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. Admit all OB-GYNE patients directly to the OB ward or Labor Room via the Emergency Room, then proceed to the Admitting Section.
   • Upon admission, the ROD/Midwife/OB Nurse will take vital signs, gather patient history, assess labor progress, perform vaginal exams, and inform the attending physician.
   • If the patient is in active labor, monitor them in the labor room and connect them to an External Fetal Monitor for 15-minute intervals.
   • At the attending physician’s discretion, patients in early or prodromal labor may stay in their room.
   • Refer walk-in patients to the deck OB-GYNE physician by the ER Nurses or ROD and admit them to their room.
2. Complete the initial admitting evaluation by the Resident on Duty and attach it to the patient chart.
3. The resident on duty examines the patient and informs the attending physician or on-deck physician of the assessment.
4. Refer all patients to their attending physician by the resident on duty or midwife/nurse upon admission.
5. Refer all walk-in patients, private or HMO, to their attending physician or an on-call physician for the day by the resident on duty or midwife/nurse upon admission.
6. Document patient charts with complete data and assessments.
7. Carry out all admitting orders by the attending physician or on-call physician for the day, ensuring documentation of dates and times.
8. Record vital signs, weight, and presence of edema by the MOD/NOD, then connect the patient to an External Fetal Monitor for a maximum of 15-minute intervals.
9. Midwives may inform the attending physician and perform vaginal exams at their discretion to assess patient labor progress.
10. Document the labor curve and monitoring sheet, noting all medications and insertion of intravenous fluids, preferably using a large bore IV catheter gauge 18 or 20, as ordered by the attending physician.
11. Midwives/nurses note the presence of fetal heart sounds and the location for auscultation using a fetal Doppler.
12. Use a mnemonic device to evaluate the 3Ps: contraction strength, frequency, and duration; passage; and pelvic measurement.

Labor and Delivery Policies:

1. The resident on duty initially evaluates the patient in labor in the Labor Room and refers them to the attending or on-call physician.
2. Patients in early labor may return to the nursing floor per the attending physician’s instructions.
3. The midwife/nurse will monitor patients in early labor for signs of active work.
4. Attending physicians may order patients in early labor to be sent home, with proper advice to return once in the active phase.
5. The midwife/nurse in charge informs the resident of the patient’s discharge.
6. It is the duty of the nurse/midwife to inform the Nursery and Pediatrics of choice about the admission. Provide the necessary information and data to the Nursery Department about the patient.
7. For patients admitted in the active phase of labor, the nurse/midwife notifies the attending physician immediately and prepares the Delivery Room instruments, equipment, autoclaved packs, medicines, IV fluids, and supplies.
8. Strictly practice proper aseptic techniques and ensure complete preparation for the delivery room.