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    Maternity Hospital

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    Mohd Salahuddin
    The document provides information on the functional requirements and design of a maternity hospital. It discusses the need for outpatient, diagnostic, inpatient, and administrative services. The inpatient unit should include wards, nursing stations, treatment rooms, and other support spaces. Proper ventilation, temperature control, and air changes are also important design considerations. The document emphasizes that the hospital design should prioritize patient comfort and make women feel at home during this important time.

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    Maternity Hospital

    Uploaded by

    Mohd Salahuddin
    1K views40 pages
    The document provides information on the functional requirements and design of a maternity hospital. It discusses the need for outpatient, diagnostic, inpatient, and administrative services. The inpatient unit should include wards, nursing stations, treatment rooms, and other support spaces. Proper ventilation, temperature control, and air changes are also important design considerations. The document emphasizes that the hospital design should prioritize patient comfort and make women feel at home during this important time.

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    Maternity Hospital

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    The document provides information on the functional requirements and design of a maternity hospital. It discusses the need for outpatient, diagnostic, inpatient, and administrative services. The inpatient unit should include wards, nursing stations, treatment rooms, and other support spaces. Proper ventilation, temperature control, and air changes are also important design considerations. The document emphasizes that the hospital design should prioritize patient comfort and make women feel at home during this important time.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views40 pages

    Maternity Hospital

    Uploaded by

    Mohd Salahuddin
    The document provides information on the functional requirements and design of a maternity hospital. It discusses the need for outpatient, diagnostic, inpatient, and administrative services. The inpatient unit should include wards, nursing stations, treatment rooms, and other support spaces. Proper ventilation, temperature control, and air changes are also important design considerations. The document emphasizes that the hospital design should prioritize patient comfort and make women feel at home during this important time.

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    of 40

    A MOTHER UNDERSTANDS WHAT A CHILD DOES

    NOT SAY.- JEWISH PROVERB

    THE MOST POWERFUL


    EMOTION IN LIFE MAY
    BE THE LOVE OF A MOTHER
    FOR HER CHILD.

    'MOTHERHOOD: ALL LOVE BEGINS


    AND ENDS
    THERE.' ~ ROBERT BROWNING

    SYNOPSIS
    A BIRTH PLACE

    MATERNITY
    HOSPITAL
    AFTAB ALAM
    M.ARCH
    II-SEM
    F/O ARCHITECTURE AND EKISTICS
    JAMIA MILLIA ISLAMIA

    NEW DELHI

    Introduction
    lady is not suffering from any diseases, its just a new phase in her life, her
    transformation to motherhood.

    Maternity service includes antenatal care, deliveryand post-natal care, before


    and after child birth,
    the patient should be attended to in the out-patient clinic and during labour
    the patient is confined to bed in the nursing unit.
    It is recommended to place the in-patient unit close to the out-patient clinic
    making it easily accessible to the child bearing women.

    Aim :
    To study and understand the functioning and designing of Maternity
    Department.
    Planning a maternity nursing home in respect of functional.
    space, man-power, instruments and equipment, and management
    requirements. Certain essential.
    requirements for building, services and environment have also been included.
    The hospital set-up should change. The lady should feel at home.

    1.2. Objective

    To study the diseases and diagnostics procedures related to


    Maternity and its treatment.
    To study the functional spaces and equipment required for
    consultation, treatment and other whole ancillary areas of
    Neurology department.
    To study the technology used in consultant diagnostic &
    treatment and its special needs.
    In the healthcare industry, brands are chosen by patients on
    trust. People consult their friends , colleagues and family
    members before choosing a particular doctor.

    MATERNITY NURSING HOME


    Functionally the maternity nursing home shall have
    four distinct sections:
    a) Out-patient and emergency services,
    b) Diagnostic and therapeutic services,
    c) In-patient nursing units (wards), and
    d) Administrative, non-clinical and engineering
    support services.

    FUNCTIONAL REQUIREMENTS

    Out Patient and Emergency Services


    These are needed to perform following chief functions,
    namely:
    a) To diagnose and treat patients at an early stage,
    b) To follow up treatment after discharge from the maternity
    nursing home, and
    c) To institute health education programme to educate the
    public in environmental hygiene

    DEPARTMENTS

    Obstetric and Gynaecological Clinic


    Family Welfare Clinic
    Paediatric Clinic
    General Purpose Clinic
    Emergency Unit
    Clinical laboratory
    Injection room
    Pharmacy (Dispensary)
    Diagnostic and Therapeutic Services
    Pathology
    Biochemistry laboratory
    Microbiology laboratory

    Ultrasound
    Radiography room
    Consultation area
    Obstetrical-cum-Surgical Suite

    METHODOLOGY

    Literature study
    1. Introduction
    2. Departments
    3. Specialist Hospitals
    4. Early developments
    5. Surgeries
    6. Design considerations
    7. Benefits .

