Patient profile: Joanne and Steve wanted a C-section as they had difficultly delivery with their first child; however Joanne went into labour early. The baby was delivered 3 days before the C-section was scheduled. With her first child she was given an epidural that did not work, this is why she had requested the C-section for the birth of this child. Their first child died at 21 days old, he was an IVF baby and it had taken them 5-6 years to get him. After a couple of years they started trying for another baby, they had been saving up for more IVF but they managed to conceive naturally. They had more scans during this pregnancy to ensure the health of the baby was okay. Barriers to communication: She was given air by the midwives to help her with the pain as she had been experiencing contractions since 8:00 AM. She needed to see the doctor about the C-section and stated that if she could have an epidural she would try and deliver the child naturally, if it didn 't work (like with her first child) she would want the C-section. She is rushed to the delivery unit for an epidural. When she is examined before the epidural a problem is found. The time it would take for her to sit up and for the epidural to be administered would be too late as she would then have to push. When she was told this she started to become scared as she had a difficult first birth as the epidural did not work and now she could not have one. She was then offered alternative pain relief. She went into
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Baby Smarika was born approximately after 8 hours of labor. Smarika began to go into distress, which made doctor to perform a C-section of my wife. My eyes rolled into tears when I hold her after 10 minutes. I was amazed when I held her in the delivery room. My partner and I felt the biggest surge
In that one hour was driving time so when her and her husband reported to the hospital she had her baby in 20 minutes. There was no time for an epidural and he just came right out. When Robyn was telling me about her labor she said that it didn’t really affect her all that much she was more in shock. In the delivery room she had her husband and her mom. Robyn had a healthy baby and was in the hospital for a total of 2 days. She now has 3 healthy growing kiddos and is looking forward to still building her family.
She told the nurse that she was not enjoying her pregnancy but believed that she will learn to love her baby once it is born. She went on to state that she had not discussed her feelings with her husband and family and asked the nurse to keep the conversation private.
Her pregnancy was going fine until she reached 18 weeks and an ultrasound revealed a “bubble” on the fetus’s neck. When the doctors first saw it they thought it was a treatable tumor called a teratoma, Lindsay and her husband Matt were hopeful that the fetus could survive. Over the next few weeks the doctors ran further tests and ultrasounds and confirmed that the fetus had a lymphangioma, a rare, noncancerous congenital tumor that can involve the head and neck and can cause fatal swelling and obstruct airways. They learned that it was growing out of her neck and back into the back of her neck, her chest, her mouth, and the orbit of her right eye. Doctors gave Paradiso a grim prognosis and said that the baby wouldn’t survive past 27 weeks, a time when it could be viable for delivery and potential life-saving operations, they had told her that her chances of living were very small. (Goldberg
However, this was the most grateful women that I have ever meet as well she had the most contagious smile that could light up a room! Most of all, she needed medical help due to her age, she was a smoker, her birth control needed changed, she had previously had two abortions, and she was homeless so she needed something that would have a longer outcome. DR. Gyimesi gave her scenario to me as a case study and asked what I would do and why. I explained IUD with these following reasons: the patch she did not like and had a positive pregnancy with, being a smoker increased the chance for blood clots, the pills I thought would not be a good choice because she is homeless and due to her brain injury, she was forgetful and not stable. She did not want a tubal due to the fact one day in her life she may be normal again, so I felt that was not an option. The VA doesn’t do implants under the skin so that was also not an option. I then mentioned the mirena, but the only downfall would be that she had previously been on depo and it could be a while before her menstrual cycle starts. He could have put the mirena in that day, but the procedure may be difficult. Therefore, he presented her with my options and she choose the Mirena. After she made her decision we prepared her along with educating her. DR. Gyimesi grabbed my hand and involved me 110% with her pap smear, pelvic exam, and insertion of the IUD. Finally, when we started on the final bits of education on her IUD, care of the
Marie is pale, weak, and anxious, but no longer disoriented. Her fundus is firm and is 1 cm above the umbilicus. She is receiving O2 per nasal cannula at 4 liters/minute and has an O2 saturation of 88%. Her vital signs are: BP 74/44, pulse 116 and respirations 26. Her bleeding has slowed considerably. The nurse asks the UAP to bathe Marie and change the bed linens.
