08:30 - 20:30
Labour ward emergency work and cover of obstetric wards after 16:30
Obstetric handover is followed by consultant-led ward rounds on Labour Ward and Ward 48.
During the week you will join the ward round on the labour ward and antenatal ward and assist in theatre when necessary.
Typical duties include prescriptions, fluids, cannulae, ECGs, patient reviews (these will usually be medical reviews e.g tachycardia, fever and you will not be expected to perform obstetric assessments or examinations). *Grey cannulas are required for all women in labour*
- You will also be involved in Emergencies - post-partum haemorrhage, shoulder dystocia and pre-eclampsia to name a few ...
- If you are called to an emergency, identify yourself and ask the registrar/consultant/Labour Ward Sister what you can do to help. Often this will be IV access, sending bloods, prescribing emergency drugs. It is good to have an understanding of how these Emergencies are managed to appreciate what is happening and how best to contribute
- You will not be expected to carry out any obstetric assessments or examinations in the labour ward.
Where possible IDLs should be started on labour ward before the patient moves to the post natal ward. At the weekend, there is significant pressure in the post natal wards and it is often more appropriate for you to excuse yourself from the antenatal / labour ward rounds to start tackling the jobs in the post natal ward early
Consultants work in a resident “hot day” capacity Monday to Friday (not including public holidays) between 0830-2030 on Labour Ward. The consultants will either do “hot days” Mon/Tues or Wed/Thurs
Weekend Consultant Obstetric on-call is covered Friday to Sunday by a separate day and night team, non-resident overnight and non-resident all day Saturday and Sunday