Midwife Attended Birth Outcomes and Experiences in the Home vs. Hospital Setting Sonni Collins California State University East Bay Introduction The Midwifery Model of care is defined in part by the old English etymology of the word‚ which means “with woman.” The role of the midwife is to provide the individual space for the woman laboring with as little un-natural inference as possible. (Hunter‚ 2002) The preferred and most common birth attended by midwives is at home birth
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Warning Scores‚ Dublin: Department of Health. NICE‚ 2010. Antenatal Care‚ UK: NHS. Odell‚ M.‚ 2010. Are early warning scores the only way to rapidly detect and manage deterioration?‚ Reading: Royal Berkshire Foundation Trust. Philipp‚ E. E.‚ 1964. Obstetrics in General Practice: Minor Disorders of Pregnancy. British Medical Journal‚ Volume March‚ pp. 749-752. Raynor‚ M. e. a.‚ 2012. Midwifery Practice: Critical Illness‚ Complications and Emergencies Casebook. 1st ed. Berkshire: Open University Press
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CHAPTER ONE THEORETICAL AND CONCEPTUAL FRAMEWORK 1.0 Introduction Maternal death is defined as the death of a woman while pregnant or within 42 days of termination of pregnancy‚ irrespective of the duration and site of the pregnancy from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes. Generally‚ there is a distinction between a direct maternal death that is a result of a complication of
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of labour * Prolapsed cord * To avoid fetal hypoxia—When there is poor perfusion of the placental bed (for example‚ pre-eclampsia) * Malpositions—For example‚ brow * Malpresentations—For example‚ transverse lie‚ breech * Bad obstetric history * Maternal request Caesarean section Use The frequency of this operation in Britain has increased from about 5% in 1930 to about 16% now. In a survey of 327 obstetricians by Savage et al in Great Britain in the early 1990s‚ the main
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INTRODUCTION: According to the data received by the Registrar General of India‚ in 2007 to 2009 the maternal mortality rate in India is 212 per 100‚000 live births. The country needs to reduce the maternal mortality rate to less than109 deaths by 2015 to achieve the United Nations-mandated Millennium Development Goals (MDG). Every ten minutes there is one maternal death in India as reported by the United Nations and at this rate India is unlikely to achieve the Millennium Development Goals. What
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at 1.5 T or lower magnetic field strength has been used to evaluate diseases in pregnancy for over 20 years without any documented harmful effects. Magnetic resonance imaging (MRI) has been shown to be useful in the diagnosis of gynecological and obstetric problems during pregnancy and in the setting of acute abdomen during pregnancy. MRI overcomes some of the limitations of ultrasound‚ mainly the size of the gravid uterus. 4 MRI has even been proven to help in diagnosis of brain and spinal cord development
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care does pose some problems including the lack of pain medication and whether birthing centers are the safest option for both mother and child. Other models of care including obstetric models place less emphasis on continuity of care and therefore marginalize the mother’s holistic health. For example public obstetric care still provides the mother with antenatal care but the mother could see a different obstetrician each time she has a check up. This results in no form of relationship with the
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Wesley Chen H&P Assignment ID: Patient is 23 yo G2P1001 At 32wk3d GA determined by U/S admitted for vaginal bleeding. HPI: The patient first noticed vaginal bleeding this morning when she woke up at 6:30 am to use the restroom. She noticed bleeding in her clothing and blood clots in the toilet bowl. She reports bleeding 1 cup (~250ml) total this morning. In addition‚ she has a positive h/o placenta previa with her current pregnancy determined by U/S. She denies any similar episodes in the past
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Reflection can be defined as “a process of reviewing an experience of practice in order to describe‚ analyse and evaluate and so inform learning from practice.”(Reid‚ 1993) It is an important factor when working within any health profession and midwifery is certainly no exception. Schon (1991) defines a reflective practitioner as “someone who learns by reflecting on current experience and applies that learning to future practice.” Reflection allows midwives to grow and develop professionally as well
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Turner Syndrome Turner syndrome affects 3% of all females prior to birth‚ with only around 1% of these ‘in utero’ cases surviving to term; it is not inherited from either parent‚ but purely a ‘chance’ mutation. Despite this‚ it has become the most common genetically determined abnormality amongst females‚ and can have detrimental effects on systemic wellbeing throughout life. Turner Syndrome is a sex-linked genetic disorder which only affects females‚ and can present symptoms in several organ
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