Obstetric emergency – including antepartum haemorrhage, cord prolapse, postpartum haemorrhage, maternal seizure or collapse, or a need for advanced neonatal resuscitation Request by the woman for additional pain relief using regional analgesia Temperature of 38☌ or above on a single reading, or 37.5☌ or above on 2 consecutive occasions 1 hour apartĬonfirmed delay in the first or second stage of labour Pain reported by the woman that differs from the pain normally associated with contractionsĪny risk factors recorded in the woman's notes that indicate the need for obstetric led care. The presence of significant meconium (see the section on presence of meconium) Rupture of membranes more than 24 hours before the onset of established labour (see the section on babies born to women with prelabour rupture of the membranes at term) Temperature of 38☌ or above on a single reading, or 37.5☌ or above on 2 consecutive readings 1 hour apart Pulse over 120 beats/minute on 2 occasions 30 minutes apartĪ single reading of either raised diastolic blood pressure of 110 mmHg or more or raised systolic blood pressure of 160 mmHg or moreĮither raised diastolic blood pressure of 90 mmHg or more or raised systolic blood pressure of 140 mmHg or more on 2 consecutive readings taken 30 minutes apartĪ reading of 2+ of protein on urinalysis and a single reading of either raised diastolic blood pressure (90 mmHg or more) or raised systolic blood pressure (140 mmHg or more)
Involve the woman in any handover of care to another professional, either when additional expertise has been brought in or at the end of a shift. When leaving the room, let her know when you will return.
DEFINITION OF PRECIPITATE LABOUR HOW TO
Show the woman and her birth companion(s) how to summon help and reassure her that she may do so whenever and as often as she needs to. If the woman has a written birth plan, read and discuss it with her.Īssess the woman's knowledge of strategies for coping with pain and provide balanced information to find out which available approaches are acceptable to her.Įncourage the woman to adapt the environment to meet her individual needs.Īsk her permission before all procedures and observations, focusing on the woman rather than the technology or the documentation. Knock and wait before entering the woman's room, respecting it as her personal space, and ask others to do the same.Īsk how the woman is feeling and whether there is anything in particular she is worried about. Maintain a calm and confident approach so that your demeanour reassures the woman that all is going well. Greet the woman with a smile and a personal welcome, establish her language needs, introduce yourself and explain your role in her care. Obstetric unit (number of incidences per 1,000 nulliparous women giving birth) Home (number of incidences per 1,000 nulliparous women giving birth)įreestanding midwifery unit (number of incidences per 1,000 nulliparous women giving birth)Īlongside midwifery unit (number of incidences per 1,000 nulliparous women giving birth) Rates of spontaneous vaginal birth, transfer to an obstetric unit and obstetric interventions for each planned place of birth: low‑risk nulliparous women (sources: Birthplace 2011 Blix et al. *** Blix reported epidural analgesia and Birthplace reported spinal or epidural analgesia. ** Estimated transfer rate from an obstetric unit to a different obstetric unit owing to lack of capacity or expertise. 2012 (all other figures from Birthplace 2011). * Figures from Birthplace 2011 and Blix et al. Regional analgesia (epidural and/or spinal)***
Obstetric unit (number of 1,000 incidences per multiparous women giving birth) (number of incidences per 1,000 multiparous women giving birth)Īlongside midwifery unit (number of incidences per 1,000 multiparous women giving birth) Home (number of incidences per 1,000 multiparous women giving birth)
Rates of spontaneous vaginal birth, transfer to an obstetric unit and obstetric interventions for each planned place of birth: low‑risk multiparous women (sources: Birthplace 2011 Blix et al.
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