DOCSLIB.ORG

Pregnancy, Labour, Birth and the Early Days of Parenthood Information We Recommend That You Read the Information Within This Book As Your Pregnancy Progresses

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Pregnancy, Labour, Birth and the Early Days of Parenthood Information We Recommend That You Read the Information Within This Book As Your Pregnancy Progresses Pregnancy, Labour, Birth and the Early Days of Parenthood Information We recommend that you read the information within this book as your pregnancy progresses. Mid Cheshire Hospitals Maternity Services Congratulations on your pregnancy. The staff of the Maternity Unit warmly welcomes you and your family. We wish to offer a safe and high-quality service. Our aim is to be sensitive to your physical and emotional needs and to be flexible in our care so that your individual wishes are met. All healthcare professionals you encounter will respect you as an individual undergoing a significant and emotionally intense life experience. You will be in control, listened to and cared for with compassion. We will give you adequate information, so that you can make informed choices and your consent will be sought for any intervention or treatment offered. We hope that this book will be helpful to you during your pregnancy and after your baby is born. At Mid Cheshire Maternity Unit, we have a Consultant Led Unit and Midwifery Led Unit (MLU) in a semi-rural area undertaking approximately 3000 births per year. Our Maternity Unit provides services for all women. • You will be given the choice of where to their families around problems with drugs, have your baby including; Homebirth, alcohol, mental health, domestic violence Midwifery Led Unit (MLU) or Consultant and abuse. We appreciate it may be difficult Led Unit. During the antenatal period to think about these issues but we are the most suitable place of birth will be committed to making sure you get the help discussed depending on your individual you are entitled to. Your Community Midwife needs, medical history and any previous will refer you to this team if they feel that pregnancies, allowing you to make an you would benefit from additional help and informed choice. You can be referred for support. an appointment at our Birth Choices Clinic • A multidisciplinary diabetic antenatal clinic is if you would like to discuss your options in provided for women with pre-existing diabetes more depth. and those who develop gestational diabetes. • Our Community Team provides antenatal and The team includes a Endocrinologist, postnatal care for all women who live locally Diabetes Specialist Nurse, Midwife and a to the hospital. Care is primarily provided in Dietician for the diabetes clinic. Children’s Centres and GP Practices. • The Labour Ward Suite consists of a • The Maternity Outpatients comprises of Consultant Led Unit, two maternity Theatres two main clinical areas; the Antenatal Clinic and an alongside MLU comprising of three (ANC) and the Antenatal Day Assessment rooms which each have a birthing pool and Unit (ANDAU). The ANC comprises of many are designed to promote normal birth. different types of clinics, from scanning • We also have a Neonatal Unit with clinics for those receiving Midwife Led care experienced Neonatal Nurses and to Consultant Led and specialist clinics Neonatologists if required. for women who have more complex care requirements. We also have Fetal Medicine Students and Twin Clinics which are run by specialist Consultants and Midwives. The ANDAU is an • Leighton Hospital provides training for area where we can offer additional pregnancy Student Midwives and Student Doctors. You monitoring in order to prevent unnecessary will be asked if they may participate in your hospital admission. care throughout your pregnancy, birth and the postnatal period as part of their training. Your • A Triage system operates within the Labour co-operation would be appreciated. If you Ward Suite to assess women in order to have any worries, please discuss them with provide appropriate advice and care. your Midwife. The students will be under the • A specialist team of Midwives who provide supervision of a qualified Midwife or Doctor. additional advice and support to women and 2 Pregnancy Information Book Pregnancy Information: If you require any more information regarding your pregnancy or baby please do not hesitate This book provides general information about to ask your Midwife, GP or Health Visitor. your pregnancy, labour and looking after your baby. Leaflets specific to anything that may As well as this Pregnancy Information arise throughout your pregnancy or after birth, Book, you can access the NHS interactive will be given to you as appropriate. pregnancy care planner online, which contains videos and interactive planning tools. It We also have our hospital information leaflets contains all the information you may need to displayed on the hospital website for you to know during your pregnancy. Please see the read or print, please go to: www.mcht.nhs.uk link to the planner below: Then click on: www.nhs.uk/planners/pregnancycareplanner/ 1. The Patient tab Pages/PregnancyHome.aspx 2. Then choose Patient leaflets 3. Click on Maternity Services 4. Pick your chosen leaflet Clinical Research in Women’s Health at Mid Cheshire Hospitals NHS Foundation Trust What is Clinical Research? Do I have to take part? Clinical Research helps us understand how It is entirely up to you whether or not to take to diagnose, treat, cure or prevent disease. In part and your care will not be affected if you Women’s Health it may help us to progress decide not to. and develop, leading to providing improved patient care. How can I find out more information? The research could be a drug trial, a screening If you would like to know more about getting study, a questionnaire or a combination of involved in research, please contact the these and participation is entirely voluntary. Research Midwives who are based at Leighton Hospital on 01270 273745. You may be approached by staff during or after your pregnancy regarding studies that you are eligible to take part in. Pregnancy Information Book 3 Index 1.0 Your pregnancy at a glance ......................................................................................... 