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Evidence is critical to Betsi's [...]; LETTERS.

Evidence is critical to Betsi's decisions THE Betsi Board''s Risk Register identifies that too many women in North Wales have their labour induced and caesarian section operations.

Last week there was important news which will be welcomed by most women, and midwifes.

NICE (NHS care regulator) has produced guidance: Women who are healthy and experiencing a 'straight forward' ' (low risk) pregnancy should be encouraged to give birth in a midwife-led unit rather than a traditional labour ward.

We know these units areas safe as traditional labour wards for all 'low risk'' pregnant women and are more likely to result in a better birth experience with less medical intervention.

This evidence and opinionis critical to decisions by the Betsi Board for reconfiguration of maternity services in North Wales. It is now possible to propose that the most clinically effective, safe maternity service would be Midwife-led units at Ysbyty Gwynedd and Wrexham, and a Consultant-led unit at Glan Clwyd.

'Complicated'' (high risk) pregnant women could be cared for in a 'medical'' unit in Glan Clwyd, which would guarantee consultant cover, on-call rotas, concentration of high risk cases to maintain clinical skills, training, and immediate access to specialists in the new Neonatal Intensive Care Unit.

Michael Joyce, Dolbenmaen
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Publication:Daily Post (Conwy, Wales)
Date:May 26, 2014
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