ULAB Resource Guide

To find resources to support your quality efforts, please click on a domain below. Within the domain, you will see a series of resources. First, find the questions you would like to address. Then, see the legend below to identify the type of resource. Click on the selected question to see the resource description and link.

Legend (1.75 x 1 in)

Admission to Hospital in Active Labour

🟠 Does this facility have a written guideline recommending admission to the labour unit only after the spontaneous onset of active labour (at term)?

Resource: NICE Clinical Guideline – Intrapartum Care Clinical guideline by the National Institute for Health and Care Excellence on Intrapartum care for healthy women and babies. This resource links to the section on definition and admission recommendations for those experiencing the latent first stage of labour. Link: https://www.nice.org.uk/guidance/cg190/chapter/Recommendations#latent-first-stage-of-labour

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🟠 Does this facility have a written guideline recommending admission to the labour unit only after the spontaneous onset of active labour (at term)?

Resource: ACOG Info Sheet – Interventions Resource by the American College of Obstetricians and Gynecologists outlining reasonable interventions and indicators for the safe prevention of cesarean delivery in the first and second stages of labour. Link:https://ilpqc.org/ILPQC%202020%2B/PVB/Toolkit/PNEM/Did%20You%20Know%206%20is%20the%20New%204.pdf

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🟠 Does this facility have a written guideline recommending admission to the labour unit only after the spontaneous onset of active labour (at term)?

Resource: ACOG – Safe Prevention of Primary Cesarean Delivery. Document by the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine outlining approaches and interventions aimed at reducing cesarean deliveries Link: https://www.acog.org/clinical/clinical-guidance/obstetric-care-consensus/articles/2014/03/safe-prevention-of-the-

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Early Labour Support

🔴 How does this facility support people who arrive at the hospital in early labour and who choose to stay or cannot go home?

Resource: FHA – Labour Information Describes at what point in labour a person should go to the hospital and how to stay comfortable at home beforehand. Link: https://www.fraserhealth.ca/health-topics-a-to-z/pregnancy-and-baby/labour-birth-and-early-postpartum/labour#.YmrlIdrMK5c

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🟠 Does this facility provide support to people who return home following an early labour assessment?

Resource: Omama – When to Call (Labour) Resource providing a guideline and links to other resources about when to call the health care provider during the progression of labour. Link: https://www.omama.com/en/late-pregnancy/when-to-call-your-health-care-provider.asp?_mid_=96157

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🟡 How does this facility support people who arrive at the hospital in early labour and who choose to stay or cannot go home?

Resource: Cochrane – Assessment and support during early labour for improving birth outcomes Resource by Cochrane reviewing the efficacy of assessments and interventions at early labour against maternal and neonatal outcome measures. Link:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6478316/#CD011516-sec-0033

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🟡 How does this facility support people who arrive at the hospital in early labour and who choose to stay or cannot go home?

Resource: NWH – Early Labour Lounges Paper discussing the effect and potential benefits of having an early labour lounge to support birthing people during their latent labour phase. Link: https://www.nwhjournal.org/article/S1751-4851(19)30124-2/fulltext

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Infrastructure

🔴Does this facility provide the following structural supports?

Resource: ACNM – Hydrotherapy during Labour and Birth Position statement by the American College of Nurse-Midwives outlining evidence-based reasons supporting the use of hydrotherapy during labour and birth. Link:https://www.midwife.org/acnm/files/ACNMLibraryData/PLOADFILENAME/000000000286/Hydrotherapy-During-Labor-and-Birth-April-2014.pdf
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🔴 Does this facility provide materials and supplies that promote undisturbed birth, including.

Resource: D. Balabanoff – Birth Environment Process e-book arguing for optimising birth environments for undisturbed labour. Link: https://indd.adobe.com/view/3a35bb36-7f43-4e94-b79f-7ce4b989f452
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🔴 Does this facility provide the following structural supports?

Overview of the major hormones released during labour and delivery and the ways in which interventions affect them. Link: https://sarahbuckley.com/wp-content/uploads/2014/02/Ecstatic-birth-ebook-w.pdf
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🟡 Does this facility provide the following structural supports?

