This project took place at a midwifery practice within an academic hospital in an urban setting in the Pacific Northwest. There were no guidelines for the midwifery practice on communication standards during the second stage of labor. An electronic health record template was created to document a time-out at the beginning of the second stage and each hour thereafter. The objective of this project was to implement standardized time-outs in the second stage of labor to increase communication between midwives and nurses ands to achieve a documentation rate of 75% of eligible patients and assess midwife satisfaction with time-outs.