A pregnant client is brought to the emergency department by ambulance after her water broke

Summary

Read the full fact sheet

  • Obstetric emergencies are health problems that are life-threatening for pregnant women and their babies.
  • An obstetric emergency may arise at any time during pregnancy, labour and birth.
  • Hospital care is needed for all obstetric emergencies, as the woman may need specialist care and an extended hospital stay. This may be because of the risk of a premature birth, the loss of a baby or increased risk to the woman’s health. 
  • If you think you or your unborn baby are at risk, call your doctor, midwife or hospital, or call 000 for an ambulance.

This page has been produced in consultation with and approved by:

This page has been produced in consultation with and approved by:

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Content on this website is provided for information purposes only. Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. The information and materials contained on this website are not intended to constitute a comprehensive guide concerning all aspects of the therapy, product or treatment described on the website. All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions and to ascertain whether the particular therapy, service, product or treatment described on the website is suitable in their circumstances. The State of Victoria and the Department of Health shall not bear any liability for reliance by any user on the materials contained on this website.

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If you think you are in labour, if your water breaks or if you have any concerns, please contact your health care provider or call the labour triage phone line at 416-586-4800 ext. 3210.

Most women will come to the hospital when they are in active labour (regular contractions every 5 minutes or closer for at least 2 hours) or when their water breaks. To find out more about how you will know if you are in labour, you should speak with your health care provider.

Labour Decision Tree

Download the helpful Labour Decision Tree chart

When You Arrive

When you arrive at the hospital, go directly to Labour and Delivery Triage:

  • Proceed to 15th floor using the University Ave elevators (no access via Murray St. elevators).
  • Exit the elevators and turn into the hallway to the right of the registration area.
  • Check in at the main desk of Triage, which is the first door to your right in that hallway. Your registration will be managed during your assessment in Triage.

Once in Triage, you will be met by one of our Triage nurses. You will be asked questions about your labour, general health and medical history. The nurse will also check your vital signs  and contractions and listen to the baby’s heart rate, which will be done on a regular basis throughout your labour. While in Triage, a resident or medical student will do a quick history and physical to determine whether you are ready for admission to the labour floor. You will be transferred to a labour/birthing room once you are in established active labour. If you are in early labour, you may be asked to go home for a time. If you live far away from the hospital, you may be able to stay in the early labour lounge on the 15th floor,  located directly across from Triage.

Booked Induction or Caesarean Birth

If you are coming to the hospital for a booked induction or booked caesarean birth, when you arrive at the hospital, go directly to Labour and Delivery Triage:

  • Proceed to 15th floor using the University Ave elevators (no access via Murray St. elevators).
  • Exit the elevators and turn into the hallway to the right of the registration area.
  • Check in at the main desk of Triage, which is the first door to your right in that hallway. Your registration will be managed during your assessment in Triage.

In both cases, ensure you have your OHIP card and a credit card for charges that are not covered by OHIP or your private insurance plan.

Do not go to the emergency department unless the pregnancy is less than 18 weeks.

Related Topics

Which antepartum client should the charge nurse assign to the most experienced nurse?

Which client should the labor and delivery charge nurse assign to the most experienced nurse? 1. The client who has a fetal heart rate of 130 bpm.

What is an absolute contraindication to performing Amniotomy?

Contraindications. Contraindications to this procedure are few and obvious. Artificial rupture of membranes should not be undertaken in the case of malpresentation, vasa previa, suspected velamentous insertion of the umbilical cord, or in case of the unengaged fetal head or unstable lie.

Which cardinal movement of delivery is the nurse correct to document by station?

Which cardinal movement of delivery is the nurse correct to document by station? Descent is documented by station, which is the relationship of the fetal presenting part to the maternal ischial spines. Descent continues throughout labor until the fetus reaches the fetal station of +4.

When do you go into labor and give birth?

If you are full term, or over 37 weeks, it's time to go to Labor and Delivery once your contractions are 4-5 minutes apart. You increase your chances of staying at the hospital if your contractions have been going on at that rate for at least two hours. Your water breaks: When this happens, it's not always obvious.

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