All questions are shown as received by the Trust.
1. What type of unit this is – delivery unit or birth centre. If birth centre, is this on the same site as a delivery unit or freestanding?
2. For each individual year over the past 5 years, how many births were there in each setting? In each of those years, what was the number of spontaneous vaginal deliveries and c-sections (please stratify this by category of c-section)?
3. Which of the following non-pharmacological forms of pain relief are offered: water pool, TENS, hypnobirthing, aromatherapy, acupuncture, birth comb, sterile water injection
4. In each individual year over the past 5 years, what has been the number of patients using each of the above non-pharmacological forms of pain relief offered?
5. Which of the following pharmacological forms of pain relief are offered: paracetamol, dihydrocodeine, entonox, pethidine, diamorphine, epidural, remifentanil PCA
6. In each individual year over the past 5 years, what has been the number of patients using each of the above pharmacological forms of pain relief offered?
7. In each individual year over the past 5 years, how many patients who have an epidural use an alternative form of pain relief prior to requesting an epidural?
8. In each individual year over the past 5 years, what proportion of patients are waiting more than 30 minutes to receive an epidural? What is the mean time taken to obtain an epidural by time of day (in hours vs out of hours)?
9. If remifentanil PCA is available, how many patients are able to have a PCA at any one time?
10. If remifentanil PCA is available, is this offered to anyone or only in those for whom an epidural is contraindicated?
11. If remifentanil PCA is not available in a delivery unit, what is the reason for this?
12. Out of hours (nights and weekends), how many dedicated anaesthetists are on-site, and has this changed over the past 5 years?
13. For each individual year over the past 5 years, what proportion of patients are requesting a physiological third stage compared to an active third stage (please stratify this by setting i.e. delivery unit and birth centre)? What proportion of patients who choose physiological third stage management then go on to have a post-partum haemorrhage when compared to those who choose an active third stage?