A DAY AT MATERNIDAD LA LUZ BIRTH CENTER
A Day at Maternidad La Luz Birth Center was created to give the reader a sense of what one might experience on a shift at the center. A shift consists of several students at various levels of the program working under the supervision of a staff midwife and the director. During the shift, the staff and students are responsible for the care of all clients.
7:45 AM Students arrive on shift and prepare for the day--tie hair back, have breakfast, put food away, etc.
8:00 AM Shift begins. Staff and students gather for a circle to allow for a smooth transition into the new day. Sharing information, experiences, concerns and insights from the outgoing shift enables the new shift to provide continuity of care for clients. The day begins:
• 12 prenatal appointments
• 4 PGs (plasma glucose test)
• 1 pregnancy test
• 2 initial appointments
11:30 AM Labor check - Manuela is in active labor at 5 cm. Student #1 is assigned as primary attendant and begins monitoring her labor.
12:00 PM Staggered Lunch
12:15 PM Labor check - Lorenza is in early labor - 1 cm. She is returning home with early labor reco’s.
2:00 PM • 15 prenatal appointments
• 1 initial appointment
• 5 postpartum appointments
6:00 PM • Two hospital visits
• Staggered dinner
8:00 PM General clean up, organization and restocking of the clinic
9:30 PM Staff chart review
11:15 PM • Labor check - Lorenza returns in active labor - 6 cm.
• Student #2 is assigned as primary attendant and begins monitoring her labor.
1:00 AM Manuela births a baby girl. Student #3 assists and student #4 documents.
Student # 1 begins six-hour postpartum watch
5:55 AM Lorenza births a baby girl. Student #4 assists and Student #3 documents.
Student #2 begins six-hour postpartum watch (to be handed over to next shift at 10:00 AM)
7:00 AM Wake up time. Last minute cleanup for next shift.
7:30 AM Manuela and her husband go home with their new baby girl.
8:00 AM New shift begins
Student #2 remains with Lorenza monitoring her postpartum for another two hours and then hands over to a newly arrived student.