Early Labour Lounge

• 1. NORMAL BIRTH PROJECT EARLY LABOUR LOUNGE Ali Herron Consultant Midwife NECLEs HIEC Optimising opportunities for normal birth

2.

• Local reviews of maternity services MSLCand ward surveys

• User group - Responding and designing services in response to local needs and care provision

• Research results and recommendations

• Acknowledgement that the service was not meeting local needs in particular

• • Poor User Experience

• Relating to Antenatal Ward

History and Background 3. Key issues

• Poor user experience:

• Environment

• Staff attitude

• Accessibility

• Service perspective:

• Local population who access services early

4. Antenatal Ward

• Provides maternity triage

• Long stay in patient services

• Induction of labour

• Overwhelmed with activity

• Poor staff attitude

5. Ward Changes

• Reduction in inpatient beds

• IOL suite

• Consolidated triage women with ?labour and ?SROM

• Main triage moved to MFAU

• Early labour suite

6. Early Labour provision

• Comfortable and homely

• Provides safe but hands off space for women in early labour

• Soft furnishings, bean bags, low lighting, music, complimentary therapies

• Privacy with screens

• Supports the normal birth project

• Key to reducing caesarean section rates

7. Guidance and teaching

• Early labour care bundle

• Teaching of latent phase on in house study days

• Normal birth and active birth training

• Updating/reminders at hand over

• Green rules

8. User Feedback

• Picker Survey commissioned by the Care Quality Commission

• • 81% antenatal (excellent, very good or good)

• • 85% labour (excellent, very good or good)

• • 67% post natal (excellent, very good or good)

• Real Time Hospital Surveys in clinical areas

• User Group Reflections more positive

• Reduced number of complaints re attitude

9. Future service 10. 11. 12.