L&D handover
Pick a room, open its handover tab, and sign the patient out aloud. The grader checks what you said against the chart and tells you what a receiving clinician would still need to know.
The shape
- 1Who. Room, age, gravidity and parity, gestational age, why she is here.
- 2Where the labour is. Dilatation, station, membranes and liquor, contractions, the time of the last examination and the next.
- 3The monitor. Baseline, variability, decelerations, category, and the trend since the last review.
- 4Maternal. Vitals, bloods that matter, what is running (oxytocin, magnesium, antibiotics, epidural), allergies, GBS.
- 5The plan. What has been decided, what is pending, who has been called.
- 6Watch for. The specific things that would change the plan, and when to escalate.
Choose a room
- Room 1: Spontaneous labour, active phaseGA 39+2, G1P0. 6 cm, epidural, contractions every 3 minutes
- Room 2: Induction for post-dates, oxytocinGA 41+3, G2P1. 4 cm, oxytocin 4 hours, decelerations noted
- Room 3: Second stage, pushingGA 39+0, G3P2. Fully dilated 40 minutes, head at plus 1, variable decelerations
- Room 4: Preeclampsia with severe features, inductionGA 34+5, G1P0. Magnesium sulfate running, balloon catheter in, 2 cm
- Room 5: Spontaneous rupture of membranes, oligohydramniosGA 38+3, G1P0. 6 cm, deep variable decelerations with every contraction
- Room 6: Early labour, prior postpartum haemorrhageGA 40+1, G4P3. 3 cm, contractions every 5 minutes, reassuring strip
- Triage A: Decreased fetal movements since the morningGA 36+4, G2P1. Non-stress test running, 20 minutes in