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Seanad Éireann debate -
Wednesday, 22 Mar 1995

Vol. 142 No. 9

Adjournment Matters. - Cork Neonatal Centre.

I thank you, a Leas-Chathaoirligh, for giving me the opportunity of making my case on the need for a neonatal centre in Cork and I thank the Minister for being here. There are approximately 6,000 deliveries per year in Cork and there is no purpose built neonatal centre for the country's second biggest city and county, in contrast to smaller towns such as Tralee or Letterkenny which have neonatal centres.

Deliveries in Cork are spread between four hospitals — Erinville, St. Finbarr's, the Bons Secours and the Victoria. The staff of these hospitals do an outstanding job under difficult circumstances. They are not, however, neonatal experts and cannot be expected to provide the same level of specialised support available in purpose built neonatal centres. There is currently just one registrar available at nights and weekends to cover maternity duties at Erinville, St. Finbarr's and Cork University hospitals.

In many cases childbirth is a relatively simple affair; in some, however, complications can lead to various forms of handicap and in other cases new born babies may die due to lack of expert care. A few minutes can make all the difference between a healthy baby and a baby with mental or physical handicap. By the same token complications during labour can endanger the life of the mother, requiring specialist intensive care facilities.

I am calling for the establishment of a purpose built centre for neonatal excellence which would offer women choice, control and, above all, safety during the process of childbirth. Such a centre would offer pre, peri and post natal care and would provide an outpatient as well as in-patient service, as well as having full intensive care facilities. It would also cater for women who are either threatened by miscarriage or who have experienced a miscarriage, and would provide the medical and psychological support for such women's needs.

Unless we move to establish such a facility we will continue to witness needless tragedies before, during and after childbirth.

Limerick East): I thank Senator Sherlock for raising this matter and for giving me an opportunity to outline the position regarding maternity and neonatal services in Cork city and county. At present maternity services in the Cork area are provided in the places the Senator mentioned — Cork University, Erinville, St. Finbarr's and the South Infirmary-Victoria hospitals.

Senator Sherlock will be aware that my Department has received a number of submissions in relation to the organisation and delivery of the neonatal and maternity services from the various agencies in the Cork area. In April 1993 the Southern Health Board adopted a proposal to have maternity and neonatology services currently sited at the Erinville and St. Finbarr's hospitals amalgamated at the Cork University Hospital site. The board is of the view that consolidation of its services on this single site would make the best use of resources available and result in a greatly enhanced service to patients.

This proposal is being examined in the light of medical opinion on how best to provide the optimal level of care to mothers and babies, and also in the context of the recommendations on manpower planning and organisational structures contained it the recent Comhairle na nOspidéal report, Review of Consultant Manpower in the Southern Health Board Area.

The Senator will appreciate that the health board's proposal would require major capital investment over a number of years and would have to be considered in the context of the resources available to my Department. However, the Southern Health Board has indicated that this matter is now a top priority for it. Officials from my Department met management and medical representatives from the Southern Health Board recently to discuss proposals they had made in relation to their maternity services and facilities.

Additional information has been sought from the board on a number of aspects of their proposal. I look forward to receiving this material as a matter of urgency and I hope to be in a position to progress this matter further as soon as clarification is received on the issues raised. I assure Senator Sherlock that any future developments in this regard will take full account of the need to ensure the optimum level of service for women and their babies in the Cork area.

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