title: Room for improvement: noise on a maternity ward.
abstract: BACKGROUND
  For mothers who have just given birth, the postpartum hospital stay is meant to promote an environment where resting, healing and bonding can take place. New mothers, however, face many interruptions throughout the day including multiple visitors and noise caused by medical equipment, corridor conversations and intercom announcements. This paper argues that disruptions and noise on a maternity ward are detrimental to the healing process for new mothers and their newborns and healthcare decision-makers need to act to improve the environment for these patients. This paper also provides recommendations on how to reduce the noise levels, or at least control the noise on a maternity ward, through the implementation of a daily quiet time.
  
  
  CONCLUSIONS
  Hospital disruptions and its negative health effects in particular for new mothers and their children are illustrated in this paper. Hospital noise and interruptions act as a stressor for both new mothers and staff, and can lead to sleep deprivation and detrimental cardiovascular health effects. Sleep deprivation is associated with a number of negative mental and physical health consequences such as decreased immune function, vascular dysfunction and increased sympathetic cardiovascular modulation. Sleep deprivation can also increase the risk of postpartum mental health disorders in new mothers. Some efforts have been made to reduce the disruptions experienced by these patients within a hospital setting. For example, the introduction of a daily quiet time is one way of controlling noise levels and interruptions, however, these have mostly been implemented in intensive care units. Noise and disruptions are a significant problem during postpartum hospital stay. Healthcare institutions are responsible for patient-centered care; a quiet time intervention promises to contribute to a safe, healing environment in hospitals.
authors.affiliation: Department of Family Medicine, McGill University, Montreal, Canada. safina.adatia@mail.mcgill.ca.
authors.forename: Safina
authors.initials: S
authors.lastname: Adatia
authors.affiliation: Department of Family Medicine, McGill University, Montreal, Canada. susan.law@mcgill.ca.
authors.forename: Susan
authors.initials: S
authors.lastname: Law
authors.affiliation: Department of Family Medicine, McGill University, Montreal, Canada. jeannie.haggerty@mcgill.ca.
authors.forename: Jeannie
authors.initials: J
authors.lastname: Haggerty
mesh_terms: D003142:Communication; D005260:Female; D006771:Hospitals, Maternity; D006801:Humans; D007231:Infant, Newborn; D007362:Intensive Care Units; D007902:Length of Stay; D009623:Noise, Occupational / Q000009:adverse effects* / Q000517:prevention & control*; D018802:Patient-Centered Care; D049590:Postpartum Period; D058996:Quality Improvement; D012449:Safety; D012892:Sleep Deprivation