Labour and delivery – how midwives will use our new EPR

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The new EPR will support maternity teams by bringing key labour and birth information together in one accessible, live record.

Watch: the labour and delivery demo

Staff will be able to document assessments, labour progress, birth details, third stage management, placental information, tears and other key observations as care takes place.

Documentation can be started, saved and updated throughout labour, supporting contemporaneous recording while keeping the full picture in one place. Information entered into the system will also feed into the digital partogram, reducing duplication and helping staff maintain an accurate overview of labour progress.

The system will use conditional fields to show only the information relevant to each situation, making documentation more focused and easier to navigate. Timed reminders will help staff keep track of assessments and can be adjusted when women need more frequent monitoring. These reminders will also be visible to the wider team.

The same approach will support different maternity pathways, including home births, hospital transfers and multiple births. Fetal monitoring will also be included, with further development under way.

The wider aim is to bring maternity information, including care plans and specialist input such as safeguarding and perinatal mental health, together in one live and accessible record.

Key points

  • Labour assessments: Record key observations, care and clinical decisions in one place.
  • Document as you go: Save a draft mid-labour and come back to finish it once the baby has arrived.
  • Smart forms: Answer “no” and follow-up questions grey out or disappear, so you only see what is relevant.
  • Less double entry: The forms feed the digital partogram, and the system calculates things like length of labour and cord management time.
  • Built-in reminders: Keep track of assessments and observations, with timings you can adjust for individual needs.
  • Fetal monitoring: A dedicated form will support both intermittent auscultation and CTG.
  • Home births: The same core documentation will adapt for home and hospital births.
  • Live information: Teams will have better visibility of care and up-to-date information.
  • Joined-up records: Safeguarding, perinatal mental health and other care plans will be brought into the EPR where possible.