Critical Incident Analysis Using Bortons Framework

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Nursing & Midwifery Feedback on Coursework – First Submission PART A: TO BE COMPLETED BY STUDENT AND SUBMITTED AS PAGE 1 OF ASSIGNMENT Module Title: | | Module Code: | | Level | | | | | 1 | 2 | 3 | Student Name: | | Student Number: | | Pathway e.g. Degree/Diploma: | | | | Submission Date: | | Extension Granted: YES NO | Late Submission Date: | Notified in advance to Module Coordinator:YES NO | Extenuating Circumstances: YES NO | Declaration of Originality attached YES NO | PART B: FIRST MARKER COMMENTS – to identify strength, weakness and specific action required.Name 1st Marker ______________________________________ Date…show more content…
When Sarah was out of the bed and standing her whole attitude changed, she was more comfortable and relaxed. Sarah went on to give birth on her hands and knees, there were no complications and the perineum was intact. The student felt that through the use of different positions, listening and observing, she had empowered Sarah to have a normal birth. The two specific topics the author will analyse are positions in labour and the role the midwife plays in facilitating choice. So what? The National Institute for Health and Clinical Excellence (NICE, 2007) Intrapartum guidelines state that during the first stage of labour women should be encouraged to adopt the position they feel most comfortable in. This is what the student was trying to encourage even though her mentor did not.There are various positions the woman can adopt in labour which are generally grouped into upright and recumbent. The positions classed as upright are; standing, walking, kneeling, squatting, on all fours and sitting, and the recumbent position could include; supine, lithotomy, semi-recumbent or side lying (Johnson and Taylor, 2011). The upright position appeared to be more beneficial in Sarah’s case and the author wants to determine if this is always the case. It is evident that sometimes there will be constraints such as continuous fetal monitoring but it is important that the midwife does

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