Labor and Delivery

Admits obstetric patients with more than or equal to 20 weeks of gestational age for low and high-risk pregnancy for labor and delivery and observation. It consists of 11 delivery suites, eight bedded Induction rooms, seven bedded Assessment rooms, and 6 bedded High Dependency Units. Some pregnancies could be with comorbidity.

Labor and Delivery provides the following:

• Fetal monitoring (external, internal and doppler’s).
  

• Cardiotocography surveillance through Centricity Perinatal Network (CPN).
  

• Induction and augmentation of labour.
  

• Amniotomy/artificial rupture of membrane.
  

• Care of patient with epidural analgesia.
  

• Assist with/perform spontaneous vaginal delivery.
  

• Assist with operative/instrumental vaginal delivery.
  

• Assist with assisted breech delivery.
  

• Pre-operative care for emergency cesarean section.
  

• Assist with/perform repair of vaginal laceration and episiotomy.

• Initial newborn care.
  

• Assist and support breastfeeding.
  

• Obstetric emergency care.
  

• Neonatal resuscitation.
  

• Patient and Family Education.
  

Post-partum patients who require more than 2 hours of observations in labor ward will be transferred to HDU. Besides patient requiring closer observation, patients with following conditions are admitted in HDU.

• Pre-eclampsia /Eclampsia on MgSO4 infusion.
  

• HELLP syndrome/ Chronic Hypertensive disorders.
  

• Post-partum hemorrhage / increased bleeding / significant blood loss during delivery (more than 1.5litres blood loss).
  

• Management of post-partum patients with Bakri balloon.
  

• Diabetic keto-acidosis (DKA).
  

• Post-partum patients requiring cardiac monitoring.
  

Patient Population:

Obstetrics patients with more than and equal to 20 weeks of gestations age for low and high risk

Pregnancy.

Hours of Operation: 24 hours/7 days a week

No of Beds:

Assessment Room – 7

Delivery Room – 11

Neonatal Resuscitation bay – 3

Occupancy Rate: 100%

Staff Categories:

• Nurse Supervisor/Assistant Nurse Supervisor.
  

• Midwife Coordinator.
  

• Registered Nurse.
  

• Midwives.
  

• Patient Care Technician.
  

• Unit Assistant (Interpreter).
  

Primary Diagnosis

Labor and Delivery for:

• Low risk term pregnancy.
  

• High risk pregnancy (term and preterm).
  

• Pregnancy with comorbidity.
  

Primary Procedures

• Fetal monitoring (external, internal and doppler’s).
  

• Cardiotocography surveillance through Centricity Perinatal Network (CPN).
  

• Induction and augmentation of labour.
  

• Amniotomy/artificial rupture of membrane.
  

• Care of patient with epidural analgesia.
  

• Assist with/perform spontaneous vaginal delivery.
  

• Assist with operative/instrumental vaginal delivery.
  

• Assist with assisted breech delivery.
  

Post-partum patients who require more than 2 hours of observations in labor ward will be transferred to HDU. Besides patient requiring closer observation, patients with following conditions are admitted in HDU.

• Pre-eclampsia /Eclampsia on MgSO4 infusion.
  

• HELLP syndrome/ Chronic Hypertensive disorders.
  

• Post-partum hemorrhage / increased bleeding / significant blood loss during delivery (more than 1.5 litres blood loss).
  

• Management of post-partum patients with Bakri balloon.
  

• Diabetic keto-acidosis (DKA).
  

• Post-partum patients requiring cardiac monitoring.
  

Model of Nursing Care

Total Patient Care Utilizing a Partnership Model.