Anaesthetics - Obstetric Clinical Fellow

Maternity services at Wexham Park Hospital The maternity service at Wexham Park Hospital caters to a large, multicultural and multinational population.

We attend to over 5000 deliveries per year. The consultant led labour ward has 10 delivery rooms, a pool room, a dedicated emergency obstetric theatre and a smaller second theatre for cases such as manual removal of placenta or perineal tear repair.

Our caesarean section rate is 35 - 38% along with approximately 25 - 30% epidural rate for labour analgesia. Obstetric anaesthetic antenatal clinics are provided for the high risk parturient. HDU care can be provided on labour ward or within the main ICU which is close by.

The Birthing Centre, situated near ward 22, is a midwifery led birthing suite suitable for low risk pregnancies.

Provision of analgesia during labour including: Performing and managing epidurals and combined spinal epidurals Initiation and maintenance of either morphine PCA (in the case of intra-uterine death) or remifentanil PCA Provision of anaesthesia for emergency caesarean section (category 1 - 3), operative delivery in theatre and for any postnatal surgery for example manual removal of placenta or perineal tear repair Postnatal follow up of all patients on ward 22 who have had an anaesthetic intervention and documentation of review on EPIC.