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Name: Maymun Ahmed
Student Number: 18467037
Subject code: MID2CLB
Assignment: Summative Submission
Topic: The effect of consuming food and fluids during labour One of the most challenging stages of pregnancy can be the intrapartum period. This is the period where a woman is birthing her child, although it may be really challenging it is also the most exciting part of pregnancy for most couples. Bridget is a twenty-eight year old multiparous woman who is thirty-nine weeks and five days pregnant. Bridget has been admitted into the labour ward with antenatal history showing a normal physiological pregnancy and she has entered a spontaneous labour that is progressing well. All her maternal observations and
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The essay will begin by discussing the historical aspects of consuming foods and fluid during labour followed by a discussing of the current and relevant studies to conclude what information to provide Bridget. Lastly, a discussion about ketosis the presence of ketones in urine, which indicates the body, is breaking down lipids as an energy source (Coad, Friedman, & Geoffrin, 2012) and the recommendations to give Bridget.
Early in the 1900s, women were encouraged to consume liquids for energy throughout their labour by Dr DeLee, an American obstetrician (Singata, Tranmer, & Gyte, 2013). Since then the common practice became to reduce women’s intake of food and fluid during labour as a result of a study conducted by Mendelson in the 1940’s. Mendelson found that during a caesarean section with general anaesthetics women who had a full stomach were at a great risk of having their stomach contents entering the lungs, a condition known as aspiration, which led to serious complications that were fatal (Singata, Tranmer, & Gyte, 2013). As this was contributing to a high number of maternal mortality and morbidity the findings of Mendelson was a turning point for the care provided to women in labour. It led to all women labouring, regardless of their risk status of requiring a caesarean section being advised to restrict their intake of foods and fluids
Physiological changes within a pregnant woman occur throughout the pregnancy and the gastrointestinal system is affected by alterations of the pregnancy, these changes are considered normal. The aim of this essay is to focus on the gastrointestinal system of pregnant women, discussing physiological changes which occur under the influence of hormones, while focusing on nausea and vomiting (NV) as a minor disorder. Finally, it will examine the role the midwife has on providing effective education to the pregnant woman in her care employing a woman- centred approach.
Giving birth to a baby is the most amazing and miraculous experiences for parents and their loved ones. Every woman’s birth story is different and full of joy. Furthermore, the process from the moment a woman knows that she’s pregnant to being in the delivering room is very critical to both her and the newborn baby. Prenatal care is extremely important and it can impact greatly the quality of life of the baby. In this paper, the topic of giving birth will be discussed thoroughly by describing the stories of two mothers who gave birth in different decades and see how their prenatal cares are different from each other with correlation of the advancement of modern medicine between four decades.
Nutrition plays an important role when it comes to pregnancy. You will often here of woman trying to eat healthier for their unborn baby. In japan woman take role as mother to be very seriously including health and diet (Paulanka 2008). Japanese culture has a food pyramid somewhat like westernized culture. On the top is exercise and hydration which includes water and tea. Next are grains which is recommended 5-7 servings, Vegetables 5-6 servings, protein 3-5 servings, dairy 2 servings, and fruit 2 servings. While pregnant caloric intake is increased in the first semester 50+, second semester 250+, third semester 450+, and if the woman chooses to breastfeed caloric intake is increased to 350+ (Pregnant in japan). Salt intake is limited to prevent preeclampsia (Pregnant in Japan). It is not uncommon for a doctor to recommended a weight gain of 7-8kg during pregnancy (Kittaka). Some woman have stated that “They were back in their pre-pregnancy clothes in less than 3 weeks”.
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
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 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 the past, in the United States the majority of women delivered at home with no anesthetics; women might have received assistance through a family doctor, including midwife care (Thomas, 2011). A radical change happened by the 1960s, when hospital childbirths had become the norm, the pain of the experience was reduced by epidural anesthesia controlled by a physician. Pregnant women received education on breastfeeding and other topics during their medical visits (Thomas, 2011).
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
Ricci, S. Kyle, T. and Carman, S. (2017). Maternity and pediatric nursing 3rd ed. Philadelphia:
Within this assignment I am going to look at the main nutritional needs for pregnant women and adolescents and discuss the similarities and differences between their nutritional requirements.
The student met with the family at their home for the third meeting, where they were provided with educational information on esotropia. A conversation ensued about the adaption of children with Esotropia to school and their ability to function normally without any delays. Being a teacher, this was a great concern to R.M., and he expressed the most concern. During the third meeting with the family, the risks of repeated Caesarean sections were also discussed in detail. The student was able to address the concerns and C.M. and provide realistic information to her. The risks with repeat C-sections go up with each additional C-section, and since C.M.’s first delivery was an emergency C-section, the family discussed with the nursing student the concern of having future children. The student nurse and family also discussed transitional changes that a growing family may experience, including issues of having a girl, and proper nutrition techniques. The student provided the family with nutritional information from Gerber, including how to transition to more solid foods when the time comes. The student used the information as a guide to suggest ways that the family could implement these strategies, especially with the upcoming C-section and subsequent birth of their
Throughout a women’s pregnancy follows some of the common physiological changes brought about with their pregnancy. These minor disorders may affect many woman’s daily life routine and also the body’s adaptations to the mother and fetus. In particular nausea and vomiting are one of the major illness women experience earlier on in pregnancy. In order for an optimal birth outcome midwife and other health professionals may provide consultations and demonstrate a “women centred” care throughout the pregnancy.
To begin with, I was conceived on August 1997 when my mother Lethu Huynh was 35 years old. Like any regular pregnancy, she developed common symptoms such as nausea, tender breast, fatigue, food craving, and frequent urination (). My mom told me when she was pregnant she always craved foods that were salty and sour. According to womenshealth.gov, women have strong desire for certain foods during pregnancy maybe caused by nutritional needs and nourishments for the fetus. During the pregnancy, my mother said it was the most difficult one. “I was always sick and felt weak most of the time. I was scared for my daughter’s life and prayed every night that she would be healthy and strong once she was born”. It was also the longest process and most
Water is at the present time a well-known form of pain relief available to women in all stages of labour (Richmond, 2003). With the majority of hospitals and midwifery led units offering the choice of water for birth and companies willing to sell birth pools to women across the country for use with home births, water birth is perceived by many to be easily accessible (The Royal College of Midwives, 2012). The Care Quality Commission (CQC) has reported in their 2013 survey of maternity services, that 34% of women planned to have a water birth. One interesting finding of the survey was that only 8% achieved this goal (CQC, 2013). Given the large gap between the figures and the current practice in maternity care to promote informed choice in pregnancy and encouraging women to plan their own care including where they will have their baby, the survey has led the student author to explore the reasons why women did not achieve the birth they sought. As shown in Table One, 4% of women were not told why they could not have their chosen pain relief and it was documented that 14% were given ‘other’ reasons, see Table One. However, when reporting the findings they failed to breakdown the figures. This survey (Care Quality Commission, 2013) would have been more useful if they had
Pregnancy is normally the best and the happiest stage of any woman, but it can also be uncertain because anything can go wrong if you do not know exactly what to do. In order to understand the reasons of why Preterm Birth occurs, it is important to know what it is and how risky it can be. Preterm Birth is also known as Premature labor which mainly begins after “20 weeks but before 37 completed week’s gestations. Approximately 12.9 million babies worldwide are born too early every year representing an incidence of PTB of 9.6%” (Berghella, pp. 2, 8). Baby Center Medical Advisory Board says that about 12 percent of babies