For most women and babies, labour is a normal physiology and is accompanied by minimal risk. However, many babies and women arrive in labour with pre-existing risks or develop complications during labour. The labour ward is therefore a place of mixed emotions, challenges and outcomes. Managing the labour ward requires a combination of clinical and management skills from individuals and teams. Teams need to work well within themselves and with other individuals or teams that come to work with them. Efforts and systems need to be in place to reduce risk, examine practice and make changes to improve outcomes.
This tutorial is designed to address labour ward management from clinical and managerial viewpoints, in which all obstetricians participate – directly or indirectly – on a frequent basis. Many of the aspects of labour ward management are covered in other chapters of this ATSM, so this tutorial will therefore provide an overview and is intended to cover the knowledge of advanced trainees completing the Labour ward lead ATSM.
When you have completed this tutorial you will be able to:
- organise the labour ward: physical (facilities) and human resources (medical and midwifery staffing)
- understand clinical and managerial leadership and team-working in labour ward management
- recognise, communicate and act on changing clinical status and transfer of care (handover)
- understand clinical governance and risk management.
This eTutorial will take approximately 2 hours to complete.
Launched July 2019.