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How to start a lying-in clinic

Putting up a lying-in clinic does not require the owner to be a licensed midwife or obstetrician-gynecologist.

By: Mishell Malabaguio | Feb 14, 2012 08:00 am

Putting up a lying-in clinic does not require the owner to be a licensed midwife or obstetrician-gynecologist. Anybody who sees the potential and need for it can put up one.  Here are some steps to help you start your own lying in facility.

[related|post]STEP 1: Know your market

A major indicator is the density of people living in your area, particularly women of child-bearing age. You can conduct studies such as a rapid market appraisal to make sure that your clinic is viable. A good target community would be in middle income areas that are quite a distance from the hospital. Your place should only be a short distance from your target market.

STEP 2:  A typical clinic layout

Usually, a lying-in clinic would have six sections—a waiting area, a labor room, a delivery room, a recovery room, a procedure room, and the common comfort room, requiring a floor area of at least 6 square meters (sq m), each. For a two-bed labor or recovery room, you would need around 15 sq m each. The recovery room should have its own comfort room. You will probably need some 80 sq m for the entire clinic.

STEP 3: Staff your clinic

A lying-in clinic should have a 24-hour resident doctor or licensed midwife. This resident doctor may be a general physician, but you need to have an OB-gynecologist and pediatrician on call. You must also have a tie-up with a nearby hospital for those instances when a patient might need additional and more specialized treatment. Some of the medical procedures that may be done only in a licensed hospital are caesarean section, curettage (raspa), and blood transfusions.

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