摘要: Summary Your time spent browsing through reviews of interventions in normal labour has been fruitful. Tomorrow you can reply to your registrar's challenge. You have decided seek a meeting with the director midwifery discuss provision one-to-one support for all women labour. An imaginative approach staffing ward will be required achieve this goal. introduce concept number needed treat and together prepare presentation management, showing how reduction labour-intensive activities such as epidural anaesthesia instrumental delivery may free up staff fulfil commitment support. If fail women, prepared compromise by asking labouring first time. know from systematic review amniotomy that early reduces duration without any other harmful or beneficial effects. A policy might means making more available provide continuous professional during extra cost, but doubt community accept valid reason intervention. are now position share registrar what learned about using an overview help decisions management individual patients groups patients.