LDRP ~ outgoing or continuing trend?

Specialties Ob/Gyn

Published

we are in the planning phase for a new ob unit; the staff really wants to go to ldrps, but we are meeting wide-spread resistance among the ob providers. the perinatologist has stated "ldrps were "in" in the 80's but are on the way out, everyone is reverting back to ldrs".

i'd like to have actual statistics to refute (or, hopefully not!) verify this statement . . . anyone have any ideas where i could look for statistics? what are you doing at your place if you are plannig a new unit? thanks for the help.

deb

Don't know where to point you for statistics. At our facility, we were LDRP's when they created the new unit several years ago, then were LDR's. We are now transitioning back to LDRP's.

I think it is consumer driven, and would be interested in seeing statistics. I think our pts who stay in the same room for ldrp are much more satisfied, than those who were being shuffled down the hall following delivery.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

In my opinion, LDRP is the ONLY way to go. We have it where I work and it is well-received by both patients and nurses alike. It's great.

Specializes in OB, lactation.

maybe ck with the professional organizations- maybe someone can point you in the right direction: http://www.awhonn.org/, http://www.acnm.org, http://www.acog.org

I don't know why he would think people are reverting back to LDRs? I don't see any real reason for that. I think LDRPs are the wave of the future. Patients seem to love them.

Specializes in Neurology, Neurosurgerical & Trauma ICU.

What is a LDRP room??? Labor-delivery-postpartum??? That would be the way I'd want to go if I had another child. It would be a pain to switch rooms!

Specializes in OB, Telephone Triage, Chart Review/Code.

I think LDRP concept is great too, but I interviewed at one hospital where the manager stated she had a hard time recruiting staff to be responsible for all areas. She said she has had nurses that only want to do L&D and are not interested in PP or infant aspect. And nurses who only want to do PP and not L&D or Nsy.

I'm not sure where you would find statistics, but staffing issues may play a big part in the decision.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

Too bad nurses want to limit themselves to much to do ONLY labor or ONLY couplets......

I love doing it all. I love following families from antepartum, to labor/delivery to postpartum and couplet caring. I think it makes me more marketable in the long run, too.

Oh and for the person who asked: LDRP means Labor/Deliver/Recover/Postpartum, all in ONE room all with one nurse (or two ) in the process. It's to me, much more family-friendly but yes, I can see how staff from perinatologists to nurses themselves resist. It's more convenient sometimes to do the two seperately. And some people just refuse to learn anything new or change. Too bad. I don't call THAT evolution myself.

I work in a county hospital where we utilize LDR's. Our total volume of deliveries is around 400-500 per month. There is simply not enough resources (ie. space or staff) to allow for LDRP's. I think that LDRP's are great in smaller hospitals or cities that do not have the volume of deliveries that we do.

I'm not sure of our local hospital, but the hospital that I birthed my three at is about 45 minutes away. All the rooms were made LDRP about 15 years ago. Speaking as a patient (client) it was a fabulous experience and wonderful to have all the same nurses and be able to just stay where I was the whole time. I wouldn't birth anywhere else except a LDRP room. (luckily, I don't have to worry about THAT anymore! LOL!) They are even trying to get a birthing tub or two integrated into the unit somewhere. Pretty progressive, I think, for a backwards kinda town.

if you find any statistics (one way or the other), could you post the sources? I'd love to read about it.

I work on a LDRP, and love it for all the reasons Deb has already mentioned :) My unit is planning a major remodel and we are going to remain LDRP :)

Specializes in OB, lactation.
I work in a county hospital where we utilize LDR's. Our total volume of deliveries is around 400-500 per month. There is simply not enough resources (ie. space or staff) to allow for LDRP's. I think that LDRP's are great in smaller hospitals or cities that do not have the volume of deliveries that we do.

If the pt/nurse ratio is the same, I don't understand why it would be any different. Isn't it all relative?

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