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73 Maternity and Obstetrics NMH Annual Rep t | 2020 Postnatal Ward Visit In an effort to improve patient experience, the CMM3 of the delivery ward endeavours to visit every woman who has a delivery complicated by shoulder dystocia or any traumatic vaginal birth. Requests are made by both staff and patients themselves who wish to further discuss their labour/delivery events. Telephone Follow Up Following review on the postnatal ward by the CMM3, a follow up phone call may be required and this discussion with the patient determines if an appointment is required to return to the hospital. Postnatal Debriefing Clinic The postnatal debriefing clinic is run by the CMM3, Martina Cronin and Consultant Obstetrician Dr Michael Robson. Mothers who have a delivery complicated by shoulder dystocia or any other traumatic birth are referred to this clinic. Positive Points One to one care Made patient comfortable Attentive Vigilant at monitoring things closely Good team work Safe experience Staff educated, efficient, informative Very professional staff All procedures explained Staff are sympathetic and hard working Wishes acknowledged Students helpful and involved Understanding Consultant very supportive Nice rooms with good equipment Well looked after Respectful Reassuring, friendly, kind Negative Points Delay in getting epidural As a VBAC mum more explanation required Partners not allowed in antenatal ward is very difficult Ward too noisy due to construction More explanation needed for the 'not in labour' period Facilities on antenatal ward for early labour very poor Delay in doctor review More preparation needed for IOL process Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total Antenatal Reviews 7 1 4 1 1 3 6 0 9 1 5 6 44 Ward Visits 3 5 3 4 6 1 1 2 5 3 0 2 34 Telephone Follow Ups 21 11 8 4 22 27 7 13 17 7 19 9 165 Postnatal Reviews 6 7 5 0 0 10 7 4 5 2 8 6 60 Increasingly women themselves are self-referring to the clinic following discussion with their Public Health Nurse /GP or other Mothers. This clinic offers the opportunity for patients to ask questions and seek clarification about their labour and birth events. These meetings are held outside the main hospital building in a relaxed environment with a generous time allocation to facilitate detailed discussion and debriefing. Many of these discussions took place virtually in the latter half of 2020 due to COVID-19 restrictions. The National Maternity Hospital responded to the recommendations of the maternity strategy and made plans for a Labour and Birthing Unit renovation and expansion.