8 2.0 Antenatal Care .............................................................................................................10 2.1 Your first antenatal appointment .................................................................10 2.2 Your named Midwife .....................................................................................10 2.3 Customised antenatal growth charts ..........................................................10 2.4 Importance of Antenatal care: .....................................................................10 2.5 Appointments at the hospital ......................................................................10 2.6 Staff Identification .........................................................................................11 2.7 Medication .....................................................................................................11 2.8 What does having a ‘high risk’ pregnancy mean? .....................................11 2.8.1 Planning future births following a previous caesarean delivery ..............11 2.9 Infant Feeding Services ................................................................................11 2.10 Maternity benefits and travelling expenses ................................................12 2.11 Car parking ....................................................................................................12 3.0 Ultrasound Screening ................................................................................................ 13 3.1 Screening information ...................................................................................13 3.2 Dating scan ...................................................................................................13 3.3 Mid pregnancy ultrasound scan ...................................................................13 3.4 Who can come to the scan with you? ..........................................................13 3.5 Photographs ..................................................................................................14 3.6 Personal camera/video equipment .............................................................14 3.7 Sex of babies ..................................................................................................14 3.8 Subsequent ultrasound scans ....................................................................14 4.0 Your health in pregnancy .......................................................................................... 15 4.1 What should you eat? ...................................................................................15 4.2 Anaemia in pregnancy .................................................................................15 4.3 Take care with some foods ..........................................................................16 4.4 Vitamins and supplements ..........................................................................17 4.5 Folic acid .......................................................................................................18 4.6 Exercise and pregnancy ..............................................................................18 4.7 Pelvic floor exercises ...................................................................................18 5.0 Lifestyle advice .......................................................................................................... 19 5.1 Alcohol ...........................................................................................................19 5.2 Drug use ........................................................................................................19
Load more

Recommended publications
  • The Evidence on Waterbirth What Is Water Birth?
    Evidence on the Safety of Water Birth What is Evidence Based Care? Get your 3 free lessons here! Your Name Your Email I want this! We respect your email privacy Evidence on the Safety of Water Birth The Evidence on Waterbirth Popular Recent In April 2014, waterbirth—an alternative method for pain relief in which a mother gives birth Evidence Based in a tub of warm water—made national headlines. The event that pushed water birth safety Birth Class on into the spotlight was a joint Opinion Statement from the American Congress of Obstetricians Suspected Big Babies and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP), denouncing the September 24th, 2013 practice. In their opinion statement, ACOG and the AAP firmly admonished that waterbirth should Group B Strep in be considered an experimental practice that should only occur in the context of a clinical Pregnancy: Evidence research study. Their conclusion, which echoed a previous AAP Opinion Statement from for Antibiotics and 2005, was based on their opinion that water birth does not have any benefits and may pose Alternatives dangers for the newborn. April 9th, 2013 In response, the American College of Nurse Midwives (ACNM),(Midwives 2014) the American What is the Evidence Association of Birth Centers (AABC), and the Royal College of Midwives (RCM) all released for Induction or C- statements endorsing waterbirth as a safe, evidence-based option. Meanwhile, the AABC section for a Big released preliminary data from nearly 4,000 waterbirths that occurred in birth centers all over Baby? the U.S., supporting water birth as safe for mothers and infants.
