Delaying admission to Labor and Delivery until a woman is in active labor can be challenging for families. Many women arrive for evaluation before they are in active labor.
Early labor management is a critical time to reduce the cesarean birth rate. When women are admitted to the hospital in early labor they are at increased risk for receiving interventions and having a cesarean section (Rahnama, et al, 2006). With the exceedingly high rate of cesarean sections in the United States (32% from 2013 census data), prevention of the first cesarean birth is important in reducing the overall cesarean rate (current rate of vaginal births after cesarean section – VBAC - is approximately 10%). When women present in early labor at a HealthEast hospital, we often recommend that they go home to labor in the comfort of their own environment. Some women are uneasy with this, feeling nervous to labor at home or are concerned they may birth at home or while in transit. At Woodwinds Health Campus, we want to provide our clients with a comfortable alternative to going home. An Early Labor Lounge has been shown to improve client satisfaction and decrease early admission, thereby lowering the rate of medical interventions and cesarean sections (Rahnama, et al, 2006).
The Blooma and HealthEast Early Labor Lounge offers a space for women and their support team to use until the onset of active labor. The Early Labor Lounge is a beautiful and relaxing space, with floor to ceiling windows looking out over the natural woodlands surrounding Woodwinds. It has supplies needed for the laboring team, such as birth balls, yoga mats, rocking chairs, snacks, hydration, relaxing lighting as well as inspirational messages of encouragement and empowerment to help women as they work through their labor.
Maternal anxiety and fear can lead to medical interventions and less optimal birth outcomes (Hodnett, 2008); promoting comfort and empowerment of the laboring woman can help her cope with the challenges of labor. It addition to staying relaxed and comfortable in early labor, some comfort measures can help a woman progress through labor. Some strategies and techniques include intimate support from a partner and/or doula, ambulation, position changes, utilizing a birth ball, rebozo use, therapeutic shower or bath, acupressure, massage, and nutritional support (Paul, 2017). Some of these supportive therapies are offered in the Blooma and HealthEast Early Labor Lounge.
By providing this space, Woodwinds families will have a comfortable alternative to going home if they arrive in early labor. We hope this will improve our patients’ happiness with their birth experience and improve outcomes. We hope the Blooma and HealthEast Early Labor Lounge makes a positive impact on the clients we serve and finds a permanent home at Woodwinds and other locations.
Written by Natalie Jacobson-Dunlop, MS, CNM, APRN, HealthEast Certified Nurse-Midwife
Hodnett, E. D., Stremler, R., Eston, J. A., et al. (2008). Effect on birth outcomes of a formalised approach to care in hospital labour assessment units: international, randomised controlled trial. BMJ, vol. 337, (Aug 28 1) 2008.
Paul, J. A., Yount, S. M, Blankstein Breman, R., et al (2017). Use of an early Labor Lounge to promote admission in active labor. Journal of Midwifery and Women’s Health 62 (2), 204-209.
Rahnama, P., Ziaei, S., Faghihzadeh, S. (2006). Impact of early admission in labor on method of delivery. International Journal of Gynecology and Obstetrics, 92 (3): 217-220.