The Intake Of Food And Fluid During Labour

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.

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.

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.

The writer explained there could be no concern for fetal or maternal health during the delivery although some obstetricians tended to induce labor in all diabetic mothers to protect babies and mothers. Moreover, labor progress was supposedly assessed by old-fashioned methods, which resulted in performing unnecessary obstetrical practices. Intervention was imposed in cases of inaccurately labeled slow or abnormal labors and failures to progress. It is common practice that a primary cesarean generally produces subsequent surgical deliveries. The author realized that cesareans were performed because of insufficient data on laboring women’s

She is without complaints. She has not noted any increase in preterm labor. No signs/symptoms or change in pelvic pressure. She is compliant with bedrest and has help taking care of her son. She is otherwise aware that she should discontinue Motrin next week and is aware of the signs/symptoms that we are monitoring. The placental cord insertion does appear marginal as noted on prior ultrasound and we are following monthly growth. She is aware that after surveillance of cervical length which will the last one we would anticipate would be next week at 32 weeks and after that we would still recommend monthly evaluation of fetal growth. Preterm labor precautions were reviewed. She is scheduled to return in one

The study by Cheng, Shaffer, Bianco and Caughey (2011) compared the perinatal results among nulliparous women with early operative vaginal delivery in second stage and the ones with normal vaginal delivery having delayed second stage. The researchers compared women with operative vaginal deliveries in their second stage with those that spontaneously delivered vaginally. Chi-square test was used to examine the perinatal results. Multivariable logistic regression analysis was used to control possible cofounders. The results suggested that there were reduced odds for third and fourth degree perineal lacerations among women with vaginal delivery further than 3 hours, admissions in special care nursery and neonatal cephalohematoma in comparison with operative vaginal deliveries, which took place between 1 and 3 hours (Cheng, Shaffer, Bianco and Caughey, 2011).

She had instructed the nurses about her plan to have a natural birth to which the nurses responded by encouraging her throughout the labor. Doing this, the nurses demonstrated the acceptance and understanding of their patient’s cultural norms, which signifies nurses’ knowledge on cultural uniqueness; hence, respecting the individual (Etowa, 2012). Alice also mentioned that she called her friend, Lisa, to play the role of a birth companion. In their paper, Sioma-Markowsa, Poreba, Krawczyk, and Skyzypulec-Plinta cite a source explaining the importance of presence of the father during birth in order to support the pregnant woman and to prepare both the “spouses for conscious parenthood” (2015). However, the father of the child did not come to the hospital as he was drunk and could not drive to the hospital in time. Nonetheless, Alice remembers the day very vividly; she remembers the nurses who held her hand and rubbed her back during each contraction, she remembers the nurse who coached her about right breathing techniques, she remembers how comfortable she felt even during one of her mostly vulnerable moments of her life. These are the things that helped Alice to cope with the pain associated with the labour. She said her labor lasted for ten hours during her first

I can’t believe that she went from her latent phase to her phase within 1 hour. When I walked into the patient’s room, the doctor was holding a wrapped newborn and hand her to her mother while the nurse is cleaning her up. I couldn’t tell what my feeling at that time was, maybe a little disappointed because I missed the learning opportunity (my clinical instructor was took it harder than I was), maybe surprised because the delivery was happened to quickly, but mostly happy because the patient didn’t have any complication during her delivery.

As we entered, the patient was ready to start pushing. She came in 23 hours ago, with spontaneous ruptured membranes. She was G1P0 and currently 39 2/7 weeks gestation. Her husband was coaching her through breathing and relaxation exercises. The patient’s mother was also present in the room, while her father was outside in the waiting room area. While reviewing her health history, it was noted that her pregnancy was normal, didn’t had any complications or chronic conditions, and was not taking any medications besides her prenatal vitamins.

Diligent care is required by care providers (obstetricians, anesthesiologists, and labor & delivery nurses) for the safety of the mother and child. Risk factors for identifying PPH such as multiple deliveries, a prolonged third stage of labor, episiotomies, fetal macrosomia, and history of postpartum hemorrhaging, have been documented. Yet there are women who do not have any of the risk factors, but still hemorrhage, so the medical team should be equipped regardless of these factors for everything. Algorithms, protocols, and policies have been implemented by hospitals, but it is contingent on recognizing excessive bleeding before it becomes life threatening. According to The World Health Organization (2012), all women giving birth should be offered uterotonics during the third stage of labor to prevent PPH and IM/IV oxytocin (10 IU) is recommended as the uterotonic drug of choice. Uterine Atony is the number one cause of a majority of the cases, which can be managed with the combination of a uterine massage and medication (oxytocin, prostaglandins, and ergot alkaloids). The intrauterine balloon tamponade is another option for women who do not respond to uterotonic medications. Uterine atony is usually a result of prolonged labor, preeclampsia, or a history of PPH in a previous pregnancy. Women who have blood

Recently, there have been many women opting to be induced rather than going through a natural onset of labor. In 2008 23.1% of live births were induced in the United States, which was a doubled amount from the 1990s (Cheng, Kaimal, Snowden, Nicholson, & Caughey, 2012). However, it seems as if the negative and positive effects of being induced are rarely highlighted. It is important though that patients receive correct evidence based research about induction compared to the natural onset of labor before making a decision. Medical professionals will be able to educate patients by answering this research question: In women who are experiencing a full term/ post term low risk pregnancy, what is the effect of being medically induced before the natural onset of labor on maternal, fetal, or neonatal mortality and morbidity compared with natural onset of labor? The databases CINAHL and MEDLINE were used along with the search words of “induction of labor” AND “expectant management”/ “induction of labor” AND “spontaneous labor” to find articles related to the specific research question about induction and natural labor. These articles will provide conclusions that will help deliver education to pregnant women and health care professionals.

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.