Gibbs Model Of Reflection
I have decided to reflect upon the snapping of an umbilical cord during the active management of the third stage in this reflective essay as I wanted to gain a better sense and understanding of the experience (MacDonald, 2014). Therefore I have decided to follow the Gibbs model of reflection in which I broke the case down systematically and reviewed it in phases (Lia, 2016). By using this model of reflection, I was able to recap what happened and how I felt throughout it all and I was able to evaluate and analyse my practice to try and justify the reasons for things happening as they did (Lia, 2016). Based on these findings I could create an action plan which would help me improve patient care to provide them with a better experience since
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Description
A woman Gravida 1 para 0 was admitted to the midwifery led unit in hospital in labour at 37+3 weeks gestation. Ms Amy Dent presented herself with tightenings and on examining her vaginally, the midwife found her to be 4cm dilated. She began using Entonox as pain relief since she could not cope with the pain naturally. After an hour and a half, Amy expressed her wishes to enter the pool and on examining her vaginally the midwife found her to be 6-7 cm dilated. She allowed her to enter the pool and Amy progressed quickly and after an hour she delivered a baby boy.
Following the delivery, the midwife discussed Amy’s options for the delivery of the placenta and she opted for a physiological third stage delivery. Slight blood loss was noticed in the pool and the midwife advised her to push in order to deliver the placenta by maternal effort.
After twenty minutes there was still no placental delivery and the midwife re-discussed the third stage management with Amy and she chose to be managed actively.. Therefore the midwife administered 10IU of syntometrine via an intramuscular injection into Amy’s
Description
A woman Gravida 1 para 0 was admitted to the midwifery led unit in hospital in labour at 37+3 weeks gestation. Ms Amy Dent presented herself with tightenings and on examining her vaginally, the midwife found her to be 4cm dilated. She began using Entonox as pain relief since she could not cope with the pain naturally. After an hour and a half, Amy expressed her wishes to enter the pool and on examining her vaginally the midwife found her to be 6-7 cm dilated. She allowed her to enter the pool and Amy progressed quickly and after an hour she delivered a baby boy.
Following the delivery, the midwife discussed Amy’s options for the delivery of the placenta and she opted for a physiological third stage delivery. Slight blood loss was noticed in the pool and the midwife advised her to push in order to deliver the placenta by maternal effort.
After twenty minutes there was still no placental delivery and the midwife re-discussed the third stage management with Amy and she chose to be managed actively.. Therefore the midwife administered 10IU of syntometrine via an intramuscular injection into Amy’s