Labour & Delivery
7 roomsshift 07:00 to 19:00
The board at midday. Open a room to read the chart, watch the monitor, follow the labour curve, make the call, and hand the patient over. Every patient is fictional; every strip is an authored teaching tracing.
RoomGAPatientStageFetalNext
- 0139+2wks39+2Spontaneous labour, active phaseG1P0, 29 y. 6 cm, epidural, contractions every 3 minutesStageActiveFetalReassuringNextReassess 16:00
- 0241+3wks41+3Induction for post-dates, oxytocinG2P1, 33 y. 4 cm, oxytocin 4 hours, decelerations notedStageActiveFetalDecelerations notedNextAssess now
- 0339+0wks39+0Second stage, pushingG3P2, 35 y. Fully dilated 40 minutes, head at plus 1, variable decelerationsStageSecond stageFetalVariables, recoveringNextReassess 15 min
- 0434+5wks34+5Preeclampsia with severe features, inductionG1P0, 27 y. Magnesium sulfate running, balloon catheter in, 2 cmStageLatentFetalReduced variability on magnesiumNextHourly BP, bloods
- 0538+3wks38+3Spontaneous rupture of membranes, oligohydramniosG1P0, 31 y. 6 cm, deep variable decelerations with every contractionStageActiveFetalDeep variablesNextExamine for cord
- 0640+1wks40+1Early labour, prior postpartum haemorrhageG4P3, 36 y. 3 cm, contractions every 5 minutes, reassuring stripStageLatentFetalReassuringNextIV access, crossmatch
- Triage A36+4wks36+4Decreased fetal movements since the morningG2P1, 30 y. Non-stress test running, 20 minutes inStageTriageFetalNST runningNextComplete assessment
Active labour Needs assessment Second stage New admission Triage High risk, watching