Resource: JOGC – Water Immersion Paper describing rates of adverse neonatal outcomes for water birth attended by midwives compared to conventional birth. Link: https://www.jogc.com/article/S1701-2163(19)30685-1/pdf
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🟠 Does this facility provide the following structural supports?

Resource: PSBC – Pain Management in Labour Guideline discussing common types of pain management during labour from least to most interventionist. Link:http://www.perinatalservicesbc.ca/Documents/GuidelinesStandards/Maternal/PainManagementGuideline.pdf
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Respectful Maternity Care and Freedom from Mistreatment

🟢 Does this facility use a measure of respectful maternity care as part of its quality assurance assessment (i.e. patient reported experience surveys)?

Resource: BPL – Tools Instruments created by the Birth Place Lab aimed at improving the evaluation of perinatal care, the measurement of respectful care, and of provider attitudes to planned home birth. Link: https://www.birthplacelab.org/tools/
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🟢 Does this facility use a measure of respectful maternity care as part of its quality assurance assessment (i.e. patient reported experience surveys)?

Resource: USAID – Respectful Maternity Care Survey report displaying findings and recommendations about the global state of respectful maternity care. Link:https://toolkits.knowledgesuccess.org/sites/default/files/rmc_survey_report_0_0.pdf
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🟢 Does this facility use a measure of respectful maternity care as part of its quality assurance assessment (i.e. patient reported experience surveys)?

Resource: USAID – Respectful Maternity Care Survey report displaying findings and recommendations about the global state of respectful maternity care. Link:https://toolkits.knowledgesuccess.org/sites/default/files/rmc_survey_report_0_0.pdf
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🟢 Does this facility have a formal process for staff to report inequitable, discriminatory, or abusive care?

Resource: Report – Complaint Handling Report by the Ombudsperson of British Columbia providing a guide for complaint handling resolution systems within public organizations. Link: https://bcombudsperson.ca/assets/media/OMB-ComplaintsGuide-Dec2020web.pdf
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🟢 Does this facility have a formal process for childbearing people and families to report inequitable, discriminatory, or abusive care?

Resource: Reporting Webform CHRC – Discrimination & Harassment Form by the Canadian Human Rights Commission provides for filling out experiences of discrimination and harassment, as well as need-to-know facts about this process. Link: https://www.chrc-ccdp.gc.ca/en/complaints/make-a-complaint
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🟢 Does this facility have a formal process for childbearing people and families to report inequitable, discriminatory, or abusive care?

Resource: Resource Toronto Birth Centre – Feedback portal Resource by the Toronto Birth Centre providing directions to provide a complaint or compliment about experiences birthing at their centre. Link: https://torontobirthcentre.ca/birthing-at-the-tbc/client-and-family-feedback/#complaintscompliments
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Access to Midwifery Care

🔵 Are there restrictions to midwifery scope of practice (beyond limitations defined by the local regulatory body) in this facility?

Resource: ACNM Document – Midwife Scope of Practice Document by the American College of Nurse-Midwives outlining the definition of midwifery and scope of practice of certified midwives and nurse-midwives. Link:https://www.midwife.org/acnm/files/acnmlibrarydata/uploadfilename/000000000266/Definition%20Midwifery%20Scope%20of%20Practice_2021.pdf
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🟡 Are there restrictions to midwifery scope of practice (beyond limitations defined by the local regulatory body) in this facility?

Resource: Study Website – Midwife & Birth Outcomes The AIMM Study explored the relationships between access, integration, and density of midwives in the United States with key pregnancy, birth, and newborn outcomes. Link: https://www.birthplacelab.org/mapping-collaboration-across-birth-settings/
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Integration of Community Birth Providers

🟠 Does this facility have written guidelines that support collaboration with community based care providers?

Resource: Commentary – Collaborative Practices Commentary discussing collaborative practices among obstetricians, family physicians and midwives. Link: https://www.cmaj.ca/content/186/17/1279
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Non-Pharmacological Pain Management

🟢 Does this facility have a plan or program in place to offer all women/childbearing people non-pharmacological pain management methods?

