I Looked After A 28 Year-Old Primaparous Woman
Case one
During working on the birthing unit I looked after a 28 year old primaparous woman of Indian Desent. She was having her first baby at 39+4 and had prolonged rupture of membranes for 20 hours at the onset of my care with her. Prabinta (pseudeum) was under the care of an LMC midwife who would present to care for Prabinta once she was in established labour. She had been admitted to the ward hours prior and her intravenous antibiotics commenced at 18 hours as per hospital protocol. I received a handover from the charge midwife after I had returned from an emergency ceasaren which I attended during the first half of my shift. My handover was that we were commencing syntocinon to induce her labour as she was not in labour.
I was instructed …show more content…
Informed decision-making acknowledges the autonomy that women have in making decisions about actions that affect them. This process involves exchanging information and evidence-based information that facilitates women’s understanding of the proposed treatment/intervention and options within this including the right to refuse or decline. As a midwife I have the responsibility to ensure women and their whanau can understand the information that is presented to them so therefore must have effective communication skills but must recognise when women need intrepretation services. Prabinta’s english was adequate to facilitate our conversations and her understanding. She declined and intreptor which I offerred to assist communication if she felt she needed this. Information I provided was relevant and culturally appropriate in addition to accurate and non-cohesive so Prabinta was making fully informed choices and decisions without feeling persuaded or judged. In a busy ward there is often the threat of time and the idea of “getting on with it”. This can deprive women of the time they’re intitled to, to make decisions they’re happy with. This ideology also threatens normal birth and the philosophy of midwifery as a whole and is not one that I …show more content…
I was also involved in this discussion and helped to clarify any concerns or questions. Our discussion also involved information around normal progression of labour/birth and pain relief options as I was unsure how much antenatal information Prabinta and her family had received or understood and I wished to have these conversations prior to communication being made more complex once contractions and pain were added to the equation. As per protocol antibiotics had to be commenced at 18 hours, not necessarily the process of induction and the option to sleep over night and commence the proccess in the morning had been offerred. Prabinta and her family however, now fully informed, decided to proceed with the
During working on the birthing unit I looked after a 28 year old primaparous woman of Indian Desent. She was having her first baby at 39+4 and had prolonged rupture of membranes for 20 hours at the onset of my care with her. Prabinta (pseudeum) was under the care of an LMC midwife who would present to care for Prabinta once she was in established labour. She had been admitted to the ward hours prior and her intravenous antibiotics commenced at 18 hours as per hospital protocol. I received a handover from the charge midwife after I had returned from an emergency ceasaren which I attended during the first half of my shift. My handover was that we were commencing syntocinon to induce her labour as she was not in labour.
I was instructed …show more content…
Informed decision-making acknowledges the autonomy that women have in making decisions about actions that affect them. This process involves exchanging information and evidence-based information that facilitates women’s understanding of the proposed treatment/intervention and options within this including the right to refuse or decline. As a midwife I have the responsibility to ensure women and their whanau can understand the information that is presented to them so therefore must have effective communication skills but must recognise when women need intrepretation services. Prabinta’s english was adequate to facilitate our conversations and her understanding. She declined and intreptor which I offerred to assist communication if she felt she needed this. Information I provided was relevant and culturally appropriate in addition to accurate and non-cohesive so Prabinta was making fully informed choices and decisions without feeling persuaded or judged. In a busy ward there is often the threat of time and the idea of “getting on with it”. This can deprive women of the time they’re intitled to, to make decisions they’re happy with. This ideology also threatens normal birth and the philosophy of midwifery as a whole and is not one that I …show more content…
I was also involved in this discussion and helped to clarify any concerns or questions. Our discussion also involved information around normal progression of labour/birth and pain relief options as I was unsure how much antenatal information Prabinta and her family had received or understood and I wished to have these conversations prior to communication being made more complex once contractions and pain were added to the equation. As per protocol antibiotics had to be commenced at 18 hours, not necessarily the process of induction and the option to sleep over night and commence the proccess in the morning had been offerred. Prabinta and her family however, now fully informed, decided to proceed with the