LABOUR ROOM

The labor room, often known as the Labor Delivery Room (LDR), is the hospital's
most versatile place..

LDR is created to accommodate all types of deliveries.

LDR can be used for women who prefer not to be medicated or who want an
epidural. These rooms may also manage minor crises and treatments such as
forceps and vacuum births.

DEFINITION-
A labour room Also known as birthing room which is comfortable, furnished for
the process of labour and delivery to take place wherein the baby is usually
delivered and an hour after delivery if everything is normal or stable mother is
shifted to postnatal

OBJECTIVES-

 To act as full Factor for 100% institutional delivery rate.

• Delivery with dignity.

 To maintain strict aseptic the reduce maternal and Neonatal death.

• To provide good working atmosphere to the hospital staff.

Standardization of setting labor room

 labor areas with one labor table each,

 one nursing station,
 one newborn care area.
  two toilets

Two washing areas

Labour areas Each LDR unit should have 4

labor areas with the following specifications:
a. Each labor area should be of size 10'X 10'.

b. There should be a partition between two consecutive labor areas extending

up to the ceiling. The partition should be opaque till 6.5' and can have glass
(optional) for the rest of the height.

c. Each labor area should have one labor table .

. d. Each labor area should have one stool for birth companion.

e. Each labor area should have adequate lighting and ventilation. f. Each labor
area should have a ceiling/wall mounted fan.

g. There should be two curtains, one from each side of the door, extending to the
partition walls of the nursing station area

h. Each labor area should be of size 10'X 10'.

ui. There should be a partition between two consecutive labor areas extending up
to the ceiling. The partition should be opaque till 6.5' and can have glass
(optional) for the rest of the height."

j. Each labor area should have one labor table .

h. Each labour area should have one stool for birth companion.

e. Each labour area should have adequate lighting and ventilation.

f. Each labour area should have a ceiling/wall mounted fan.

G . There should be two curtains, one from each side of the door, extending to the
partition walls of the nursing station area
Quality in Labour Room

 Privacy
 Partograph
 Trained Staff
 Referral
 Drugs Avaliability
 Management of Complications
 Protocols
 Behavior of Staff
 Availability of Doctors
 Infection Control
 Labour room register

LIST OF EQUIPMENT
• Bed with mattress/delivery table with leg support string
 Bed side trolley
 IV stand
 S.s.stool
• Kelleys pad
• Doppler (fetal heart rate )machine
• ECG machine with accessories
• Defibrillator with accessories
• Resuscitation set for adult.
• Resuscitation set for newborn
• BMW set
• GW set
• Spillage set
• Eclampsia first aid kit
 • PPH manage kit
• Continued
• Dressing trolley with articles
• Episiotomy set
• Incisional set
• EMR drug tray/Crash carts
• Labor normal delivery set
• Newborn corner set
• Focus light
• Manual suction machine Central suction supply port
• Oxygen cylinder with accessories
• Central oxygen supply

DELIVERY ROOM PREPARATION

To preparations of delivery room is very important in every hospital set-up in
order to have it a safe healthy infection free birth it is described below.

DELIVERY TABLE SET-UP -

a. Handwashing .

b. Wear Cap, Gown, Mask as per the hospital policy

C. Place the sterile delivery set (pack) on table delivery trolley or a flat surface
that is above the waist level.

d. Maintain asepsis.

ASSESSMENT OF LABOUR ROOM-

LABOUR ROOM
1 Labour table with mackintosh sheet

2. Suction machine
3. Oxygen cylinder with face mask and oxygen concentration

4. 24 hour water supply

5. Waste disposal system In place

6. Privacy in the Labour room

ASSESSMENT OF LABOUR ROOM-

1 Labour table with mackintosh sheet

2. Suction machine

3. Oxygen cylinder with face mask and oxygen concentration

4. 24 hour water supply.

5. Waste disposal system In place

6. Privacy in the Labour room

ASSESSMENT : LABOUR ROOM

Emergency drug tray -
• Oxytocin injection = Oxytocin injection is used to begin or improve contractions
during labor. Oxytocin also is reduce bleeding after childbirth.

• Diazepam injection = required during labour, diazepam has been used to relieve
the anxiety component of pain.

• Magnesium sulphate injection =Magnesium sulfate is a naturally occurring

mineral used to control low blood levels of magnesium.

LABOUR ROOM-
• Watch
• Protocol
• Delivery tray
 • Sterile cotton
• Gauze
• Curtain
• Oxygen cylinder
• Labour table
• Attach toilet

Delivery Trolley-
• Speculum
• Artery Forceps
• Needle holder
• Sponge holder
• Thumb Forceps
• Scissors-Straight & curved
• Cord Tie
• Gloves size 6, 6.5
• Catgut
• Xylocaine loaded Syringe
• Urinary Catheter
• Mop/Pad
• Retractor
• vaginal speculum
• to spread and hold open your vaginal walls during an exam.
• Used in gynae OPD For general procedure.
• Artery forceps.
• To hold stay sutures.
• To clamp bleeding vessels during hemorrhage
• Needle holder.
• Grapsing needle at the timeof suturing
• Sponge holder.
• For holding sponge or a Gauze piece for painting the area before operation.
• Thumb foreps.
• Used for grasping, holding or manipulating body tissue
• Scissors
• Straight
• Straight scissors are used for cutting suture.
• Curved used for cutting heavy tissue.
• Cord tie
• used to tie off an umbilical cord when separating the baby from the
placenta
• Gloves
• Gloves help keep your hands clean and lessen your chance of getting germs
that can make you sick.
• Catgut
• Used for surgical ligatures and sutures. XYLOCAINE LOADED SYRINGES
• Used to numb an area of your body to help reduce pain or discomfort
caused by invasive medical procedures such as surgery, needl breathing tub
• Urinary catheter
• To empty the bladder in retention of urine.
• Used to empty the bladder before or after surgery and to help perform
certain tests
• Retractor.
• Inspection for suspected rupture of membranes.

NEWBORN CARE CORNER

• Radiant warmer
• Neonatal Ambu bag
• Mucus extractor
• Infant tray with clean cloth
• Oxygen cylinder
• Nasal catheter
• Laryngoscope
• Pediatric stethoscope