Resource: Report Summary – Physiologic Birth & CS Hormones National Partnership for Women & Families report summary discussing implications of a physiologic birth over a cesarean section and strategies to support beneficial hormonal action when a cesarean is necessary. Link: http://www.nationalpartnership.org/research-library/maternal-health/physiologic-birth-vs-c-section.pdf
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⚪️ Does this facility provide and require education for all clinical staff and providers about non-pharmacological pain management methods?

Resource: Educational Courses – Doula Certification Organization providing various workshops and doula certification courses for health care providers and students. Link: https://doulaworkshop.com/healthcareproviders/.
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⚪️ Does this facility provide and require education for all clinical staff and providers about non-pharmacological pain management methods?

Resource: Educational Course – Labour Doula & Pregnancy Fitness The Childbirth and Postpartum Professional Association provides certification courses for labor doula and pregnancy fitness. Link: https://cappa.net/training-certification/specialty-advanced-courses/
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⚪️ Does this facility provide and require education for all clinical staff and providers about non-pharmacological pain management methods?

Resource: Videos – Peanut Balls for Labour Videos on the use of peanut balls as labour support. Link: https://premierbirthtools.com/peanut-ball-videos/
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⚪️ Does this facility provide and require education for all clinical staff and providers about non-pharmacological pain management methods?

Resource: Educational Courses – L&D Professionals This organization provides training and education courses for labour and delivery professionals. Link: https://heartsoulbirthpros.com/for-nurses-docs-midwives/
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⚪️ Does this facility provide and require education for all clinical staff and providers about non-pharmacological pain management methods?

Resource: Educational Courses – L&D Professionals This organization provides training and education courses for labour and delivery professionals. Link: https://heartsoulbirthpros.com/for-nurses-docs-midwives/
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Informed Choice and Person-Centered Decision Making

🟠 Does this facility have a written policy supporting informed choice and person-centered decision making?

Resource: Infographic – Decision-Making Success Infographic by Healthwise displaying eight steps to success in shared decision making between patient and provider. Link: https://cdn-www.healthwise.org/docs/document/8370.pdf
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🔴 Does this facility require all clinical staff and providers to complete education on person-centered decision making?

Resource: Website – TeamBirth A resource describing TeamBirth and its implementation by Ariadne Labs. Link: https://www.ariadnelabs.org/delivery-decisions-initiative/teambirth/
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🔴 Does the facility have a process to integrate feedback at the facility level about patient-provider interactions?

Resource: Guide – Respectful Care & Rights Companion guide by NYC Health outlining New York City standards for respectful care at birth including understanding rights during pregnancy, labour and delivery, and during postpartum. Link: https://www1.nyc.gov/assets/doh/downloads/pdf/ms/birth-rights-companion-guide.pdf
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🔵 Does this facility have a written policy supporting informed choice and person-centered decision making?

Resource: Document – Requests for Non-Standard Care Document by the BC College of Nurses and Midwives outlining policy on requests for care outside standards. Link:https://www.bccnm.ca/Documents/standards_practice/rm/RM_Policy_on_Requests_for_Care_Outside_Standards.pdf
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🟠 Does this facility have a standard process for resolving differences in opinion between childbearing people and providers about care decisions?

Resource: AWHONN Clinical Guideline – Respectful Care Evidence-based clinical practice guideline by the Association of Women’s Health and Obstetric and Neonatal Nurses establishing a framework for practice facilitating the provision of respectful maternity care. Link:https://www.jognn.org/article/S0884-2175(22)00001-6/fulltext
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🟠 Does this facility have a standard process for resolving differences in opinion between childbearing people and providers about care decisions?

Resource: ACOG Committee Opinion – Patient Refusal of Care Committee opinion by the American College of Obstetricians and Gynecologists providing an ethical approach for obstetrician-gynecologists in the event a pregnant person refuses recommended medical treatment centring the autonomy of the pregnant person and the interconnection between them and their fetus. Link:https://www.acog.org/clinical/clinicalguidance/committeeopinion/articles/2016/06/refusal-of-medically-recommendedtreatment-during-pregnancy
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Continuous Emotional Support

🟠Does this facility provide and require education for all staff and providers on the role and benefits of continuous emotional support during labour and birth?

