Delivery Room

PRI Medical Center prioritizes the safety of our expectant mothers. We have advanced facilities and equipment to ensure proper care for mothers and babies before, during, and after delivery.

Delivery Room/Labor Room Manual:

Admissions:

1. When arriving at the hospital, OB-GYNE patients will be admitted directly to the OB ward or Labor Room through the Emergency Room. Afterward, they will proceed to the Admitting Section.
   • A trained ROD/Midwife/OB Nurse will measure vital signs, gather medical history, assess labor progress, perform vaginal exams, and inform the attending physician.
   • Patients in active labor will be monitored in the labor room with an External Fetal Monitor, checking at 15-minute intervals.
   • Patients in early or prodromal labor might be allowed to stay in their room, as determined by the attending physician.
   • Walk-in patients will be referred to the OB-GYNE physician on duty by ER Nurses or ROD and then admitted to their room.
2. The Resident on Duty will conduct the initial admission evaluation and attach it to the patient’s chart.
3. The Resident on Duty examines the patient, relays the assessment findings to the attending physician or on-deck physician.
4. The Resident on Duty or midwife/nurse will refer all patients to their attending physician upon admission.
5. All walk-in patients, whether private or HMO, will be referred to their attending physician or an on-call physician for the day by the Resident on Duty or midwife/nurse upon admission
6. Detailed data and assessments will be documented in patient charts.
7. Admitting orders from the attending physician or on-call physician for the day will be executed, with proper documentation of dates and times.
8. The MOD/NOD will record vital signs, weight, and presence of edema. The patient will also be connected to an External Fetal Monitor for up to 15-minute intervals.
9. Midwives may notify the attending physician and perform vaginal exams at their discretion to assess labor progress.
10. A labor curve and monitoring sheet will be documented, including details of medications and insertion of intravenous fluids, following the attending physician’s orders.
11. Midwives/nurses will note the presence of fetal heart sounds and the chosen location for auscultation using a fetal Doppler.
12. The 3Ps (contraction strength, frequency, and duration; passage; and pelvic measurement) will be evaluated using a mnemonic device.

Labor and Delivery Policies:

1. The Resident on Duty will initially evaluate laboring patients in the Labor Room and refer them to the attending or on-call physician.
2. Patients in early labor may be instructed by the attending physician to return to the nursing floor.
3. The midwife/nurse will closely monitor patients in early labor for signs of active labor.
4. Attending physicians may decide to send patients in early labor home, with appropriate advice to return when in the active phase.
5. The midwife/nurse in charge will inform the resident when a patient is ready for discharge.
6. The nurse/midwife will communicate the patient’s admission to the Nursery and Pediatrics departments, providing necessary information and data.
7. For patients admitted in the active phase of labor, the nurse/midwife will promptly notify the attending physician and prepare the Delivery Room with necessary instruments, equipment, autoclaved packs, medicines, IV fluids, and supplies.
8. Strict adherence to aseptic techniques will be maintained, ensuring thorough preparation for the delivery room.