FIGO Statement: Restrictive use rather than routine use of episiotomy

Area of Science:

• Maternal Health
• Healthcare Management
• Obstetrics

Background:

• International standards for clinical staffing in maternity delivery units are absent.
• Existing gaps in provision result in adverse outcomes and negative patient experiences.
• Evidence-informed modeling for staffing has not been reported in low-resource settings.

Purpose of the Study:

• To propose indicative standards for labor ward clinical staffing.
• To provide a foundation for policy and program development in maternity care.
• To address the lack of established guidelines for safe and positive birthing experiences.

Main Methods:

• Development of indicative standards by FIGO's Safe Motherhood and Newborn Health Committee.
• Consideration of delivery volume, case mix, and required professional skill mix.
• Emphasis on the role of a Shift Leader in labor ward management.

Main Results:

• Proposed standards integrate delivery volume, case mix, and staff skill mix.
• The role of a Shift Leader is highlighted for effective labor ward management.
• Standards aim to ensure safe and positive birthing experiences.

Conclusions:

• Indicative standards offer a starting point for improving maternity unit staffing.
• Application of these standards can enhance the quality of care for women and families.
• FIGO calls for investment to test these recommendations in low- and middle-income countries.