A midwifery-led newborn discharge pathway: an effective and innovative way of workforce management
Midwifery-led newborn discharge (MLND) is an effective way of reducing the length of hospital stay for well babies on IV antibiotics for suspected infection. A comprehensive protocol for MLND was designed and implemented on the postnatal ward following midwifery training in newborn discharge. Data were collected on the timings of chasing blood cultures and discharge from the time of starting antibiotics. The MLND pathway reduced the length of stay on the postnatal ward by 18.5 hours.
Anoop Pahuja
Neonatal Consultant
Garima Mishra
Neonatal Registrar
Luke Mills
Neonatal Consultant
Walton D’costa
Neonatal Consultant
Dilpreet Kaur
Paediatric Consultant
Chelsea and Westminster NHS Foundation Trust

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- A midwifery-led discharge pathway is an innovative approach to improving patient flow and reducing the length of neonatal stay.
- A comprehensive protocol for midwifery-led care of well babies on IV antibiotics for suspected infection is presented. This will enable other units to develop their MLND pathway.
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