Head of Midwifery
Kate Morse Specialist Midwife
Jill Wright Specialist Midwife
Ellen Knox Perinatal Research Fellow
Andre Francis Typesetting and Layout
Kevin Marshall

Web developer

External Advisory Group:

Wendy Noble West Midlands LSA Officer

Caroline Crompton

Midwife, Alexandra Hospital

Maggie Jarvis Assistant Midwifery Manager, Delivery Suite, George Eliot Hospital
Kate Quarrell Head of Midwifery, City Hospital, Birmingham
Margaret Troth Midwife – Delivery Suite, Wordsley Hospital
Tracey Vanner Consultant Obstetrician & Gynaecologist, Good Hope Hospital
Pam Wood Community Midwife, North Staffordshire Maternity Hospital

 

 
© Perinatal Institute 2011