Resource: Infographic – Benefits of Doulas Infographic on the benefits of birth and postpartum doulas in clinical, emotional, and physical domains. Link: https://www.dona.org/wp-content/uploads/2016/12/DONA_infographic-3.pdf
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🟠 Does this facility have a written policy encouraging and ensuring access to doulas in addition to other birth companions?

Resource: Infographic – Doula Policy USA Infographic by Touro University California on an analysis of doula policy within maternal child health in the US. Link:https://apha.confex.com/apha/2019/mediafile/Handout/Paper428443/2019_Poster_40x56_Lisa%20Baracker%2CDO%2C%20MPH_final.pdf
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🟡 Does this facility have a written policy encouraging and ensuring access to doulas in addition to other birth companions?

Resource: Brief – Community Models for Health Equity Brief by the Commonwealth Fund on community-based models to improve maternal health outcomes and promote health equity. Link: https://www.commonwealthfund.org/publications/issue-briefs/2021/mar/community-models-improve-maternal-outcomes-equity
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🟡 Does this facility have a written policy ensuring access to and participation of birth companions?

Resource: WHO Report – Improving Intrapartum Care Report by the WHO on standards for improving quality of maternal and newborn care in health facilities. Page 22, Standard 6 iterates the standard of providing every birthing person and their family emotional support. Link: https://cdn.who.int/media/docs/default-source/mca-documents/advisory-groups/quality-of-care/standards-for-improving-quality-of-maternal-and-newborn-care-in-health-facilities.pdf?sfvrsn=3b364d8_2
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🔴 Does this facility have a written policy encouraging and ensuring access to doulas in addition to other birth companions?

Resource: Project Website – Health Outcomes Medicaid Project by the National Health Law Program to improve health outcomes for Medicaid enrollees by ensuring that pregnant and postpartum people enrolled in Medicaid have access to a doula if desired. Link: https://healthlaw.org/doulamedicaidproject/
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🔵 Does this facility provide and require education for all staff and providers on the role and benefits of continuous emotional support during labour and birth?

Resource: Document – Comfort in Labour Document by Childbirth Connection on maximizing comfort during labour. Link: https://www.nationalpartnership.org/our-work/resources/health-care/maternity/comfort-in-labor-simkin.pdf
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Induction or Augmentation of Labour

🔴 Does this facility have a written guideline clearly outlining criteria to recommend induction of labour?

Resource: Clinical Background – Pregnancy 40+ Weeks Clinical backgrounder document by the Association of Ontario Midwives on pregnancy beyond 40 weeks. Link: https://www.ontariomidwives.ca/sites/default/files/Pregnancy-beyond-40-midwives-PUB.pdf
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🔴 Does this facility have a written guideline clearly outlining criteria to recommend induction of labour?

Resource: Toolkit – Early Elective Deliveries Toolkit by the California Maternal Quality Care Collaborative on early elective deliveries. Link: https://www.cmqcc.org/resources-tool-kits/toolkits/early-elective-deliveries-toolkit
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⚪️ Does this facility provide education to all staff and providers on non-pharmacological methods to support labour progress?

Resource: Workshop – Labour Support Workshop by Lamaze on evidence-based labour support, counts for continuing nursing education credits and Lamaze contact hours. Link: https://www.lamaze.org/lamaze-specialty-workshops
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⚪️ Does this facility provide education to all staff and providers on non-pharmacological methods to support labour progress?

Resource: Workshop – Physiologic Birth Training Workshop by Bundle Birth Nurses on physiologic birth for L&D RNs. Link: https://bundlebirthnurses.com/workshops-and-events/
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⚪️ Does this facility provide education to all staff and providers on non-pharmacological methods to support labour progress?

Resource: Training – Doula Certification Doula training for labour and delivery nurses and professionals by Heart + Soul + Birth Pros. Link: https://heartsoulbirthpros.com/for-nurses-docs-midwives/
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⚪️ Does this facility provide education to all staff and providers on non-pharmacological methods to support labour progress?

