Maternity Morbidity & Mortality Forum SW Victoria (Your Service Name and Brand here) e.g Timboon District Healthcare Service 15 minutes to present STATS & case presentation 5 minute group comment

Service Capability Level of service aligned with Department of Health Capability framework Level = Variance to Capability (no of episodes / cases) over past 12 months = Reasons (Workforce / equipment)

General Service Stats Total Number of Births = Primigravida = Multigravida = Total Number of babies Born =

Mode of birth Your Service Normal birth % Forceps % Ventouse % EL LUSCS % EM LUSCS % Vaginal Breech % VBAC % Statewide STATS Normal Birth % Forceps % Ventouse % EL LUSCS % EM LUSCS % Vaginal Breech % VBAC %

Maternity STATS Your Service IOL Primips % induction = IOL Multi’s % Induction = PPH = MROP = Stillbirths = Neonatal Deaths = State STATS IOL Primips % induction = IOL Multi’s induction = PPH = MROP = Stillbirths = Neonatal deaths =

Analgesia / Anaesthesia Labour & Birth Your Service Nil % Inhalational % Narcotic % Epidural % Spinal % GA % Other % State STATS Nil % Inhalational % Narcotic % Epidural % Spinal % GA % Other %

Maternal transfers out to a service / clinician providing higher level of care (brief reason for transfer) Number of Antenatal Transfers = Number of Intrapartum Transfers = Number of Postnatal Transfers = Transfers back to referring service < 24hrs (if > 24hrs provide comment)

Neonatal Transfers out Your Service IUGR Prematurity < 37 weeks Prematurity < 32 weeks Low Apgar Scores Sepsis Respiratory Distress Asphyxia / HIE Other State STATS Mat Indicator 2 – term infants transferred out.

Case presentation guide (omit this slide when you have selected your case) e.g. IOL CTG reduced variability / reactivity - baseline FHR 100 method of induction Labour History Birth History (type of birth, NVB, Assisted, LUSCS) Apgar Scores Neonatal management (resuscitation) Transfer details Investigations Outcome Discharge Post discharge follow up

Case presentation selected by service  Age, Primip / Multi  Intended place of birth, actual place of birth - ? Transfer  Description of condition / diagnosis  Past Obstetric History  Past Medical History relevant to clinical situation  Tests & Investigations this pregnancy?  Clinical Picture; pregnancy / birth post partum  Sequence of events  Treatment  Outcome  Implications for ongoing practice  Evidence Base

Group Discussion Expert Comments Analyse the circumstances Recommendations for future practice Initiate appropriate action for process improvement