Dayani Chauhan-Ahmed
30 Jun 2014 · Coroner Lydia Brown · Leicester City & South Leicestershire
The coroner's concerns
1. ineffective communication of labour duration
“The Trust should consider a proforma for communication on such occasions that is effective and may include sight of the CTG trace, where applicable, by the most senior clinician available”
2. uncertainty about escalation policy awareness
“Knowledge of the procedures, and adherence to the time limits set out for escalation are key to the effectiveness and the Trust should consider further how this can be robustly incorporated into working practice”
3. insufficient staffing during extreme demand
“The Trust should consider arranging for additional midwifery and medical availability to assist during times of extreme demand on the service”
Responses
2014-0287-Response-from-University-Hospital-of-Leicester-NHS-Trust.pdf ↗· University Hospitals of Leicester NHS Trust
Stated action · end of September 2014
“the Head of Midwifery will ensure that the guidelines for the management of the second stage of Labour (lntrapartum Care: Healthy Women and their Babies Guideline) will be reviewed by the end of September 2014, and will strengthen the guidance on the need to use the emergency buzzer in emergency situations.”