Resource: Videos – Peanut Balls for Labour Videos on the use of peanut balls as labour support. Link: https://premierbirthtools.com/peanut-ball-videos/
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Freedom to Eat and Drink During Labour

🔴 Does this facility have a written policy encouraging oral intake for childbearing people in labour?

Resource: Review – Nutrition/Hydration in Labour Short review on nutrition and hydration during labour by Birth Tools. Link: https://www.birthtools.org/MOC-Nutrition-Hydration-During-Labor
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🔵 Does this facility have a written policy encouraging oral intake for childbearing people in labour?

Resource: WHO Recommendations – Intrapartum Care Recommendation document by the WHO on intrapartum care for a positive childbirth experience. Recommendation #24: for labouring people at low risk, oral fluid and food intake is recommended. Link: https://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng.pdf
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🟡 Does this facility have a written policy encouraging oral intake for childbearing people in labour?

Resource: Cochrane Review – Eating/Drinking in Labour Review by Cochrane on eating and drinking during labour. Link: https://www.cochrane.org/CD003930/PREG_eating-and-drinking-in-labour
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🟡Does this facility have a written policy encouraging oral intake for childbearing people in labour?

Resource: Freedom to Eat and Drink During Labour Document by Evidence Based Birth on eating and drinking during labour. Includes Spanish, English, and audio version. Link: https://evidencebasedbirth.com/evidence-eating-drinking-labor/
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🟠 Does this facility have a written policy encouraging oral intake for childbearing people in labour?

Resource: NICE Clinical Guideline – Intrapartum Care Clinical guideline by the National Institute for Health and Care Excellence on intrapartum care for healthy women and babies. Link:https://www.nice.org.uk/guidance/cg190/resources/intrapartum-care-for-healthy-women-and-babies-pdf-35109866447557
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Freedom of Movement and Choice of Birth Position

🔴Do all clinical staff and providers have skills to provide care in various birth positions?

Resource: Picture-Based Guide – Labour Positions Picture-based guide by Mother’s Advocate on positions for labour. Link:https://ilpqc.org/ILPQC%202020%2B/PVB/Toolkit/PE/FPQC%20Positions%20for%20Labor.pdf
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🔴 Do all clinical staff and providers have skills to provide care in various birth positions?

Resource: Document – Positions for Labour Progression Short document by Lamaze on 8 key positions to help the progression of labour. Link:https://www.lamaze.org/Portals/0/docs/infographics/LamazeInternational_LaborPositions.pdf
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🔴 Does this facility have a written guideline recommending self-directed pushing during a spontaneous second stage of labour?

Resource: Article – Instinctive Pushing Article published on Midwife Thinking supporting the instinctive pushing behaviour during uncomplicated, physiological birth. Link: https://midwifethinking.com/2015/09/09/supporting-womens-instinctive-pushing-behaviour-during-birth/
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⚪️ Do all clinical staff and providers have skills to provide care in various birth positions?

Resource: Workshop – Labour Support Workshop by LAMAZE on evidence-based labor support workshop for continuing education credits. Link: https://www.lamaze.org/lamaze-specialty-workshops
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⚪️ Do all clinical staff and providers have skills to provide care in various birth positions?

Resource: Workshop – Fetal Positioning 4-day workshop by Spinning Babies for bodyworkers, midwives, doctors, and nurses on fetal positioning. Link: https://www.spinningbabies.com/professionals/spinning-babies-aware-practitioner-workshop/
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🔵 Does this facility have a written guideline recommending self-directed pushing during a spontaneous second stage of labour?

Resource: WHO Recommendations – Intrapartum Care Recommendation document by the WHO on intrapartum care for a positive childbirth experience. Recommendations #36 & #37: It is recommended that the birthing person follow their own urge to push. Link: https://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng.pd
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Fetal Monitoring

🔴 Does this facility have written policies recommending intermittent auscultation at admission and throughout labour and birth for healthy childbearing people?

Resource: Infographic – Auscultation Infographic by AWHONN on intermittent auscultation. Link: https://www.awhonn.org/wp-content/uploads/2020/11/Back-to-Basics-Fetal-Auscultation_v1.pdf
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🔴 Does this facility have written policies recommending intermittent auscultation at admission and throughout labour and birth for healthy childbearing people?