Thank you for the opportunity to participate in the care of Ms. Megan Robertson, who as you know is a 20yo female, G2 P0101, currently at 16 weeks 5 days EGA with a pregnancy complicated by a history of prior spontaneous preterm delivery at 35 weeks of gestation and maternal underweight status. She presents today for evaluation of cervical length and fetal growth due to her history of prior preterm delivery and started her course of 17-alpha hydroxyprogesterone caproate injections today and these are weekly injections for her to reduce the risk of preterm birth secondary to her history of prior spontaneous birth.
The couple giving a few minutes to discuss their options were completely distraught over the doctors’ thoughts and situation. They were against abortion and prolife friends had recommended the obstetrician to the family. The doctor returns and they explain to him that they want their baby to be born alive, do not believe in abortions and they want to be able to baptize their baby girl (Grisez, 1997, question 48). He tells the couple he is as well against abortions, but does not consider inducing labor early as an abortion. He also goes on to explain
Louise was a nulliparous woman in her thirties who had no pregnancy complications and nothing sinister in her medical history, so she was classed as “low risk” and she was 7 days over her estimated due date. Louise came on to the delivery suite and my mentor and I were looking after her throughout her labour, her partner was away at work so Louise only had us for support.
Gina and Lindry were already parents when they became pregnant with their second child. During Gina's first pregnancy, during labor, she only dilated to 5cm and ended up having to get a c-section. For her second delivery, Gina is trying to have a VBAC. This is a vaginal birth after casearean. When Gina's water broke and she was at the hospital, nurses monitored her progress and Gina did many things to help speed things along. Gina was having back pain, so she moved to being on all fours to help alleviate the pain, she took jacuzzi baths, she also walked the halls with her husband. Once Gina was fully dilated and able to push, she questioned her ability to have her baby vaginally but she succeeded and gave birth to a healthy baby. In the video,
Dr. Dermer came in to see me around nine that evening. My contractions were getting harder and were getting closer together. Dr. Dermer felt that if I continued in this manner that I would be able to deliver that night. At the same time, Dr. Dermer stated that after being in labor all day he did not think that I would have the energy to push. His final decision was to stop my labor. He advised me to get a good night sleep so that I would be prepared for the next morning when the nurses would induce my labor again.
Rebecca was keen to have a very natural pregnancy and labour and although she was nervous she suggested a home birth which was discussed at length. Rachael made every attempt to go through all options available before Rebecca made a decision as suggested by the Department of Health (2007:2009) who stated that ‘“all women should have the choice in where and how they have their baby’’. A home birth is not always best for all pregnancies as identified by Leighton & Halpern (2002) who state that many first pregnancy women wish to have an epidural and home birth midwives have limited resources in administering pharmacological pain relief.
Another mother, Chloe, did not have genetic testing done in her first pregnancy because she told herself there would be no point because abortion was not an option. The second pregnancy, however, something was different. Chloe had been gaining extra weight, and there were small signs of Down syndrome. Her midwife suggested that she have prenatal genetic tests done. The hard part came when the positive results came back. Neither Chloe nor her partner wanted their unborn son Tommy to live with any disabilities or struggles. Due to the diagnosis and after much consideration, they made the decision to terminate the pregnancy at nineteen weeks. Chloe said it was the most heart-wrenching experience of her life. Even with the support and love of friends and
I consider the concept of pain relief used in labour via epidural as a very intriguing topic. It plays the role as a central nerve blocking analgesia administered through the lower part of the spine near the nerves that conveys pain (Anim-Somuah, Smyth & Jones, 2011). Both positive and negative scrutinies have been long established in the society and thus my desire to figure out why this was so. My previous perception of this local anaesthesia was partially influenced by the media’s idea that it causes more harm than it can benefit, therefore the lack of a greater evidence based judgement. This led to quite a biased opinion and perhaps a misconception on my behalf and maybe other people that epidural, although relieves discomfort, mainly caused adverse effects on the mother and child. Thus my goal to ultimately understand if epidural should really be used or not and whether a woman 's choice is based on society’s dependence on modern medical technology over time.
We made our way to the hospital, were put in an examination room and left there. No one checked on us. No one examined my wife. Finally, after nine hours of waiting, a doctor peeked in the room to see why we were still there. We told him our story and he put his fetal stethoscope on and started listening to my wife’s belly. He then told us news we were not expecting. He said, “Your baby is fine and her heartbeat is strong,” and then he ordered an ultrasound.