Principles Of Hospital Design And Equipment (Part 6) - Maternity Ward

Principles Of Hospital Design And Equipment (Part 6) - Maternity Ward

Standards, per capita and introduction of different wards of the hospital

Engineer Sadegh Pourbakht, Project Manager of Espo

Obstetrics and Gynecology:

The obstetrics and gynecology ward is the ward where patients with obstetric and gynecological diseases or post-natal mothers are hospitalized with their baby. In any case, the patient has two conditions in this section:

A. With the baby 2- Without the baby.

It is recommended that two groups of female and postpartum patients be admitted to two separate wards. The women's inpatient department is more similar to the inpatient ward. However, the postpartum inpatient ward is different from other wards due to the simultaneous presence of mother and baby and has higher per capita rates.

It is also recommended that the gynecology ward and the postpartum hospital ward be located adjacent to or near the maternity ward and women's operating room, as well as the NICU ward. The best type of connection between that section and the delivery block is horizontal. But good vertical connections are also acceptable through efficient elevators.

The infrastructure of the inpatient ward and postpartum

The number of beds required in the postpartum ward is 6 beds per delivery bed.

The design of support spaces in the postpartum hospital ward is done according to the current conditions of the ward, the number of beds and other per capita, and it must meet the needs of the ward.

It is strongly recommended that the obstetrics and gynecology ward and the neonatal ward be located near or close to the maternity ward and operating room, as well as the NICU neonatal intensive care unit.

The inpatient ward should have a baby shower room with a special sink.

It is strongly recommended that the maximum number of maternity beds in each room of the inpatient ward be two. The crib should preferably be on the right side of the crib.

The minimum useful area of ​​each hospital room after delivery is one board without taking into account the bathroom and the entrance space of the room is at least 12 square meters.

The minimum useful area of ​​each hospital room after delivery is two beds, not including the bathroom and the entrance space of the room, at least 22 square meters.

The minimum useful area of ​​hospital rooms after delivery is three or more beds, excluding toilets and entrance space, at least ten square meters per bed.

Liber section and delivery block

The following three stages of postpartum care are:

LDRP - Labor - Delivery - Recovery method

Common methods in medical systems for the process of libre, childbirth and Postpartum .

It is a procedure in which three stages of labor, delivery, and postpartum care are performed in one space and on one bed. In this room, the patient goes through all the mentioned processes and stays in the same room until the discharge. The bed of this room is of a special type that can be turned into a stretcher and a special delivery situation.

LDR method:

In this procedure, the patient undergoes three stages of the process of labor, delivery, and two hours after delivery in one room and on one bed. And after two hours, it is transferred to the inpatient ward after delivery. The bed of this room is also a special type that can be turned into different situations.

traditional way:

In this procedure, which is currently performed in most hospitals and maternity hospitals in the country, each of the stages of the ligament, delivery, two hours after delivery, and hospitalization are performed in separate rooms or wards. In the case of a normal delivery in the traditional way, the patient needs to be rehabilitated for at least two hours after delivery and hospitalized for at least 24 hours in the postpartum ward. As mentioned, these numbers are one and 48 hours, respectively, for patients with cesarean delivery.

It is necessary to have the following spaces in the Liber section and the delivery block:

Entrance, Drug and Clean Work Room, Dressing Room, Isolated Infectious Disease Room, Nursing Station with Nobility to All Patients (Preferably in Central Section), Examination Room for Resident Physician, Treatment Room, Special Operating Room or Space, Conference Room and Training Mothers, support spaces such as nurses 'rest and locker rooms, patients' locker rooms, staff watering, and dining rooms, dirty workrooms, separate toilets for patients and staff (patient toilets must be of French or both Iranian and French type Special sink, washing machine, clean and sterile storage, medical equipment storage, separate storage space for infectious and non-infectious waste.

It is recommended to have the following spaces in the Liber section and the delivery block:

Isolated room for psychiatric patients

Portable radiology

LDR

The infrastructure of the Liber section and delivery block:

The number of beds required in the postpartum ward is 6 beds per delivery bed.

The design of support spaces in the postpartum hospital ward is done by the current conditions of the ward, the number of beds and other per capita, and must meet the needs of the ward.

It is strongly recommended that the women's ward and the postpartum ward be located near or close to the maternity ward and women's operating room, as well as the neonatal intensive care unit.

The inpatient ward should have a baby shower room with a special sink.

The minimum useful area of ​​the Liber room without taking into account the bathroom and the entrance space of the room is 12 square meters for normal patients and 14 square meters for high-risk patients.

The minimum useful area of ​​the delivery room in the traditional method, without taking into account the bathroom and the entrance space of the room, is 32 square meters, and the minimum required height is 2.7 meters.

Traditionally, the delivery room needs to be adjacent to the Liber room. It is preferable to have a space for the patient's companion.

The minimum usable area of ​​each Liber room is two beds, not including the bathroom and the entrance area of ​​the room, which is at least 22 square meters.

The minimum useful area of ​​Liber rooms is three beds and above, excluding toilets and entrance space, at least 9 square meters per bed.

Liber and delivery room beds must be separated from each other by a partition to protect the patient's privacy.

The lab and delivery block should be designed in such a way that it is easy to rotate the bed.

The minimum lateral distance of each litter and delivery bed from the sidewall is 80 cm. The minimum distance between the bottom of the bed and the facing wall is 150 cm.

The minimum lateral distance between the two beds of liber and childbirth from each other is 150 cm and the minimum longitudinal distance between the two beds (if the two beds are facing each other) is 180 cm.

The minimum useful area of ​​the LDR and LDRP rooms, excluding the bathroom and the entrance space of the room, is 24 square meters in the dimensions of 4.8 by 4.8. This room should have a bathroom and toilet.

The hospital's lab and maternity ward should preferably have an LDR room for patients applying for it.