Organization of Labour Room

updated Topic of Community Health Nursing

1. ORGANIZATION OF LABOUR ROOM

2. Organization of labour room Introduction : labour room in every delivery point should be standardized for delivery high quality services during childbirth . Delivery points with high case load should be prioritized first for standardization . When new construction is not for labour rooms . Every effort should be made to ensure that labour room space is re-organised as per these guidelines .

3. The guidelines for up-gradation of labour rooms: Space and layout Equipment and accessories Consumables Human resources Practices & protocols

4. 1} Space & layout a)lightening:- The labour room complex should have adequate lights . Apart from the ambient light there should also be provision for additional forms lights for the labour table and examination tables for procedure. b) Power supply:- Every new construction should have adequate Lights . Apart from the ambient light , there should have adequate power backup to continue run the radiant warmer , the light and the fans . c)Ventilation :- The labour room should have adequate ventilation . At the same time , the temperature of the labour room should be kept at 250c. The labour room should not have broken windows panes or doors that can create droughts of air.

5. d)Waiting / R egistration area:- .. S ize and layout as per layout given in annexure vii. .. A registration desk of size ‘4 X 2’ .. There chairs , one for person manning the desk and two for pregnant women & her attendant. C) Triangle / Examination :- There should be an examination cum triangle room to first examine the pregnant women who has come to the facility . The examination room will function as the triangle area based on risk . F)staff room ;- T here should be a staff room with the following specification:- ** A BED PER LAYOUT OFF DUTY STAFF TO REST ** A CABINAT TO STORE DOCUMENTS.

6. g) Labour & Delivery area:- T he labour area should have adequate space to accommodate recommended number of labour beds as per the layout . The labour beds should be placed in a way that there is distance of at least 3 from the side wall . There should be an attached toilet . h) Newton care area:- T he labour room should have one new born care area for every 4 labour tablets . The WABC should have the following:- - Radiant warmer - Reservation kit with functional bag & mass - Mucus extractor - Shoulder roll - Paediatric stethoscope i) Nursing station :- T he labour room should have one nursing station with the following:-

7. - An t-shaped table - Two plastic / wooden chairs - A storage cupboard for the storing documents - A while board on the wall next to the nursing station j) store room:- There should be a store room within the complex with the following specification . - Cabinet and storage racks for supplies. 2) Equipment & accessories :- - Radiant warmer :- 1 for 4 labour tables - Hand held fatal Doppler - Feta scope - Autoclaved delivery tray for each labour table . - Stethoscope . - protein urea test kit . - Digital BP meter . - Thermometer . - Paediatric resuscitation bag . - Cheat less forceps.

8. 3) Consumables :- Consumables such as cotton , thread , gauge , catgut , IV sets , needles , medicines oral , soap , hand wash , beta dine solution , number of such items is to review use for 6 months and making adequate numbers. - dispose matter & baby supplies 4) Human Resource exclusively for labour room :- - At least 1 ANM for every 5 hourly shift at delivery periods . - 1 or 2 medical others . - LDR facilities there should be 4 staff nurses per LDR unit 1 for each shift & 1 for back up . - If deliveries are 100-200 4 staff nurses , 4 ANM “s , 4 M o , 1 pediatration , 4 sweepers . - If deliveries are 200-500 8 staff n urses 4 ANM’s , 4 OBC specialists , 4 sweepers - If deliveries are 750-1000 10 staff nurses , 6 ANM’s , 30 OBC + 4 mock , 4 sweepers.

9. 5) Practices and protocols:- a) Protocols for entry to the labour room:- - entry to the labour room should not direct . It should be allowed only to the pregnant women , her birth companion, doctor nurse / ANM on duty . - entry of male staff should be restricted to only to whose are on duty b) protocols for worming in the labour room:- All the staff should wear PPE at the time of conducting delivery , other times mask and cap should be worn .