Organized intrapartum care

The senior sister in charge and the senior obstetrician on the delivery suite should work together as a team to co-ordinate clinical activity. The skills required to coordinate workload and staffing are multiple and often acquired over years; but if you recognize calm and control in those you work with, take a moment or two to try to define what they are doing differently and try to emulate these features:

• Keep your mind open to all the activity going on.

• Try to coordinate activity so that things happen in sequence and not all at the same time.

• Listen to your midwives' and doctors' concerns and address them;

• Prioritize according to risk (triage - see below).

• Get simple things done quickly, as once resolved they relieve staff.

• Do not defer decisions unnecessarily (work just builds up).

• Give each woman a carer with the appropriate skills to match the complexity of the clinical problem.

• Recognize if a doctor or midwife is out of their depth support them and encourage them to call for help.

• Regularly revisit women with risk factors to check the situation is not deteriorating (do not assume you will be called).

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Getting Back Into Shape After The Pregnancy

Getting Back Into Shape After The Pregnancy

Once your pregnancy is over and done with, your baby is happily in your arms, and youre headed back home from the hospital, youll begin to realize that things have only just begun. Over the next few days, weeks, and months, youre going to increasingly notice that your entire life has changed in more ways than you could ever imagine.

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