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Updated: Feb 1, 2026
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Published on: August 9, 2024
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Summary
Rural and remote living impacts pregnancy, birth, and postpartum care. This review examines the transition of a rural consultant-led unit to midwifery-led care in Scotland.
Area of Science:
- Maternal Health
- Rural Health
- Healthcare Delivery Models
Background:
- A significant portion of Scotland's population resides in remote or rural areas.
- This demographic reality presents unique challenges for healthcare provision and frontline staff.
- Caithness General Hospital (CGH) in the North East Highlands of Scotland serves such a population.
Purpose of the Study:
- To review the model of care at Caithness General Hospital (CGH) due to safety concerns.
- To analyze the transition from a rural consultant-led unit to a midwifery-led care model.
- To reflect on the experiences within this evolving rural healthcare setting.
Main Methods:
- A review of the existing model of care was initiated.
- Emergency interim measures were implemented.
- A public health review was conducted.
- Qualitative reflection on personal experience within the unit.
Main Results:
- The review process led to immediate implementation of emergency interim measures.
- A public health review was initiated.
- The unit transitioned from a consultant-led to a midwifery-led care model.
Conclusions:
- Living in remote or rural areas has significant implications for pregnancy, birth, and puerperium care.
- The transition to midwifery-led care in rural settings requires careful consideration and review.
- Experiences in rural consultant-led units inform the development of alternative care models.
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