Emergency Transfer to Maternity Hospital in Greater Glasgow and Clyde (351)

Warning

Objectives

This guideline covers managing the safe and effective emergency transfer of pregnant women to a maternity hospital within Greater Glasgow and Clyde

Scope

All pregnant women within GG&C locale

Audience

All midwifery and Obstetric staff working within Greater Glasgow and Clyde

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There is no Obstetric Flying Squad Provision.

All emergency transfers into Obstetric Hospital within GG&C should be by emergency ambulance.

An ”ABCDE” approach to any acute issue should be implemented with whatever options available without delaying timely transfer.

Guideline

Home Birth Team / Community Midwives / Community Midwifery Unit (CMU) requiring emergency patient transfer to hospital should dial 999 for emergency ambulance.

  • If the lives of the mother and/or fetus (or neonate) are thought to be in danger, the initial call to SAS (Scottish Ambulance Service) should state clearly there is an ‘URGENT THREAT TO LIFE’ (7 minute response time).

  • If there is no evidence of maternal or fetal compromise, an ‘urgent’ ambulance should be requested (expected to arrive within the hour) - in the event of any change in the condition of the mother or the fetus, the request should be upgraded to ‘urgent threat to life’.

  • In circumstances where the mother requires emergency transfer after birth, but there are no immediate neonatal concerns, it is recommended these babies travel to hospital with the birthing partner in their own transport. Hospital taxi can be arranged if required.

If possible, the midwife should also phone the Labour Ward coordinator of the appropriate hospital and give details of the transfer. If this is not possible, ambulance control should be requested to pass on information.

Labour ward telephone numbers

Princess Royal Maternity 0141 201 3302
SAS phone line: 0141 201 3180
Royal Alexandra Hospital 0141 314 6743 or 7249
Queen Elizabeth University Hospital 0141 201 2292 or 0141 232 4317
SAS phone line: 0141 201 1431

 

 

 

Emergency Transfer to Maternity Hospital by Road/Air

The Scottish Perinatal Network full document on the Pathway for the Transfer of Women from Community Maternity Units in an Extreme Obstetric Emergency is available.

Flowchart with process for arranging emergency transport of pregnant women by road or air

  1. Midwives are not expected to document during transfer. Observations prior to transfer and summary of transfer with any observations recorded by paramedic /ambulance team.
  2. Drugs to be administered and documented as per PGD or Midwife exemptions. If administered by paramedic document as such.

Editorial Information

Last reviewed: 28/08/2024

Next review date: 28/08/2027

Author(s): Claire Stewart, Sarah Turner, Tracy Orr.

Version: 4

Approved By: Maternity Governance Group

Document Id: 351