    [Show full text]
  • N35.12 Postinfective Urethral Stricture, NEC, Female N35.811 Other
    N35.12 Postinfective urethral stricture, NEC, female N35.811 Other urethral stricture, male, meatal N35.812 Other urethral bulbous stricture, male N35.813 Other membranous urethral stricture, male N35.814 Other anterior urethral stricture, male, anterior N35.816 Other urethral stricture, male, overlapping sites N35.819 Other urethral stricture, male, unspecified site N35.82 Other urethral stricture, female N35.911 Unspecified urethral stricture, male, meatal N35.912 Unspecified bulbous urethral stricture, male N35.913 Unspecified membranous urethral stricture, male N35.914 Unspecified anterior urethral stricture, male N35.916 Unspecified urethral stricture, male, overlapping sites N35.919 Unspecified urethral stricture, male, unspecified site N35.92 Unspecified urethral stricture, female N36.0 Urethral fistula N36.1 Urethral diverticulum N36.2 Urethral caruncle N36.41 Hypermobility of urethra N36.42 Intrinsic sphincter deficiency (ISD) N36.43 Combined hypermobility of urethra and intrns sphincter defic N36.44 Muscular disorders of urethra N36.5 Urethral false passage N36.8 Other specified disorders of urethra N36.9 Urethral disorder, unspecified N37 Urethral disorders in diseases classified elsewhere N39.0 Urinary tract infection, site not specified N39.3 Stress incontinence (female) (male) N39.41 Urge incontinence N39.42 Incontinence without sensory awareness N39.43 Post-void dribbling N39.44 Nocturnal enuresis N39.45 Continuous leakage N39.46 Mixed incontinence N39.490 Overflow incontinence N39.491 Coital incontinence N39.492 Postural
    [Show full text]
  • The Polarity Therapy Paradigm Regarding Pre-Conception, Prenatal and Birth Imprinting
    The Polarity Therapy Paradigm Regarding Pre-Conception, Prenatal and Birth Imprinting Raymond Castellino, D.C., , R.C.S.T., R.P.P. Winner of the first annual Dr. Randolph Stone Prize for the best research paper on Polarity Therapy. Presented to the American Polarity Therapy Association Ann Arbor, Michigan June, 1995 Castellino Prenatal and Birth Therapy Training Santa Barbara, California ©Copyright August 1995, revised March 1996. Available from Raymond Castellino, D.C., R.P.P., 1105 N. Ontare, Santa 1 Barbara, CA 93105, (805) 687-2897. This document may not be reproduced for any reason. The Polarity Therapy Paradigm1, 2 Regarding Pre-Conception, Prenatal and Birth Imprinting by Raymond Castellino, D.C., R.P.P. Abstract: This article provides an overview of Dr. Randolph Stone’s Polarity paradigm (energy concept) and explores its application to the transition of a baby’s consciousness and experience of pre-conception, conception, gestation and birth. Baby Angelika's case- history is presented to illustrate how application of the Polarity paradigm can support individuals (especially babies) to heal prenatal and birth trauma. The paradigm is presented as a bridge to understanding the effects of trauma on the emerging being and suggests how a new approach to healing trauma in babies is consistent with Dr. Stone's energy concept. Special attention is given to the three gunas and to triad relationships as a conceptual model for healing prenatal and birth trauma. A call for further research is made. The conclusion suggests that: 1. A global paradigm shift from technological and biochemically dominant practices to energy medicine that focuses on human understanding, compassion, contact and love is already in progress; 2.
