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 MLL midwives. A director is always available for consultation by telephone. During the shift, the staff and students are responsible for the care of all clients. 7:45 AM Students arrive on shift and prepared for the day—hair tied back, breakfast eaten, food put 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:
6 prenatal appointments scheduled for the AM
4 postpartum appointments scheduled for the AM
2 initial appointments
11:30 AM Labor check – Client A is in active labor at 6 cm. Student #1 is assigned as primary attendant and begins monitoring her labor. 12:00 PM Staggered Lunch 12:15 PM Labor check – Client B is in early labor at 1 cm. She is returning home with early labor recommendations. 2:00 PM
5 prenatal appointments
1 initial appointment
3 postpartum appointments
6:00 PM Staggered dinner 8:00 PM General clean up, organization and restocking of the clinic. Staff and students circle to transition smoothly into the night shift. Student #1 hands over the laboring mom to student # 2. Day shift goes home and night shift readies the clinic for the night. 11:15 PM
Labor check – Client B returns in active labor at 6 cm.
Student #3 is assigned as primary attendant and begins monitoring her labor.
Client A births a baby girl. Student #4 assists and student #5 documents.
Student #3 begins six-hour postpartum watch
Client B births a baby girl. Student #5 assists and Student #4 documents.
Student #2 begins postpartum watch
7:00 AM Wake up time. Last minute cleanup for next shift. 7:30 AM Client A and her partner go home with their new baby girl. 8:00 AM
New shift begins
Student #2 remains with Client B monitoring her postpartum until newborn exam and other paperwork is done, and then hands over to a newly arrived student.