The workforce planning system; Birthrate Plus® (Ball and Washbrook 1996) is based upon:

  • The principle of one to one care in labour and delivery cited as the standard of care in several government reports (Short 1980, Winterton1992, Cumberlege 1993)
  • A classification for intrapartum care which uses clinical indicators to assess the level of need of both mother and baby
  • Collecting real time data on the length of time a woman required care during labour and delivery and an addition of extra midwife time for those with a high level of need/ intervention or emergency.
Birthrate Plus has also been implemented in non NHS services in the Channel Islands and in Eire, and more recently in Australia.

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