Table 1

Model of Time-out, steps 1-4 in prolonged labour

1Gather the team—teamwork when prolonged labour occurs. The midwife is responsible for calling the team but the obstetrician or the senior responsible midwife of the ward can initiate Time-out when needed. The assistant nurse stays with the patient
2Collect information. The midwife reports the situation according to Situation, Background, Assessment and reciómmendation (SBAR)26
S—Situation, the reason for Time-out
B—Background, medical history and risk factors
A—Current situation; fetus presentation, external palpation of the fetus, station, progress, status of contractions, condition of the fetus, cardiotocography, communication and relation with the woman—need for an interpreter, signs of fear or stress/signs of security and a calm atmosphere
Actions are taken; position changes, emptied bladder, augmentation, woman’s capacity, fatigue, nutrition and pain management
Dialogue in the team
3Involve the woman and her partner/relatives. The team gets together with the patient and makes an assessment
R—Do a plan together
4The plan is documented with a time plan for follow-up, usually by an obstetrician