As a midwifery student, the author has worked with two women, within the Continuity of Care Experience, who have been induced for post-term pregnancy. Reflections have been written about the care these women received and are located in the authors Continuity of Care Experience reflective journals under the pseudonyms RO’B and EE. The purpose of this portfolio is to explore current midwifery practice in relation to this event which can turn an uncomplicated pregnancy into a complex labour and birth. Current literature will be reviewed to determine best practice in care provision for woman who are post-term and a recommendation will be made on how midwifery practice can improve outcomes for women whose pregnancies progress past term. For …show more content…
Induction of labour involves one or more of the following interventions to artificially initiate labour: amniotomy, insertion of prostaglandins and intravenous oxytocin (Rimmer, 2014). Expectant management requires waiting for labour to initiate spontaneously however it is recommended that this method is coupled with increased fetal surveillance via cardiotocography and ultrasound monitoring (Wennerholm et al., 2009; Oros et al., 2012; Heimstad et al., 2007; Queensland Health, 2011). IOL is always indicated where maternal and/or fetal health is compromised by continuing the pregnancy (Queensland Health, 2011; Thorogood & Donaldson, 2010).
Five articles were identified to determine best practice in care provision between IOL and expectant management in relation to post-term pregnancy. These articles were a mixture of trials and reviews published between 2006 and 2012. The results of these five articles were surprisingly varied. Oros et al. (2012) claimed that both options are equally risky as IOL reduces the number of babies being born small for gestational age but increases risk of birth by caesarean section, particularly for failed induction, and therefore increases length of hospital stay. Heimstad et al. (2007) maintained that no difference was found between IOL and expectant management in relation to neonatal morbidity or mode of birth. Glantz (2010) argued that the
Continuity of care may have different meanings, ranging from continuity of caregivers, to a shared philosophy of care by large numbers of caregivers with different professional backgrounds or ideally one-to-one care (Waldenstrom et al. 2000). The purpose of midwifery continuity of care is to allow women and their midwives to get to know each other over time. This involves not only a personal knowledge of each other, but also the ability to be able to work out, investigate, talk about and consider the complex decisions, bearing in mind the woman’s needs and expectations. The relationship has a professional purpose, which is the provision of safe and effective midwifery care (Homer, Brodie & Leap, 2008).
I believe as a Midwifery Student at Australian Catholic University (ACU) that childbirth is a natural life process. Within my philosophy, my aim is to provide a women-centred care based on evidence- based practice. Also the importance of supporting women with cultural variation, social circumstance and understanding other specific needs throughout the woman’s pregnancy. The women-centred care is an essential quality to a midwife as it ensure that the women is educated in healthy lifestyle choices within pregnancy, childbirth and during parenthood. This relationship of “women-centred care” is the key to midwifery practices as Australian College of Midwives (2009) refers to the philosophy of maternity care that promotes a holistic approach by recognising each women’s social, emotional, physical, spiritual and cultural needs. In retrospect, it is important to reflect on your past experiences during your midwifery practice but also your life beyond midwifery.
This essay demonstrates significant factors, a midwife and the women may face within Australian public hospitals. As a midwife the key skills are understanding of what supports and impacts the normal physiological process of labour and birth. This essay will discuss two influencing factors that have a negative effect on the normal progress of labour and birth. This will be seen, firstly by discussing the cultural and environmental impacts of labour and birth. Then, examining how the midwife may best support and facilitate the adverse effects of normal physiological process. This essay also discusses a positive labour and birth environment within the Australian standard model of care.
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.
Childbirth is one of the greatest privileges on the earth anyone could have and we, as women, should feel proud to be major contributors for it. Thus, a mother has to play a key role in aiding the healthcare workers to mitigate the health crisis associated with childbirth by performing her duties faithfully. One such associated health crisis is “Premature (preterm) birth” which occurs when the baby is born too early, before 37 weeks of gestational period (CDC, 2015). The rate of preterm birth ranges from 5% to 18% of babies born across 184 countries (WHO, 2015).
