The report claims that although on average a bed in a delivery suite is used for 0.7 births a day, in reality this can actually be much higher.
'Some trusts have as few as two beds per 1,000 births per year, which means that each bed is used for 1.4 births per day. This seems excessive and there is clearly a need to increase the capacity of delivery beds in these units.'
In spite of the fact that the need for more bathrooms was highlighted more than ten years ago, the situation has barely improved, with only one in six units having one bath per delivery room, half having one or more baths for every four delivery rooms and a third of trusts providing one shower per delivery room.
Among 'key concerns' are staffing levels in some trusts which were 'well below average, indicating that they may have been inadequate'.
The report concluded that it is virtually impossible to give women proper choice over where to give birth – which of course is one of the Government's key aims.
The choice of types of maternity unit, in practice, is currently very limited, because two-thirds of trusts had only obstetric units. Overall, one in five trusts with maternity units were rated as performing poorly when the initial findings were published in January. Shockingly, one in three trusts did not provide personal support from a named midwife. Campaigners say an extra 900 consultants and 5,000 more midwives are needed to ensure safe maternity services.
The Chief Nursing Officer for England, Christine Beasley, said: 'Women tell us they want more choice in their maternity care, including how and where they give birth and we are listening. That is why, in January, we announced an additional £330million funding and action to recruit an additional 4,000 midwives by 2012.'
July 2008
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