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CHAPTER 10 - Intrapartum care for women assessed as low risk in labour
- By Mervi Jokinen, Royal College of Midwives
Edited by Tahir Mahmood, Philip Owen, Sabaratnam Arulkumaran, Charnjit Dhillon
Book:

Models of Care in Maternity Services

Published online:

05 July 2014

Print publication:

01 November 2010, pp 91-99
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Summary

This chapter explores how policies, current standards and practices can be integrated to improve women's access and promote confidence and trust in the services provided as well as having a maternity workforce which use resources effectively. For safety and quality of care, protocols and care pathways are recommended, but midwives and obstetricians need to remember that each woman's care is individual and her journey through the labour is dynamic. The professionals agree that each organisation should have locally agreed clinical guidelines for midwifery-led labour care for low-risk women. Service planning has to support both low-risk and high-risk labour care pathways with equity. Any birth environment should have a monitoring tool for staffing levels. There are many sources recommending audits on labour care and outcomes: Royal College of Midwives (RCM) birth centre standards, Safer Childbirth, and Standards for Maternity Care.