Table 1 NMWWP definitions of acuity [17]
From: Reducing the length of postnatal hospital stay: implications for cost and quality of care
Acuity | Example/ descriptors of mother and baby condition | Care required |
|---|---|---|
0 | Healthy term baby (37–42 weeks of pregnancy) with no risk factors. E.g. normal birth, mother’s age 16–40, BMI 18–35, number of previous births <5, requires routine care, mother able to care for baby independently | Routine |
1a | Some obstetric or neonatal medical risks. E.g. urinary tract infection, diabetes, minor haemorrhage, BMI <18 or >35, low neonate temperature or slow feeding | Some increase in care. |
1b | Some social risks. e.g. mother leaving ‘looked after’ services, smoker, criminal justice activity not related to child protection. | Some increase in care. |
2 | Medical or social risk factors requiring further intervention e.g. post caesarean section day 1 and 2, low birth weight <2.5 kg, child protection concerns. | Additional care often involving liaison with other services. |
3 | All mothers during labour and 2 hr after delivery. Mother who have experienced major obstetric complications e.g. haemorrhage. Puerperal psychosis, bereaved mothers. | Continuous one to one care. |