One to One Nursing Care for Actively Laboring Mothers
Not all hospitals are able to, or choose, to staff their labor units according to AWHONN guidelines. Many hospitals recognize that one to one nursing care for actively laboring mothers is the gold standard and is safer for mom and baby. I have worked in both types of facilities. Nurses that are able to care for mothers one to one can give a great gift of time and attention to their patients. Mothers in labor do better when they have continuous support. I feel lucky to work at a hospital that strives for one to one staffing. I am making a call to labor nurses, go back to the bedside. I love working with you ladies and gents. You make me laugh. The nursing station is a fun place to joke around with people whom understand you in a way that even your family can not. I love swapping war stories and sharing photos of babies with you. As much as I love this interaction with you at the nursing station, I ask you to go back to the bedside. The mothers need us. Laboring mothers need continuous support. Remember labor sitting? We need to bring that back! With continuous support mothers are less likely to need medical interventions. You will be able to recognize subtle differences in your patient’s status. You will have more time for observation, assessment, education and supporting the mother and her family. One to one staffing is a great gift for both the nurse and the mother. Sometimes a mother will request less of your presence at the bedside. This is rare. All mothers should have continuous support during labor, even when they have has an epidural.
Quietly sitting, charting and guiding the mother is reassuring and decreases maternal stress.
It may seem awkward at first. It will become normal very quickly.
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