The purpose of this assignment is to explore the issue surrounding screening and examination of the new born from birth. The article will look at why we perform this examination following birth and will pay particular attention to the examination of the eye. It is documented that the purpose of the first examination of the new born is to confirm normality and to provide reassurance to the parents (MacKeith, 1995, Hall, 1999) and also to identify any apparent physical abnormality (Buston and Durward 2001). However the question that we may wish to consider is ‘what is normal in a neonatal who is undergoing major physiological adaptations to extra uterine life (Blackburn and Loper, 1993) ? How as midwives can we fulfil this expectation of …show more content…
As well as the importance of good history taking and methodical reading of the medical notes in order to identify risk factors that may require referral or simply make the examination outside the midwives role. Dezateux and Rosendahl (2007) stipulate that the overall effectiveness, harm and benefits of the examination remain controversial. Furthermore the view of the UK National Screening Committee is that if the introduction of screening for developmental dysplasia of the hip were considered now it “would probably not be accepted.” However it is difficult to obtain clear evidence about the effectiveness of the examination of the new born as it is deemed unethical to conduct a randomised controlled trial in which are group of babies do not receive an examination (Townsend et al, 2004). However the fact that babies are examined in the immediate new born period is “universally accepted as good practice” and supported by national guidance such as NICE routine postnatal care guidelines (2006), child health promotion programme (DH 2008) and the UK National Screening Committee (2008) in its standards and competencies for practice. With this in mind the next area of consideration is the timing of the examination. Almost immediately after birth the baby will be examined by the midwife to
The newborn and infant physical examination, NIPE, is performed by a qualified NIPE practitioner (Department of Health, DoH, 2015; Public Health England, PHE, 2013), within the first seventy-two hours of an infant’s life. This screening consists of a head-to-toe examination of the infant, including, but not limited to: the heart; the eyes; and the hips. During the examination, the practitioner will take the time to promote good health and wellbeing of the infant, by teaching the family how to identify signs of a well and unwell infant (Someren, 2013). The intention of the examination is to assess whether the infant has any congenital abnormalities (DoH, 2015; PHE, 2013). The NIPE is a developmental examination which is replicated between six and eight weeks after the infant’s birth, to screen for congenital disorders that become prominent in their physiology within this time period.
Child is a gift from God. Every parent hopes for a healthy child. However, abnormalities in the fetus growth becoming common nowadays. These may be due to physical, radiation and chemical factors. These factors will cause deformities such as genetic mutation which causes mental retardation, abnormal body buildup and other conditions which bring a lot of troubles in the future to the child themselves and their parents. Modern technologies and innovations in the medical field had developed a method to detect the abnormality before delivery and prevent this future tragedy to happen. This method is known as prenatal screening. There are several advantages and disadvantages of prenatal screening.
Ever since I was a little girl, I was always telling my parents I wanted to be a doctor to help people. As I got older my sisters had babies and I always wanted to hold them and take care of them furthermore, just recently I had come across a defined profession caring for infants in a great deal of need. I have been interested in helping people in need, performing surgeries and caring for infants since I was approximately eight years old. I have recently been doing some research on a Neonatal Nurse Practitioner (NNP), and believe that the job description fits me well. I would find a colossal amount of joy in being a NNP because I love being around babies and would enjoy being able to make a difference in their early life, as well as in their family’s lives.
Christine Le, an accountant living in Flushing, New York, gave birth to a healthy baby “Nathan” on January 29th, 2010. She found out that she was pregnant with her first child when her period was late. She had the routine prenatal care starting at 12 weeks and delivered at 40 weeks in a hospital with the present of her husband, Robert, and the in-laws. To insure her baby was healthy, Christine underwent several prenatal diagnostic methods like amniocentesis to examine for genetic defects. Another method was ultrasound; its purpose is to assess fetal age, multiple pregnancies, size and shape of the fetus. Christine underwent numerous lab tests to ensure that there are no complications (Berk, pg.43). Lab tests like a complete blood count that screens
Midwives identify high risked pregnancies and they make referrals to doctors and other medical specialists.
The costs of this expansion will mostly go toward labor, as labor is the single largest component of costs for early infant and toddler care centers (Marshall et al., 2004). For teachers to stay invested in the children they teach and care for, they must be fairly compensated to maintain the high quality of care. According to a study in Massachusetts, 72 percent of typical full-time, full-year center expenditures go toward labor (Marshall, et al., 2004). In dollar amounts, “average expenditures per child care hour were $4.42 for centers serving infants and $4.28 for centers serving toddlers. These correspond to full-time care expenditures of $10,343 and $10,015 for the two groups of centers [infants and toddlers, respectively]”
The Nursing and Midwifery Council (NMC) published the expected standards for pre-registration midwifery education. They stated that Student Midwives are required to assist in the care and support of several women throughout their antenatal, intrapartum and postpartum period. This is achieved via the caseload holding scheme (Nursing and Midwifery Council, 2009). Midwifery led continuity of care models are described as care given during the antenatal, intrapartum and postnatal period from a known and trusted midwife in order to empower a woman to have a healthy pregnancy and birth (Sandall, Soltani and Gates, 2016). In September 2005 research was published supporting midwifery-led continuity of care, which they found was linked to a number of benefits for both mothers and babies, in contrast with obstetrically led and shared care (The Royal College of Midwives, 2014).
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.
This report will evaluate the roles and responsibilities of a midwife. “Midwifery encompasses care of women during pregnancy, labour, and the postpartum period, as well as care of the new-born.”(WHO, 2015) This is a recent definition and clearly points out that a midwife has many roles and responsibilities. The NMC Codes of Conduct will be evaluated with specific emphasis on recent changes within healthcare. These changes took place as a result of the tragedies at Mid-Staffordshire Hospital in 2005-2009 and are the outcome of the Francis report in order to improve care given to patients.
In “The Birthmark” the relationships and behaviors of the character reveal much more than the story itself does. The characters of Aylmer, Georgian, Amenidab and Nature itself, through their words, actions, and behaviors give insight into a much more meaningful story. A deeper analysis of the characters reveals that they are archetypes, and as archetypes they provide a deeper hidden meaning to the story. By looking at Aylmer, Georgiana, Amenidab and Natures relationships and actions throughout the story we can see how they are used to give deeper significance.
This discussion will address the importance of the first antenatal appointment and three important aspects of this experience; these are the gathering of the woman’s health history, undertaking a maternal assessment, and maternal screening. Furthermore, a critical comparison of the use of the South Australian Pregnancy Record with the more traditional practice of using the hospital record as the methods of documentation. The establishment of antenatal care was founded in 1920. Since then the practice of midwifery has changed and developed into what we know today, as the midwifery-led continuity of care model, which the first antenatal care visit should aim for. This is an important time where the midwife gets to know the mother, her physical
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.
Birth of a child can be such a happy time, especially when the little one is very healthy. We all have seen the movies when a new child is born, some of us are lucky to see it first hand. Some of us do get goose bumps, me being one of them. It is just so exciting to see that little life come out of what has been in that big belly for nine months. We sometimes refer to the birth of a child as labor. If only it was as easy as the name sounds. However, it is not. There are three main stages in birth. The first stage is the longest stage that can last 12 to 14 hours with the first birth, and later births are shorter. Dilation and effacement of the cervix take place here. That is when the uterine contractions gradually become more frequent and
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
I used to think that dolls were nothing except perfect little pieces of glass. I didn’t really care for me as much as my mother did, but soon enough...every look, every word, every sound started to run my life.