Resource: Decision Tool – Intrapartum Fetal Surveillance Document for decision support on intrapartum fetal health surveillance. Link: http://www.perinatalservicesbc.ca/Documents/Guidelines-Standards/Standards/Competencies/DST%20January%202021%20-%20Intrapartum%20Fetal%20Health%20Surveillance.pdf
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🔴 Does this facility have written policies recommending intermittent auscultation at admission and throughout labour and birth for healthy childbearing people?

Resource: Evidence – Intermittent Auscultation Slides by Denver Health discussing intermittent auscultation. Link:https://ilpqc.org/ILPQC%202020%2B/PVB/Toolkit/PNEM/MOC%20FWB%20Intermittent%20Auscultation%20Denver%20Health.pdf
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🔴 Does this facility have written policies recommending intermittent auscultation at admission and throughout labour and birth for healthy childbearing people?

Resource: Implementation – Intermittent Auscultation Article by RN outlining policy changes to implement IA as fetal health surveilance. Link:https://birthtools.org/Switching-to-Intermittent-Auscultation
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🔴 When is intermittent auscultation used for fetal monitoring?

Resource: Infographic – Auscultation Infographic by AWHONN on intermittent auscultation. Link: https://www.awhonn.org/wp-content/uploads/2020/11/Back-to-Basics-Fetal-Auscultation_v1.pdf
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⚪️ Are all clinical staff and providers who provide intrapartum care educated in intermittent auscultation?

Resource: Training – Intermittent Auscultation Simulation-based training program by the Institute for Perinatal Quality Improvement on Intermittent Auscultation. Link: https://www.perinatalqi.org/page/iaedfaqs
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Cord Clamping

🟡 Are all clinic staff and providers who provide intrapartum care educated about the benefits and protocols for delayed cord clamping?

Resource: Literature Review – Cord Clamping Current best evidence through a literature review on umbilical cord clamping by Judith S. Mercer. Link: https://www.researchgate.net/profile/Judith-Mercer/publication/227534793_Current_Best_Evidence_A_Review_of_the_Literature_On_Umbilical_Cord_Clamping/links/5ebe0d12299bf1c09abc2959/Current-Best-Evidence-A-Review-of-the-Literature-On-Umbilical-Cord-Clamping.pdf
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🟡 Are all clinic staff and providers who provide intrapartum care educated about the benefits and protocols for delayed cord clamping?

Resource: Journal Article – Cord Clamping Paper by McAdams et al. on steps for implementing delayed cord clamping in a hospital setting. Link:https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC4823694/
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🟠 Are all clinic staff and providers who provide intrapartum care educated about the benefits and protocols for delayed cord clamping?

Resource: ACOG Committee Opinion – Cord Clamping Committee opinion by the ACOG on delayed umbilical cord clamping after birth. Link: https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2020/12/delayed-umbilical-cord-clamping-after-birth#:~:text=in%20term%20infants.-,Given%20the%20benefits%20to%20most%20newborns%20and%20concordant%20with%20other,vigorous%20term%20and%20preterm%20infants
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🟠 Are all clinic staff and providers who provide intrapartum care educated about the benefits and protocols for delayed cord clamping?

Resource: ACNM Position Statement – Cord Clamping Position statement by the American College of Nurse-Midwives on delayed umbilical cord clamping. Link:https://www.midwife.org/ACNM/files/ACNMLibraryData/UPLOADFILENAME/000000000290/Delayed-Umbilical-Cord-Clamping-May-2014.pdf
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🟠 Are all clinic staff and providers who provide intrapartum care educated about the benefits and protocols for delayed cord clamping?

Resource: Clinical Guideline – Cord Clamping Clinical practice guideline by Fraser Health on delayed cord clamping. Link:https://www.fraserhealth.ca//media/Project/FraserHealth/FraserHealth/Health-Professionals/Professionals-Resources/Neonatal-resuscitationprogram/Delayed_cord_clamping_clinical_practice_guideline.pdfla=en&hash=E068A0197E0FF4D3A52992F457CF936D99EF472C
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🟠 Does this facility have a written policy stating delayed cord clamping as the standard of care?

