Abstract
In Japan, about 80% deliveries occur in a ward shared by Obstetrics and other departments, and studies have revealed that nurses have overlapping duties in assisting with delivery and caring for dying patients from other departments. Moreover, 68.2% of deliveries in the maternity ward are high risk, so there are concerns about the safety of the delivery environment. Thus, the current study sought to ascertain the realities of care in a maternity ward providing round-the-clock critical care to high-risk mothers. This study also sought to examine the nature of perinatal care. This study used beacons and smartphones to reveal the locations visited by midwives and the duration spent in each. When sudden events occurred, over half of the midwives were assigned to delivery areas to ensure the survival of the mother and infant, and they provided patients with needed care without reducing the duration of time they spent in patient rooms and neonatal rooms. The outcomes of collaboration among members of the care team were associated with the fact that this study was conducted at a facility dedicated to perinatal care.