    [Show full text]
  • WATER BIRTH in a MATERNITY Hospital of the SUPPLEMENTARY HEALTH SECTOR in SANTA CATARINA, BRAZIL: a CROSS-SECTIONAL STUDY
    1 Original Article http://dx.doi.org/10.1590/0104-07072016002180015 WATER BIRTH IN A MATERNITY HOSPITAL OF THE SUPPLEMENTARY HEALTH SECTOR IN SANTA CATARINA, BRAZIL: A CROSS-SECTIONAL STUDY Tânia Regina Scheidt1, Odaléa Maria Brüggemann2 1 M.Sc. in Nursing. Obstetric Nurse, Maternidade Carmela Dutra Hospital. Florianópolis, Santa Catarina, Brazil. E-mail: ainatrs@ gmail.com 2 Ph.D in Obstetrics. Professor, Departamento de Enfermagem, Programa de Pós-Graduação em Enfermagem, Universidade Federal de Santa Catarina. Researcher Brazilian National Council for Scientific and Technological Development (CNPq). Florianópolis, Santa Catarina, Brazil. E-mail: [email protected] ABSTRACT: The aim of this cross-sectional study was to identify the prevalence of water births in a maternity hospital of Santa Catarina, Brazil, and to investigate the association between sociodemographic and obstetric variables and water birth. The sample consisted of 973 women who had normal births between June 2007 and May 2013. Data was analyzed through descriptive and bivariate statistics, and estimated prevalence and tested associations through the use of the chi-square test; the unadjusted and adjusted odds ratio were calculated. The prevalence of water births was 13.7%. Of the 153 women who had water birth, most were aged between 20 to 34 years old (122), had a companion (112), a college degree (136), were primiparous (101), had a pregnancy without complications (129) and were admitted in active labor (94). There was no association between sociodemographic characteristics and obstetric outcomes in the bivariate and multivariate analyses and in the adjusted model. Only women with private sources for payment had the opportunity to give birth in water.
    [Show full text]
  • Systematic Review of Hydrotherapy Research Does a Warm Bath in Labor Promote Normal Physiologic Childbirth?
    DOI: 10.1097/JPN.0000000000000260 Continuing Education r r J Perinat Neonat Nurs Volume 31 Number 4, 303–316 Copyright C 2017 Wolters Kluwer Health, Inc. All rights reserved. Systematic Review of Hydrotherapy Research Does a Warm Bath in Labor Promote Normal Physiologic Childbirth? Jenna Shaw-Battista, PhD, RN, NP, CNM, FACNM ABSTRACT Key Words: bath, hydrotherapy, immersion, labor, Health sciences research was systematically reviewed to midwives, normal birth, pain, physiology assess randomized controlled trials of standard care versus immersion hydrotherapy in labor before conventional child- birth. Seven studies of 2615 women were included. Six his article describes a systematic review of re- trials examined hydrotherapy in midwifery care and found search on warm water immersion hydrotherapy an effect of pain relief; of these, 2 examined analgesia and Tduring labor, followed by standard care and con- found reduced use among women who bathed in labor. ventional childbirth. Use of nonpharmacologic comfort One study each found that hydrotherapy reduced maternal and pain relief methods remains limited in the United anxiety and fetal malpresentation, increased maternal satis- States where labor analgesia, anesthesia, and multiple faction with movement and privacy, and resulted in cervical obstetric procedures are routine.1 Higher international dilation progress equivalent to standard labor augmenta- utilization rates suggest a potential for increased US tion practices. Studies examined more than 30 fetal and hydrotherapy utilization and benefits that may include neonatal outcomes, and no benefit or harm of hydrother- support for labor physiology.1–3 Hydrotherapy promotes apy was identified. Two trials had anomalous findings of normal childbirth through reduced use of intrapartum increased newborn resuscitation or nursery admission after interventions due to neuroendocrine, circulatory, mus- hydrotherapy, which were not supported by additional re- culoskeletal and psychological effects of immersion.4 sults in the same or other studies.
