Maternity units, children's wards and elderly wards could close throughout the west of Scotland under plans set out in a leaked NHS document, according to the Labour Party.

Maternity units at the Vale of Leven Hospital in West Dunbartonshire and Inverclyde Hospital in Greenock, Inverclyde, have been earmarked for closure in a leaked NHS Greater Glasgow and Clyde local development plan obtained by Dumbarton MSP Jackie Baillie.

Lightburn elderly hospital in Carntyne, Glasgow, could also close and children's emergency care may be transferred out of the Royal Alexandra Hospital (RAH) in Paisley, Renfrewshire, the Labour jobs spokeswoman said at First Minister's Questions.

First Minister Nicola Sturgeon said she had not seen the leaked document but insisted the closures are currently "perhaps, at most, proposals".

She said she "will not approve proposals" which run counter to the Vision for the Vale plan she approved as health secretary in 2009 which "guaranteed the Vale of Leven Hospital a safe and secure future".

Ms Baillie said: "Prior to the election, the First Minister and health minister dismissed concerns about cuts to services at the Vale of Leven Hospital, Inverclyde Hospital, at the Royal Alexandra Hospital in Paisley, and at Lightburn Hospital in Glasgow as somehow scaremongering.

"They promised that the SNP government would not approve any changes that would run counter to the Vision for the Vale which I have before me today.

"I have been given a leaked document, the final draft of the local development plan for NHS Greater Glasgow and Clyde.

"It lists the closure of the Vale of Leven maternity unit, the closure of Inverclyde maternity unit, the closure of Lightburn Hospital and transfer of the children's emergency care away from the RAH in Paisley.

"Can I ask the First Minister if she will keep her promise to my constituents so that babies can continue to be born at the Vale?"

Ms Sturgeon said: "When I was health secretary I took a number of actions and steps to protect the Vale of Leven hospital.

"At the time I became health secretary it was under threat from the last Labour administration.

"As I have made clear and as the Health Secretary has made clear, we will not approve proposals which run counter to the Vision for the Vale.

"I am not aware of the document that Jackie Baillie is quoting, and to the best of my knowledge I haven't seen it but I am happy to receive a copy of it.

"But I'm sure that what she has read out are proposals - or perhaps, at most, proposals.

"Let me be very clear about this government's commitment to the Vision for the Vale and we will continue to take forward that commitment."

An NHS Greater Glasgow & Clyde spokeswoman said: "The board is planning to engage with the public and patients on a range of service changes during this year with a view to making final decisions in late 2016.

"Changes being considered include a redesign of midwifery-led services within Greater Glasgow and Clyde.

"Formal proposals will go to the August meeting of the board and, if approved, the proposals will then be the subject of a full public engagement with an expectation that a final decision will be reached by the board at the end of the year. That decision will take account of the outcome of the current national review of maternity services.

"When the Vision for the Vale was approved in 2009, this included a commitment to sustain and promote the service for a period of three years to encourage more women to give birth locally at the unit.

"In spite of this, the number of births at the unit has continued to decline, to the current figure of around 60 a year.

"This is the context within which the proposals for the redesign of services will be brought forward."