option a triangle.JPG

Option A: OBI CHeCklist

Checklist 03.15.19.JPG

The Obstetrics Initiative (OBI) Labor and Delivery Checklist for Low Risk Spontaneous Labor is a tool that can be utilized by labor and delivery triage staff to assess patient readiness for admission and becomes part of the patient chart.  The checklist is designed to ensure the best transition from outpatient to inpatient care for all of the women we serve.  While the goal is to provide consistent care to all women, the checklist is not intended to override clinical judgement.  If the care provider feels that earlier or later admission is indicated, there should be an opportunity to document this at the end of the check list. 

This tool promotes shared decision making between the hospital team and patient. We hope this will help both the patient and physicians and/or midwives to confidently and safely delay admission until active labor is established. OBI has offered some resources that are optional for implementation but may help to provide structure for the launch of your program.  These optional resources are the Labor Partnership Worksheet, Coping Scale, timing of admission document, and the triage flow chart.

This first year of participation in OBI is about patient and provider education, as well as systems and relationship building.

The OBI Checklist has an emphasis on timing of admission, shared decision making, and support in labor. The Checklist is in Microsoft Word so it can easily be tailored to any institution. The OBI Checklist is adopted from the CMQCC Toolkit to Support Vaginal Birth & Reduce Primary Cesareans Quality Improvement Toolkit.

Watch a Option A: OBI Checklist maternity provider education video.

OBI Checklist slides and webinar on Normal Labor by OBI Co-Director, Elizabeth Langen, MD.

Wondering how to operationalize the OBI Checklist?

See the Implementation Guide.


Q: How flexible is the OBI Checklist?

A: There is some flexibility to nuance it to your particular hospital, but OBI does not want you to change the checklist so much that its completely different from what we are trying to do. We don’t want you to lose the main essence of it.

Q: Who completes the checklist? Should it be the resident physician, or should it be someone else on the team?

A: This can be tailored to fit the needs of your hospital. It should be done by the person who decides whether or not someone should be admitted. It may also be the nurses that are actually documenting it. Or talk to your patients about things that could help them cope and also whether or not they can actually implement these coping mechanisms themselves.


Contact Clinical Site Engagement Coordinator, Jill Brown, RN at jillbrow@med.umich.edu or (734) 763-2740.