Pre- Theatre Brief : Maternity SOP
Maternity & Gynaecology Guidelines
WHO should be there? Obstetrician, Anaesthetist and Scrub Midwife involved in the case. Paediatrician should be advised of brief in cases of premature births/ congenital abnormalities as specific instruction may be required for perinatal optimisation.
WHAT is it? A short discussion (less than 2 minutes) to cover important points prior to theatre
WHY is it being done? To ensure everyone understands they key points regarding the woman and that there are no conflicting emergencies
WHERE should it be done? By the Labour Ward Board area
WHEN should it be done? Prior to transfer of the woman to theatre
This should not delay transfer if immediate birth is required (fetal bradycardia/ cord prolapse). If this is the case the important points outlined should be discussed between obstetrician and anaesthetist at an appropriate time prior to anaesthetic depending on the clinic scenario.
A condensed and concise SBAR to be given to highlight key information
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Urgency – time to birth interval |
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Anaesthetic plan |
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Uterotonics required – any contraindications? |
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Antibiotics required – any allergies? |
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Valid G+S /Blood required/Blood available – MABL score calculated? |
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Perinatal Optimisation – depending on gestation |
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Additional staff required – neonatal team/ consultants/ surgeons |
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Conflicting emergencies – prioritisation/ who to escalate to/ second theatres |
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Any other concerns? |
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Staff present |