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CHAPTER 4 - Access to early pregnancy care

Published online by Cambridge University Press:  05 July 2014

By
Caroline Overton  and
Tahir Mahmood
Edited by
Tahir Mahmood ,
Philip Owen ,
Sabaratnam Arulkumaran  and
Charnjit Dhillon
Caroline Overton
Affiliation:
St Michael’s University Hospital
Tahir Mahmood
Affiliation:
Royal College of Obstetricians and Gynaecologists, London
Tahir Mahmood
Affiliation:
Forth Park Hospital, Kilcaldy
Philip Owen
Affiliation:
Glasgow Royal Infirmary
Sabaratnam Arulkumaran
Affiliation:
St George’s University London
Charnjit Dhillon
Affiliation:
Royal College of Obstetricians and Gynaecologists, London
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Summary

Early pregnancy services should be modelled in such a way that they are accessible to deal with all the problems of early pregnancy, such as bleeding and medical conditions such as hyperemesis gravidarum, and also to facilitate routine antenatal care before the 12th week of pregnancy. The National Institute for Health and Care Excellence (NICE) antenatal care guideline recommended that booking with maternity services should take place before 12 weeks of pregnancy. The model of care for all early pregnancy events should be composed around the women's journey. It is important to have local care pathways in place for initial assessment, investigations for contributing causes and focused treatment. All clinical staff must undertake regular, written and documented audited training for the identification and initial management of referral for serious medical and mental health conditions that may affect pregnant women or recently delivered mothers.

Keywords

mental health conditionsNational Institute for Healthearly pregnancy servicesmaternity servicesdocumented audited trainingclinical staff
Type
Chapter
Information
Models of Care in Maternity Services , pp. 34 - 47
Publisher: Cambridge University Press
Print publication year: 2010

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