    [Show full text]
  • Subset of Alphabetical Index to Diseases and Nature of Injury for Use with Perinatal Conditions (P00-P96)
    Subset of alphabetical index to diseases and nature of injury for use with perinatal conditions (P00-P96) SUBSET OF ALPHABETICAL INDEX TO DISEASES AND NATURE OF INJURY FOR USE WITH PERINATAL CONDITIONS (P00-P96) Conditions arising in the perinatal period Conditions arising—continued - abnormal, abnormality—continued Note - Conditions arising in the perinatal - - fetus, fetal period, even though death or morbidity - - - causing disproportion occurs later, should, as far as possible, be - - - - affecting fetus or newborn P03.1 coded to chapter XVI, which takes - - forces of labor precedence over chapters containing codes - - - affecting fetus or newborn P03.6 for diseases by their anatomical site. - - labor NEC - - - affecting fetus or newborn P03.6 These exclude: - - membranes (fetal) Congenital malformations, deformations - - - affecting fetus or newborn P02.9 and chromosomal abnormalities - - - specified type NEC, affecting fetus or (Q00-Q99) newborn P02.8 Endocrine, nutritional and metabolic - - organs or tissues of maternal pelvis diseases (E00-E99) - - - in pregnancy or childbirth Injury, poisoning and certain other - - - - affecting fetus or newborn P03.8 consequences of external causes (S00-T99) - - - - causing obstructed labor Neoplasms (C00-D48) - - - - - affecting fetus or newborn P03.1 Tetanus neonatorum (A33) - - parturition - - - affecting fetus or newborn P03.9 - ablatio, ablation - - presentation (fetus) (see also Presentation, - - placentae (see also Abruptio placentae) fetal, abnormal) - - - affecting fetus or newborn
    [Show full text]
  • Mortality Perinatal Subset, 2013
    ICD-10 Mortality Perinatal Subset (2013) Subset of alphabetical index to diseases and nature of injury for use with perinatal conditions (P00-P96) Conditions arising in the perinatal period Note - Conditions arising in the perinatal period, even though death or morbidity occurs later, should, as far as possible, be coded to chapter XVI, which takes precedence over chapters containing codes for diseases by their anatomical site. These exclude: Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) Endocrine, nutritional and metabolic diseases (E00-E99) Injury, poisoning and certain other consequences of external causes (S00-T99) Neoplasms (C00-D48) Tetanus neonatorum (A33 2a) A -ablatio, ablation - - placentae (see alsoAbruptio placentae) - - - affecting fetus or newborn P02.1 2a -abnormal, abnormality, abnormalities - see also Anomaly - - alphafetoprotein - - - maternal, affecting fetus or newborn P00.8 - - amnion, amniotic fluid - - - affecting fetus or newborn P02.9 - - anticoagulation - - - newborn (transient) P61.6 - - cervix NEC, maternal (acquired) (congenital), in pregnancy or childbirth - - - causing obstructed labor - - - - affecting fetus or newborn P03.1 - - chorion - - - affecting fetus or newborn P02.9 - - coagulation - - - newborn, transient P61.6 - - fetus, fetal 1 ICD-10 Mortality Perinatal Subset (2013) - - - causing disproportion - - - - affecting fetus or newborn P03.1 - - forces of labor - - - affecting fetus or newborn P03.6 - - labor NEC - - - affecting fetus or newborn P03.6 - - membranes
    [Show full text]
  • Birth Doula Certification Packet
    BIRTH DOULA CERTIFICATION PACKET TABLE OF CONTENTS Certification Overview 3 Required Reading 4 Childbirth Education Requirement 5 Childbirth Education Observation Form 6 Resource List 5 Birth Requirements 7 Client Release Form 8 Professional Reference Release Form 9 Comprehensive Questionnaire 10 Doula Certification Check-List 12 Frequently Asked Questions 13 Harbor Birth Institute • www.harborbirthinstitute.com • [email protected] 2 Certification Overview 1. Attend Birth Doula Training - $700 2. Read six required reading books o Write one page summary 3. Attend a Childbirth Education Series 4. Create Resource List 5. Attend three births as a birth