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64 Maternity and Obstetrics 2020 | NMH Annual Rep t Domino/Homebirth Antenatal Care The aims of the service are: • To provide continuity of care to low-risk women throughout the pregnancy, labour and postnatal period • To provide a 24-hour midwifery care for all women booked with the scheme • To have a Community Midwife providing care in labour and to have a Community Midwife known to the woman conducting her care • To provide early discharge home where the postnatal care can be done in the women's home The antenatal clinics take place at the following health centres: • Churchtown Primary Health Centre • Leopardstown Primary Care Centre • St. Michael's Hospital (Dun Laoghaire) • Pearse Street Primary Care Centre • Bray Primary Care Centre • Greystones Health Centre • Newtownmountkennedy Primary Care Centre We encourage all women to have combined care with their GPs. If a non-urgent obstetric opinion is requested, women are reviewed by Dr Zara Fonseca- Kelly at The National Maternity Hospital with the CMM 3, Teresa McCreery and in total, 255 women were seen in this clinic. The main reasons for attendance to this clinic were women who over 40 weeks' gestation having a liquor volume, polyhydramnios in pregnancy, women over 40 years of age, diagnosed with COVID-19 infection and women requesting induction of labour for social reasons. Women have reported they value this reassurance visit with a Senior Midwife and Obstetrician Consultant. If a woman needs an urgent medical opinion, the Registrars or Assistant Master on-duty will review the woman as requested by the Community Midwife. Antenatal classes moved online in April year and, while being challenging for the midwives, women have continued to give positive feedbacks with this resource. Bookings 650 women made an initial enquiry about the service by phone with the service of which 525 had a facetoface contact with a midwife at their booking appointment. A total of 405 women ended up giving birth with this service and the remaining 245 women left the scheme for the following reasons: There are some interesting trends in the numbers this year in our service as seen in the tables at the end of this report. 1. After having their initial booking with the service, 18% of women realised that routine ultrasound scans at each visit were not offered and chose to attend a hospital-based care giver. 6% of these Ivana Lambe, Community Midwife.