The international Confederation of Midwives (ICM) defines the midwife as a person who has successfully completed a nationally recognized midwifery education program, is qualified for registration, and competent to practice in midwifery. As a midwifery student, I will explore the philosophies of this profession whilst working with my first continuity of care experience woman and her family. In this essay, I will examine the roles of the midwife, the scope of the practice for midwives and midwifery students, and search the value of the midwifery partnership and the importance of the woman centered care. I will also clarify the legal, professional and ethical responsibilities of the midwife in accordance with national standards and code. Analyzing
The assignment will be written in the style of the British Journal of Midwifery (BJM), the abstract is incorporated into this introduction and Harvard 2014 will be used for the referencing style.
In many cases, a patient increases their odds of a cesarean section if they chose to be induced without causation. A study was conducted between the years of 1999 to 2000 with 3215 nulliparous women. The findings of this study showed that nulliparous women are at a significantly higher risk of needing a cesarean section if they were electively induced (Luthy et al., 2004). Multiple studies have looked at nulliparous versus multiparous women and have found that elective inductions do not look to increase the odds of a woman needing a cesarean section in multiparous women. Researchers have begun to look at other possible relationships between patients who undergo an elective induction that results in a caesarean section and they have found
Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally
A constructive critique of the research into women’s experiences of becoming a mother after prolonged labour.
This essay will be relating to an episode of care that was provided to a woman, her partner and their baby on day five during the postnatal period. It will examine the role of the midwife in relation to breastfeeding and how this was not achieved in the case study which is shown in the appendix. Throughout the essay it will look at the following outcomes: the role and responsibility of the midwife within current maternity care provision, the importance of sensitive midwifery, key legal and ethical dimensions of the midwife's role and key sociological and psychological agendas impacting on current maternity care.
This essay will first describe partnership and how a midwife working in the continuity of care model develops and maintains it. Secondly, this essay will describe what a postnatal abdominal palpation is, why it is done and what the outcomes may be. It will also describe the anatomy and physiology of a uterus and involution. Lastly, a description of how the assessment is conducted and how during this partnership and cultural safety is maintained by the midwife.
Vaginal birth after caesarean (VBAC) is the name used for identifying the method of giving birth vaginally after previously delivering at least one baby through a caesarean section (CS). A trial of labour (TOL) is the term used to describe the process of attempting a VBAC. An elected repeat caesarean (ERC) is the other option for women who have had a caesarean in the past. The rates of women choosing to deliver by means of an ERC has been increasing in many countries, this is typically due to the common assumption that there are too many risks for the baby and mother (Knight, Gurol-Urganci, Van Der Meulen, Mahmood, Richmond, Dougall, & Cromwell, 2013). The success rate of VBAC lies in the range of 56 - 80%, a reasonably high success rate, however, the repeat caesarean birth rate has increased to 83% in Australia (Knight et al., 2013). It is essential to inform women of the contraindications, success criteria, risks, benefits, information on uterine rupture and the role of the midwife in relation to considering attempting a VBAC (Hayman, 2014). This information forms the basis of an antenatal class (Appendix 1) that provides the necessary information to women who are considering attempting a VBAC and can therefore enable them to make their own decision regarding the mode of birth.
Preterm Birth is one of the most important and interesting topics to any prospective parent. One of the reasons is because it happens so often and unexpectedly. Preterm Birth has become a personal interest in research simply because it has made a tremendous impact in my life. Having a Preterm Birth has taught me lots of things, such as, to grow as a person and as a mother, to see things from a different perspective, to get up, continue with my life, and perhaps to learn how to say “good bye” to a little one without even saying “hello.” For all the reasons above, there are some questions I would like to address: Why do preterm births happen and how can it be prevented? What kind of help is offered to parents and family members who go through the process of having a preterm birth? How effective and relevant is that help?
Prenatal care is widely accepted as an important element in improving pregnancy outcome. (Gorrie, McKinney, Murray, 1998). Prenatal care is defined as care of a pregnant woman during the time in the maternity cycle that begins with conception and ends with the onset of labor. A medical, surgical, gynecologic, obstretic, social and family history is taken (Mosby's Medical, Nursing, and Allied Health Dictionary, 1998). It is important for a pregnant woman as well as our society to know that everything that you do has an effect on your baby. Because so many women opt not to receive the benefits of prenatal care, our society sees the ramification, which include a variety of complications primarily