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A new scoring system helps determine safe midwifery staffing levels on delivery suites. This tool objectively assesses demand and capacity, informing escalation policies and ensuring adequate staff for patient care.

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Area of Science:

  • Maternal Health
  • Healthcare Management
  • Nursing Staffing

Background:

  • Safe midwifery staffing is crucial for maternity services.
  • Escalation policies are vital for managing emergency pressures.
  • Current methods for assessing staffing needs may lack objectivity.

Purpose of the Study:

  • To evaluate a scoring system for real-time assessment of midwifery staffing requirements.
  • To determine delivery suite escalation levels based on demand and capacity.
  • To calculate unit-specific optimal midwifery staffing levels.

Main Methods:

  • A 12-month study in a tertiary referral hospital's maternity unit.
  • Shift coordinators completed scoring sheets four times daily.
  • Escalation levels determined by demand (dependency score) and capacity (staff numbers).

Main Results:

  • 1160 scoring sheets were analyzed.
  • Average shift staffing was 7 midwives (range 3-11).
  • Average dependency score was 7 (range 1-14); 80th centile demand was 11.

Conclusions:

  • A simple scoring system can objectively determine delivery suite escalation levels.
  • This tool aids in establishing appropriate midwifery staffing.
  • The system provides a practical approach to managing maternity unit capacity.