the hospital * Primigravida * Age <18 or >40 * Gravid 6 and above * Height <145cm * Single mother * Unsuitable housing conditions White coding II – Deliver at home or hospital * Gravida 2-5 * No past obstetrics complication * No past medical history * Height >145cm * Age >18 and <40 * Good family support * POA > 37 weeks and <41 weeks * Estimated fetal weight >2kg and <3.5kg Green coding – Refer to medical
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childbirth. Every minute the loss of a mother shatters a family and threatens the well being of surviving children. For every woman who dies‚ 20 or more experience serious complications. These range from chronic infections to disabling injuries (Such as Obstetric fistula). Maternal death and disability rates mirror the huge discrepancies that exist between the haves and the have-nots both within and between countries. Safe Motherhood begins before conception with proper nutrition and a healthy life style
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Reflection can be defined as “a process of reviewing an experience of practice in order to describe‚ analyse and evaluate and so inform learning from practice.”(Reid‚ 1993) It is an important factor when working within any health profession and midwifery is certainly no exception. Schon (1991) defines a reflective practitioner as “someone who learns by reflecting on current experience and applies that learning to future practice.” Reflection allows midwives to grow and develop professionally as well
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Warning Scores‚ Dublin: Department of Health. NICE‚ 2010. Antenatal Care‚ UK: NHS. Odell‚ M.‚ 2010. Are early warning scores the only way to rapidly detect and manage deterioration?‚ Reading: Royal Berkshire Foundation Trust. Philipp‚ E. E.‚ 1964. Obstetrics in General Practice: Minor Disorders of Pregnancy. British Medical Journal‚ Volume March‚ pp. 749-752. Raynor‚ M. e. a.‚ 2012. Midwifery Practice: Critical Illness‚ Complications and Emergencies Casebook. 1st ed. Berkshire: Open University Press
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of labour * Prolapsed cord * To avoid fetal hypoxia—When there is poor perfusion of the placental bed (for example‚ pre-eclampsia) * Malpositions—For example‚ brow * Malpresentations—For example‚ transverse lie‚ breech * Bad obstetric history * Maternal request Caesarean section Use The frequency of this operation in Britain has increased from about 5% in 1930 to about 16% now. In a survey of 327 obstetricians by Savage et al in Great Britain in the early 1990s‚ the main
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A Certified Nurse Midwife (CMN) is a nurse that provides care for low-risk pregnancies from before‚ during‚ and after labor. Their main purpose is to deliver babies‚ provide care for the mother and her baby‚ and assist gynecologists and obstetricians (“Certified Nurse Midwife‚” 2014). In order to become a CMN‚ one has to attend nursing school‚ pass the NCLEX‚ work for a few year in a related field‚ then receive further education in a Nurse-Midwife Education program‚ and get certified from the American
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CHAPTER ONE THEORETICAL AND CONCEPTUAL FRAMEWORK 1.0 Introduction Maternal death is defined as the death of a woman while pregnant or within 42 days of termination of pregnancy‚ irrespective of the duration and site of the pregnancy from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes. Generally‚ there is a distinction between a direct maternal death that is a result of a complication of
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stethoscope‚ watches with second hands‚ clinical thermometer‚ and the technique of percussion; so doctors and midwives mainly relied upon drugs‚ amputating surgical tools‚ and English remedies. Only later in the 1830s and beyond would new scientific obstetrics be developed and used in the community. The majority of medical treatments in Colonial America were also handled by midwives instead of male doctors. The only times male doctors provided medical treatments to patients were if it was a serious illness
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INTRODUCTION: According to the data received by the Registrar General of India‚ in 2007 to 2009 the maternal mortality rate in India is 212 per 100‚000 live births. The country needs to reduce the maternal mortality rate to less than109 deaths by 2015 to achieve the United Nations-mandated Millennium Development Goals (MDG). Every ten minutes there is one maternal death in India as reported by the United Nations and at this rate India is unlikely to achieve the Millennium Development Goals. What
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at 1.5 T or lower magnetic field strength has been used to evaluate diseases in pregnancy for over 20 years without any documented harmful effects. Magnetic resonance imaging (MRI) has been shown to be useful in the diagnosis of gynecological and obstetric problems during pregnancy and in the setting of acute abdomen during pregnancy. MRI overcomes some of the limitations of ultrasound‚ mainly the size of the gravid uterus. 4 MRI has even been proven to help in diagnosis of brain and spinal cord development
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