Contemporary Challenges in Pre-hospital Maternal care with Camella Main

In this podcast episode, we explore critical topics that significantly impact maternal and neonatal outcomes, with insights shared by Camella Main, a Consultant Midwife with over 12 years of experience. Camella has extensive experience in both hospital and pre-hospital settings, managing high-risk pregnancies and deliveries. She serves as the Lead Midwife for the London Ambulance Service and a Consultant Midwife for East Midlands Ambulance services, emphasising evidence-based practices and improving outcomes. Key discussion points include the latest guidelines and best practices for neonatal care, especially in rural and remote settings. Emerging trends and strategies to optimise neonatal care are also covered. Camella addresses various challenges in providing pre-hospital care to pregnant women and newborns, highlighting the importance of proper thermal care for newborns immediately after delivery. Recommended techniques and equipment for neonatal thermal care are discussed. Further, the podcast delves into recognising key signs and symptoms indicating active labour and imminent birth, effective maternal positions for delivery, and critical steps to care for both mother and newborn immediately after delivery. Camella also discusses the importance of escalating care to critical care teams, considerations for the safe transportation of pregnant women and newborns, and collaboration between pre-hospital services and hospitals to optimise care. Emerging trends and research areas in pre-hospital maternal and neonatal care that show promise for improving outcomes are also explored.