    Case study
    1. Apollo Hospital
    2. Holy family Hospital
    3. Hindurao Hospital

    Refrences
    1. Journals
    2. Codes
    3. researches

    THANK YOU

    1. FEATURES OF IPD
    The IPD forms 33%-50% of the structure of hospital construction and most

    of the equipment and staffs are in this department with maximum amount
    of patient care, training, medical teaching and research concentrated in
    this department.

    IPD is the area which gives maximum output of services and name and
    fame to the hospital too.
    An inpatient is admitted to the hospital and stays overnight or for an

    undetermined time, usually several days or weeks (though some cases,


    like coma patients, have been in hospitals for years.

    SPACE REQUIREMENT FOR WARDS

    S No. Facilities

    Area (sq. m)

    1.

    Beds

    1.

    Treatment room

    12

    1.

    Nursing station

    15

    1.

    Ward store

    1.

    Sluice room

    1.

    Clean utility /dirty 18


    utility

    1.

    Doctors duty room

    18

    Space Relationship

    1. B.AREA AND SPACE NORMS OF THE HOSPITAL:


    Land Area
    (Desirable)
    Minimum Land area requirement are as follows:
    Upto 100 beds
    =
    0.25 to 0.5 hectare
    Upto 101 to 200 beds
    =
    0.5 hectare to 1 hectare
    500 beds and above
    =
    6.5 hectare (4.5 hectare for hospital and 2
    hectare for residential)
    1. C.SIZE OF HOSPITAL AS PER NUMBER OF BEDS:
    a. General Hospital
    80 to 85 sqm per bed to calculate total plinth area. (Desirable).
    (Including waiting space, entrance hall, registration counter etc.)
    Example: If in general hospital the no bed are = 100(say)
    Then total plinth area of the hospital = 100 x 80 = 8000 sm
    Or
    = 100 x85 = 85000 smt
    b. Teaching Hospital
    100 to 110 sqm per bed to calculate total plinth area.

    C. Others Services And Area:


    (i) Operation Theatre:
    a. One OT for every 50 general in-patient beds
    b. One OT for every 25 surgical beds.
    (ii) ICU beds -5 to 10 % of total beds in hospital
    Example: if in any hospital no of beds are = 200
    Then ICU beds
    = 5x 200/100 = 10 minimum
    And = 10 x 200/100 = 20 maximum
    (iii) Floor space for each ICU bed = 25 to 30 sq m (this includes support
    services)
    (iv) Floor space for Paediatric ICU beds = 10 to 12 sq m per bed
    (v) Floor space for High Dependency Unit (HDU) = 20 to 24 sq m per bed
    (vi) Floor space Hospital beds (General)

    = 15 to 18 sq m per bed

    (vii) Beds space = 7 sq m per bed.


    (viii) Minimum distance between centres of two beds = 2.4 m (minimum)

    (ix) Clearance at foot end

    = 1.2 m (minimum)

    WARD UNIT DESIGN:

    Aim Should Be To Minimise The Workflow


    Spaces:

    nursing station,

    doctors

    duty room,

    pantry,

    isolation room,

    treatment room,

    nursing store along with wards and toilets as per the norms.

    1 nursing station will cater upto 40-45 beds(acute 50% + 50% chronic patient)

    QUALITY PARAMETERS:

    at least 2.5 metre between centres of two beds

    Bed side locker and stool for attendant

    Screen shall be available for privacy.

    Dirty utility room

    janitors rooms

    ventilation (except isolation ward) and fans.

    PATIENT CONVENIENCES:

    EMERGENCY SERVICES:

    24 x 7 operational emergency

    distinct entry independent of OPD main entry

    easy ambulance approach

    Signage of emergency

    triage, resuscitation and observation area.

    Separate provision for examination of rape/sexual assault victim

    It should have mobile X-ray/ laboratory, side labs/plaster room/and minor OT facilities.

    Separate emergency beds

    Duty rooms for Doctors/nurses/ paramedical staff and medico legal cases.

    separate waiting areas

    it should have ECG, Pulse Oxymeter, Cardiac Monitor with Defibrillator, Multiparameter
    Monitor,
    Ventilator also.

    Stretcher, wheelchair and trolley shall be available at the entrance of the emergency at
    designated area.

