Maternity wards should be at the top or one end of the building, and is the location of the flow of people passing through the location of less, the internal structure of the U-shaped structure is preferred, so as to ensure that the cleanliness of the sewage diversion. However, the maternity ward of primary hospitals are mostly internal corridor structure, so it should be clearly divided into three areas on the basis of further provisions of the internal corridor two-way route.
2 three zones
2.1 Aseptic area in the inner corridor structure of the delivery room at the innermost end of the aseptic area, including the delivery room, isolation of the delivery room, sterile goods storage room, brushing the hands of various types of soaking bucket area. Due to the limitation of floor space, primary hospitals often combine the labor room with the isolation room, and the hand-washing room with the washing room. With the continuous improvement of the hospital infection management system, these settings have to be separated for the sake of maternal safety and the need for occupational protection of the staff. The labor room and isolation room are for normal and infected women, respectively, and separation of the two is the only way to prevent nosocomial infections from occurring. Brushing room and washing room are two functionally different compartments, brushing is a prelude to aseptic operation, while washing is the disposal of the operation, if arranged in a room will lead to clean and dirty cross.
2.2 Clean area The clean area is located between the sterile area and the contaminated area, for the inner corridor structure of the maternity ward, it is necessary to divide the relative cleanliness and relative contamination of the two routes, which is conducive to the management of the supply room to receive the delivery of the goods and the cleaner to transport the garbage of the maternity ward, so that the pollutant cleaning, disinfection and sterilization have a clear cycle of the route. The cleaning area includes the waiting room, isolation waiting room, dressing preparation room, washing room, drying area, neonatal bathing room, neonatal vaccination room, baby touch room and office. Primary hospitals often set up the neonatal bathing room and neonatal vaccination room in one room, which is convenient for nurses to bathe the newborns in the morning while vaccinating the newborns with Hepatitis B vaccine and BCG vaccine for the newborns within 24 h of birth, while the CDC clearly stipulates that the hospital obstetrics vaccination site should set up a separate room for neonatal vaccination, which is aimed at ensuring the safety of the vaccination, and facilitates vaccine management as well as self-destructing single-use syringes' Disposal and recycling of self-destructing disposable syringes. Infant touch is an obstetric service program that has emerged in recent years. Locating the infant touch room in a clean area avoids contamination and does not completely restrict visits by family members. In addition, it is necessary to set up an office in the cleaning area, which is conducive to timely and convenient communication between the staff and the families, informing and signing, and it is insufficient and inconvenient just to set up an office in the ward.
2.3 Polluted area The polluted area is set up at the outermost end of the labor and delivery room, including the staff dressing room, maternity reception room, dirt disposal room, restroom, flat car conversion and duty room. Primary hospitals are often simple, for the convenience of work will be set in the staff duty room in the clean area, or even aseptic area, and the best duty room should be set up in the buffer zone between the ward and the delivery room, so that on the one hand, it is conducive to the staff to rest, not disturbed by the noise of the ward or the delivery room, on the other hand, relatively far from the work area, is conducive to the relaxation of the staff to adjust the mood.3 Infrastructure
With the people's quality of life and health care needs continue to improve, people have a new understanding of the medical environment and the pursuit. Hospitals in addition to providing superior diagnostic and treatment technology, quality service, advocating people-oriented, building a humane home hospital environment is not to be ignored [1]. Primary hospitals may wish to consider the following aspects of facilities in reference to the standard arrangement of infrastructure: (1) in the implementation of "one-to-one" accompanied by labor, in order to eliminate maternal fear of childbirth, so that the birth of a smooth delivery, the maternity facilities will be arranged in a homey and warm, you can choose the color of the pleasing, soft and wide delivery beds, clean and comfortable, The facilities in the delivery room can be furnished in a homey and warm way, including soft and wide delivery beds with pleasing colors, clean and comfortable sofas that are easy to be sterilized, and chairs with hand-held backrests, so that the mothers can sit, lie down or kneel freely. The hand-washing room is equipped with sensor-type faucets and sensor-type hand dryers to facilitate the aseptic operation of the staff. (2) The washing room should be equipped with a soaking pool and a washing pool, so that the staff can first soak and sterilize the contaminated instruments and then wash them. Newborn bathing room should be installed with water heater, air conditioner and ozone sterilizer to prevent nosocomial infection during bathing. Hepatitis B vaccination table and BCG vaccination table should be set up in the neonatal vaccination room, so that they can be clearly marked to prevent misinoculation. Audio-visual equipment can be set up in the waiting room to play videos about pregnancy, labor and childcare during the waiting process, so that mothers and their families can have an understanding of the labor process and increase the positive and active nature of natural childbirth. (3) In addition to placing duty beds in the duty room, some kitchen utensils, such as microwave ovens, electromagnetic stoves, drinking fountains, dining tables and chairs, can be set up to facilitate the staff to take a rest and have meals, and to avoid misunderstandings or embarrassment caused by the staff eating in the sight of the mothers and their families during the rest time. (4) The maternity ward not only between the areas should be clear signs, it is best to have color changes, with pleasing pictures to promote breastfeeding, vaccination, postnatal gymnastics, baby bathing and baby touch, etc., to create a refreshing, pleasing to the eye of the overall environment, can make the obstetrics environment is full of humane, to improve the level of service of the grassroots hospitals, to meet the needs of the masses of the people's services.