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Safe Childbirth — Labour Admission Checklist

Medium 16 items · 30 min
testuser's avatar
testuser Published 4 months ago
Health

A practical admission checklist to guide midwives and obstetric staff through the first 30 minutes of labour care, ensuring maternal and fetal safety and clear documentation. Inspired by World Health Organization guidelines on Safe Childbirth — Labour Admission Checklist. Always consult a qualified healthcare professional.

Inspired by World Health Organization (WHO) guidelines. Always consult a qualified healthcare professional where applicable.

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  1. Confirm patient identity and estimated due date — Check ID, name, and expected delivery date against records or prenatal card.
  2. Check vital signs (blood pressure, pulse, temperature, respiratory rate) — Record values and compare to antenatal baseline if available.
  3. Assess labour progress and contractions — Note contraction frequency, duration and cervical status as clinically appropriate.
  4. Start and record findings on the partograph — Begin charting progress to spot slow or obstructed labour.
  5. Monitor fetal heart rate every 15–30 minutes — Use Doppler or fetoscope and document results.
  6. Establish IV access and collect baseline blood tests — Place IV, check blood type and haemoglobin; crossmatch if indicated.
  7. Ensure oxytocin and emergency medications are available — Confirm uterotonics, anticonvulsants and antibiotics are nearby and in date.
  8. Prepare clean delivery surface and sterile supplies — Ready the area and equipment to maintain hygiene at birth.
  9. Lay sterile sheet and ensure a warm blanket is ready
  10. Arrange sterile gloves, cord clamps, scissors, and suction device — Place supplies within easy reach of the birth attendant.
  11. Assign and brief the birth companion on how to support the birthing person — Explain simple comfort measures and hand hygiene before contact.
  12. Discuss pain relief options and obtain informed consent — Offer available analgesia and note the chosen plan in records.
  13. Check bladder and encourage voiding or catheterize if necessary — An empty bladder helps labour progress and reduces complications.
  14. Prepare for active management of the third stage of labour — Have uterotonic, cord clamps and trays ready for controlled cord traction.
  15. Clamp and cut the umbilical cord after 1–3 minutes unless immediate care is needed — Delay clamping if the baby is stable; act immediately if resuscitation required.
  16. Document all admission findings, interventions, and notify senior staff if concerns arise — Record times, observations, and any abnormal signs for handover.
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