    OPERATION THEATRE:
    Location:

    Free from noise and other disturbance

    free from contamination and possible cross infection

    maximum protection from solar radiation

    ZONES:

    1.Protective Zone
    2.Clean Zone
    3. Aspectic or Sterile Zone
    4. Disposal or Dirty Zone.
    TRAFFIC FLOW:
    1.Patients
    2.Staff
    3.supplies
    TYPES OF ROOM :
    1.preparation room
    2.pre operative room
    3.post operative room
    4.scrub up

    Services:
    hospitals suggest the minimum to desirable
    assured services in its three main departments
    according to the code :
    1.OPD
    2.Indoor
    3.Emergency

    Besides the basic services it should also cater for:

    New-born Care unit services(NCUS)


    Post partum unit(birth of young)
    Post natal(after childbirth)
    Family planning
    Safe abortion
    Immunization services
    Psychiatric services(mental)
    Physical Medicine
    Rehabilitation services(restore to health)
    Accident
    Trauma(distressing experience)
    Dialysis services(purification of blood) and
    Anti-retroviral therapy(HIV)

    More than 300 bedded hospital it is desirable to provide super speciality


    services and related diagnosis services.
    It provides all basic speciality services
    It should aim to provide super speciality services also
    These hospitals should be ready for all epidemic and disastrous times.

    Beds Requirement in Different types of Hospitals

    INSIDE DESIGN CONDITIONS


    Inside design conditions for air cooling and air handling shall be as under: Temperature
    OT department

    23-25 degree Celsius in Common OT, 15-20 degree Celsius in Cardiac OT

    2) ICU/CCU/PICU

    23-25 degree Celsius

    3) NICU

    26-30 degree Celsius

    4) Ward units

    23-25 degree Celsius

    AIR CHANGES IN DEPARTMENTS


    Operation theatre deptt
    OT Room conducting specialised operation like cardiac-,
    Neuro-, and Transplant surgery
    25 Air changes/hr
    2) General OT Room
    20 Air changes/hr
    Other areas
    10 Air changes/hr
    4) ICU/CCU/NICU/PICU
    12 Air changes/hr
    (Rooms to be A/C specified in respective tables)
    5) Ward units and deptts. not specified
    6 Air changes/hr
    HUMIDITY
    OT departments
    ICU/CCU/NICU/PICU
    Ward units except burn centre/burn ward

    40-60%
    40-60%
    40-60 %

    AS per IS 12443.2 Requirement of Hospitals


    up to 100 beds

    Grading of district hospital:


    Grade I: District hospitals norms for 500 beds
    Grade II: District Hospital Norms for 400 beds

    Grade III: District hospitals norms for 300 beds


    Grade IV: District hospitals norms for 200 beds
    Grade V: District hospitals norms for 100 beds.

    district hospital should be able to serve 85-95% of the medical needs expected hospital
    bed occupancy rate should be at least 80%.
    Functions:

    It provides effective, affordable health care services

    It covers both urban population (district head quarter town) and the rural population
    in the district

    Function as a secondary level referral centre for the public health institutions below
    the district level

    To provide technical and administrative support and education and training for

    primary health care.

    Services:
    Administrative services:
    (i) Finance
    (ii) Medical records
    (iii) Procurement
    (iv) Personnel
    (v) Housekeeping and Sanitation
    (vi) Education and training
    (vii) Inventory Management
    (viii) Hospital Information System
    (ix) Grievances redressal Services

    General Specialties:
    General Medicine
    General Surgery
    Obstetric & Gynaecology Services
    Family Planing services like Counseling,
    Tubectomy (Laparoscopic and Minilap),
    NSV, IUCD, OCPs, Condoms,
    ECPs, Follow up services

    Paediatrics including Neonatology and Immunization


    Emergency (Accident & other emergency)
    Critical care/Intensive Care (ICU)
    Anaesthesia
    Ophthalmology
    Anaesthesia
    Ophthalmology
    Otorhinolaryngology (ENT)
    Orthopaedics
    Radiology including Imaging
    Radiology including Imaging
    Psychiatry
    Geriatric Services (10 bedded ward)
    Health promotion and Counseling Services
    Dental care
    District Public Health Unit
    DOT centre
    AYUSH
    Integrated Counseling and Testing Centre; STI Clinic; ART Centre.
    Blood Bank
    Disability Certification Services
    Services under Other National Health Programmes

    Physical Facilities

    Location: Away from parking and crowd area, adjacent to support


    and diagnostic services, should be away from mortuary.

    Circulation: Vertical or horizontal

    Vertical circulation can be arranged with less space with central


    vertical spine for lifts, conveyers and stairs and pipe lines. Reduces
    patient errors and cross infections.

    Horizontal circulation: eliminates requirement of expensive vertical


    transportation system. suitable for inpatient up to 300 bed
    strengths.

