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Introduction:  The Royal College of Obstetricians and Gynaecologists, in their document “The future role of the consultant,” recommended that there should be a resident obstetric consultant present in the labour ward for 24 h in large UK hospitals. There is little work that validates this recommendation. The period from midnight to 08:00 h is the most disruptive to work-life balance.

Resident consultant presence in labour ward after midnight – a retrospective cohort study of 5318 deliveries