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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The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.