Resource: Clinical Practice Standard – Cord Clamping Clinical practice standard by the Baystate Medical Center on delayed cord clamping and skin-to-skin in newborns more than 36 weeks after a vaginal delivery. Link:https://www.birthtools.org/birthtools/files/BirthToolFiles/FILENAME/000000000081/DC-DCC-ClinicalGuideline-BaystatMedicalCtr-2014.pdf
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Immediate Postpartum Togetherness

🟢 Does this facility have a written guideline stating immediate skin-to-skin as the standard of care?

Resource: Guideline & Evaluation – Baby-Friendly Document by Baby-Friendly USA, Inc. on guidelines and evaluation criteria for facilities seeking and sustaining baby-friendly designation. Link: https://www.babyfriendlyusa.org/wp-content/uploads/2019/12/US-Interim-GEC_191107_CLEAN.pdf
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🔴 Are all clinical staff and providers educated in facilitating immediate skin-to-skin contact?

Resource: Evidence – Skin-to-Skin Resource page by UNICEF on skin-to-skin contact supporting the baby’s adjustment and the birthing person’s breastfeeding initiation. Link: https://www.unicef.org.uk/babyfriendly/baby-friendly-resources/implementing-standards-resources/skin-to-skin-contact/
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🟡 Does this facility have a written guideline stating immediate skin-to-skin as the standard of care?

Resource: Research – Skin-to-Skin Review article by Widstrom et al. on skin-to-skin contact during the first hour after birth. Link: https://onlinelibrary.wiley.com/doi/10.1111/apa.14754
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🟠 Does this facility have a written guideline stating immediate skin-to-skin as the standard of care?

Resource: Document – Postpartum Document by the Public Health Agency of Canada on postpartum care including recommendations for family-centred postpartum experience. Link: https://www.canada.ca/content/dam/hc-sc/documents/services/publications/healthy-living/maternity-newborn-care-guidelines-chapter-5/maternity-guidelines-chapter-5-en.pdf
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Breastfeeding/Chestfeeding

🟢 Does this facility have a written guideline supporting exclusive breastfeeding/chestfeeding for childbearing A171people while admitted to this facility?

Resource: Guidelines & Evaluation – Breastfeeding Guidelines and evaluation criteria on breastfeeding by Baby-Friendly USA Link: https://www.babyfriendlyusa.org/wp-content/uploads/2021/07/Baby-Friendly-GEC-Final.pdf
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🔴 Are all staff and providers educated in methods to promote and facilitate breastfeeding/chestfeeding?

Resource: Infographic – Breastfeeding Infographic by the WHO & UNICEF on the ten steps to successful breastfeeding. Link: https://www.who.int/images/default-source/infographics/nutrition/breastfeeding/bfhi-poster-a2-1.jpg?sfvrsn=e007c0b4_1
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🔴 Are all staff and providers educated in methods to promote and facilitate breastfeeding/chestfeeding?

Resource: Infographic – Breastfeeding Breastfeeding/chestfeeding guide for health care providers from the State of New York Department of Health. Link:https://www.health.ny.gov/publications/2963.pdf
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🔴 Are all staff and providers educated in methods to promote and facilitate breastfeeding/chestfeeding?

Resource: Resources – Breastfeeding New York State Department of Health website providing resources for health care providers on how to create a breastfeeding/chestfeeding friendly practice as well as policies and practices to improve hospital breastfeeding/chestfeeding. Link:https://www.health.ny.gov/community/pregnancy/breastfeeding/providers/#HospitalBF
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⚪️ Are all staff and providers educated in methods to promote and facilitate breastfeeding/chestfeeding?

Resource: ducation Resources – Breastfeeding Various educational resources for healthcare providers on breastfeeding by the Institute for the Advancement of Breastfeeding & Lactation Education. Link: https://lacted.org/providers-course/
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🔵 Are all staff and providers educated in methods to promote and facilitate breastfeeding/chestfeeding?

Resource: Policy – Breastfeeding New York State Model Hospital Breastfeeding Policy. Link:https://www.health.ny.gov/community/pregnancy/breastfeeding/docs/model_hospital_breastfeeding_policy.pdf
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