Factor | Aspects |
---|---|
Clinical | Â |
Mother | Physical condition of the mother-coping, hydration, vital signs, demeanour |
Descent | Descent and position of the fetal head |
Cervix | Condition of the cervix – dilatation, effacement application |
Contractions | Characteristics of the contractions-strength, frequency, regularity |
Fetus | Condition of the fetus- liquor and etal heart |
Non - clinical | Â |
Agreement | Level of agreement between mother and midwife about place of birth –preference, attitude to transfer, expectations |
Partner | Attitude of birth partner– emotional, support of partner, knowledge and expectations |
Consultant Led Unit (CLU) | Attitude of receiving staff to midwife making the phone call and to birth unit staff |
Midwife Led Unit (MLU & CMLU) | Characteristics of the birth unit – workload, support, time of day, tiredness |
Transfer | Transfer issues- availability of care, availability and type of transport , weather |