The document provides guidelines for organizing and upgrading labor rooms to provide high quality maternity services. Key recommendations include: 1) Ensuring adequate space, lighting, ventilation, and power supply in the labor room. The layout should include registration, examination, staff room, labor/delivery, newborn care, and storage areas. 2) Equipping the labor room with necessary medical equipment like radiant warmers, Dopplers, delivery kits and supplies. 3) Maintaining adequate stocks of consumables and disposable items. 4) Having sufficient trained staff like nurses, ANMs and doctors depending on the delivery load. 5) Establishing protocols for entry into the labor room and use of PPE

1. ORGANIZATION OF LABOUR ROOM

2. Organization of labour room
Introduction :
labour room in every delivery point should be
standardized for delivery high quality services
during childbirth . Delivery points with high case
load should be prioritized first for standardization .
When new construction is not for labour rooms .
Every effort should be made to ensure that labour
room space is re-organised as per these guidelines
.

3. The guidelines for up-gradation
of labour rooms:

4. 1} Space & layout
a)lightening:-
The labour room complex should have adequate lights . Apart
from the ambient light there should also be provision for
additional forms lights for the labour table and examination
tables for procedure.
b)Power supply:-
Every new construction should have adequate
Lights . Apart from the ambient light , there should have
adequate power backup to continue run the radiant warmer
, the light and the fans .
c)Ventilation :-
The labour room should have adequate ventilation . At the
same time , the temperature of the labour room should be

5. .. Size and layout as per layout given in annexure
vii.
.. A registration desk of size ‘4 X 2’
.. There chairs , one for person manning the desk
and two for pregnant women & her attendant.
C) Triangle / Examination :-
There should be an examination cum triangle room
to first examine the pregnant women who has come
to the facility . The examination room will function as
the triangle area based on risk .
F)staff room ;-
There should be a staff room with the following
specification:-
** A BED PER LAYOUT OFF DUTY STAFF TO
REST
** A CABINAT TO STORE DOCUMENTS.

6. g) Labour & Delivery area:-
The labour area should have adequate space to
accommodate recommended number of labour beds as
per the layout . The labour beds should be placed in a
way that there is distance of at least 3 from the side wall
. There should be an attached toilet .
h) Newton care area:-
The labour room should have one new born care area for
every 4 labour tablets . The WABC should have the
following:-
- Radiant warmer
- Reservation kit with functional bag & mass
- Mucus extractor
- Shoulder roll
- Paediatric stethoscope
i) Nursing station:-
The labour room should have one nursing station with

7. - An t-shaped table
- Two plastic / wooden chairs
- A storage cupboard for the storing documents
- A while board on the wall next to the nursing station
j) store room:-
There should be a store room within the complex with
the following specification .
- Cabinet and storage racks for supplies.
2) Equipment & accessories :-
- Radiant warmer :- 1 for 4 labour tables
- Hand held fatal Doppler
- Feta scope
- Autoclaved delivery tray for each labour table .
- Stethoscope .
- protein urea test kit .
- Digital BP meter .
- Thermometer .
- Paediatric resuscitation bag .
- Cheat less forceps.

8. 3) Consumables :-
Consumables such as cotton , thread , gauge , catgut , IV
sets , needles , medicines oral , soap , hand wash , beta dine
solution , number of such items is to review use for 6 months
and making adequate numbers.
- dispose matter & baby supplies
4) Human Resource exclusively for
labour room :-
- At least 1 ANM for every 5 hourly shift at delivery periods .
- 1 or 2 medical others .
- LDR facilities there should be 4 staff nurses per LDR unit 1
for each shift & 1 for back up .
- If deliveries are 100-200 4 staff nurses , 4 ANM “s , 4 Mo ,
1 pediatration , 4 sweepers .
- If deliveries are 200-500 8 staff nurses 4 ANM’s , 4 OBC
specialists , 4 sweepers
- If deliveries are 750-1000 10 staff nurses , 6 ANM’s , 30

9. 5) Practices and protocols:-
a) Protocols for entry to the labour room:-
- entry to the labour room should not direct . It should be
allowed only to the pregnant women , her birth companion,
doctor nurse / ANM on duty .
- entry of male staff should be restricted to only to whose are
on duty
b) protocols for worming in the labour room:-
All the staff should wear PPE at the time of
conducting delivery , other times mask and cap
should be worn .