    Primary accommodation:

    Aim of ward design:

    Obs/Gyne ward Privacy

    General ward :Healthy Environment

    Pediatric/ psychiatric ward- Safety

    Geriatric ward- Safety/ comfort

    ICU- Nursing Care

    OT-Infection control

    Size of ward: depending upon type of patient , kind of nursing and manpower.

    NHS,UK recommends 24 bed/ward

    Traditionally its 10 beds/ward

    Area of ward :90 -110 sq.feet /bed (8-10 sq.meter)

    Distance between center of two bed -2.25 meter,not less than 2 meter.

    Distance between two bed -1.5 meter

    Width of corridor -2.7 meter

    Distance between bed end and wall-0.25m

    Distance between bed wall and bed nearest to side wall-0.5 meter.

    Ceiling Height: at least 3 meter.,Height of suspended ceiling fan at least 2.6


    meter.

    Windows: if only in one wall then it should be 20% of floor area, if multiple
    windows then 15% of floor area.

    Corridors: the width of corridor recommended is 2.4 m to faciliate movement


    of trolley, bed, stretchers

    Door: should not be less than 1.2 meter wide and 2.25 m tall.

    Bed side locker/cupboard-must

    Chair sofa/sofa cum bed- for visitors

    Other facilities-depending upon rooms(private/semiprivate/deluxe/semi


    deluxe)

    7 SQ MT AREA REQUIRED PER BED

    NURSE STATION:

    should not be less than 60 sq. feet with nursing table ,sisters room and build in cup
    board. with provision of large glass window for observation is possible.

    Auxiliary Accomodation

    Doctors room :120 sq ft

    Nurse room :120 sq feet

    Space for stretcher trolley 21 sq ft

    Store room :200 sq ft

    Clean utility room -90 sq ft

    Sluice room -120 sq ft

    Ancillary accommodation
    Ward pantry -100 sq ft

    Sanitary accomodation

    Toilet with washroom/bathroom

    Only shower

    Dirty utility -120 sq mt

    Janitors closet -Recommended- urinal (1 for 16 bed ) WC- (1 for 5 bed ) bathroom (1
    for 12 bed ) wash basin (1 for 10 bed )

    Inpatient Department consists of a wards with Nursing Station, Beds, and all
    other facility & services necessary for good patient care.

    It is one of the important aspects of hospital as every ratios and calculation for
    hospital planning and designing process is based upon the no. of bed it consists.

    Function of Inpatient Department

    To provide highest possible quality of medical and nursing care.

    To make a provision of essential equipment, Drugs, and other material required for patient
    care.

    To provide comfortable and desirable environment to patient on temporary substitution of


    home.

    To provide facilities for visitors.

    To provide suitable atmosphere for highest possible degree of job satisfaction among
    healthcare personal and high level of patient satisfaction.

    To provide opportunity for education, Training and research

    B.AREA AND SPACE NORMS OF THE HOSPITAL:


    Land Area
    (Desirable)
    Minimum Land area requirement are as follows:
    Upto 100 beds
    =
    0.25 to 0.5 hectare
    Upto 101 to 200 beds
    =
    0.5 hectare to 1 hectare
    500 beds and above
    =
    6.5 hectare (4.5 hectare for hospital and 2
    hectare for residential)
    C.SIZE OF HOSPITAL AS PER NUMBER OF BEDS:
    a. General Hospital
    80 to 85 sqm per bed to calculate total plinth area. (Desirable).
    (Including waiting space, entrance hall, registration counter etc.)
    Example: If in general hospital the no bed are = 100(say)
    Then total plinth area of the hospital = 100 x 80 = 8000 sm
    Or
    = 100 x85 = 85000 smt
    b. Teaching Hospital
    100 to 110 sqm per bed to calculate total plinth area.

    C.OTHERS SERVICES AND AREA:


    (i) Operation Theatre:
    a. One OT for every 50 general in-patient beds
    b. One OT for every 25 surgical beds.
    (ii) ICU beds -5 to 10 % of total beds in hospital
    Example: if in any hospital no of beds are = 200
    Then ICU beds
    = 5x 200/100 = 10 minimum
    And = 10 x 200/100 = 20 maximum
    (iii) Floor space for each ICU bed = 25 to 30 sq m (this includes suppor
    services)
    (iv) Floor space for Paediatric ICU beds = 10 to 12 sq m per bed
    (v) Floor space for High Dependency Unit (HDU) = 20 to 24 sq m per bed
    (vi) Floor space Hospital beds (General)
    = 15 to 18 sq m per bed
    (vii) Beds space = 7 sq m per bed.
    (viii) Minimum distance between centres of two beds = 2.4 m
    (minimum)
    (ix) Clearance at foot end
    = 1.2 m (minimum)

    THANK YOU

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