doula o Write three birth summaries o Two clients fill out and sign Client Release Form 6. Complete Professional Reference Release Form 7. Complete Comprehensive Questionnaire 8. Submit all paperwork with $100 certification fee Total Cost for Birth Doula Certification = $800 Harbor Birth Institute • www.harborbirthinstitute.com • [email protected] 3 REQUIRED READING You will be required to read 6 books from the list below, with an optional 2 books. For the six required books, you will write a one-page summary describing what you learned from each book. This would include information you found interesting, information you think is important for your clients, and ways you will incorporate this information into your doula practice. Each summary should be double-spaced, 12-point font. READ ALL FIVE BOOKS: • The Birth Partner: A Guide to Childbirth for Dads, Doulas, and
    [Show full text]
  • Instructions / સૂચના Candidate Must Ensure Compliance to the Instructions Mentioned Below, Else Objections Shall Not Be Considered:
    ANK PROVISIONAL ANSWER KEY [CBRT] Name of The Post Associate Professor, Obstetrics and Gynaecology, General State Service, (Special Recruitment) ,Class-1 | Advertisement No 57/2019-20 Preliminary Test Held On 24-02-2021 Que. No. 001-200 Publish Date 25-02-2021 Last Date to Send Suggestion (S) 05-03 -2021 Instructions / સૂચના Candidate must ensure compliance to the instructions mentioned below, else objections shall not be considered: - (1) All the suggestion should be submitted in prescribed format of suggestion sheet Physically. (2) Question wise suggestion to be submitted in the prescribed formatr (Suggestion rSheet) published on the website.r r (3) All suggestions are to be submitted with reference to the Maste Question Pape withr provisional answe key (Maste Question Paper), published herewith on the website. Objections should be sent referring to the Question, rQuestion No. & options ofr the Maste Question Paper. (4) Suggestions regarding question nos. and options othe than provisional answe key (Master Question Paper) shall not be considered. r (5) Objections and answers suggestedr by the candidate should be in compliance with the responses givenr by him in his answe sheet. Objections shall not be considered, r in case, if responses given in the answe sheet /response sheet and submitted suggestions are differed. (6) Objection fo each question shall be made on separate sheet. Objection fo more than one question in single sheet shall not be considered & treated as cancelled. ઉમેદવાર ે નીચેની સૂચનાઓનું પાલન કરવાની તકેદારી રાખવી, અયથા વાંધા-સૂચન અંગે કર ેલ રજૂઆતો યાને લેવાશે નહીં (1) ઉમેદવારે વાંધા-સૂચનો િનયત કરવામાં આવેલ વાંધા-સૂચન પકથી રજૂ કરવાના રહેશે.
    [Show full text]
  • Parturitional Brain Injury Definition of Parturitional Injury
    Parturitional Brain Injury Definition of parturitional injury Thierry A.G.M. Huisman, MD • Any condition that affects the fetus adversely Director Pediatric Radiology and Pediatric Neuroradiology Johns Hopkins Hospital during labor and delivery • May be caused by: – Hypoxia and infection (birth injury) – Mechanical forces (birth trauma) Definition of parturitional injury Introduction • Life starts with a mechanical trauma – Squeezed together by a muscular wrapping • Any condition that affects the fetus adversely – Pushed through a narrow, bony canal with multiple bumps during labor and delivery – Getting your neck extended, rotated and pulled – Life line (umbilical cord) may be compressed – Possibly additional “medieval” instrumentation • May be caused by: – All of this for many minutes or even hours – Hypoxia and infection (birth injury) – Mechanical forces (birth trauma) Introduction Introduction • Life starts with a mechanical trauma • Life starts with a “stress” trauma – Or even worse, within minutes you are squeezed – And than suddenly lots of light, noise and many and “ejected” crying/emotional people around you,…. 1 Subjects who try to relive the „Scientific approach” “I am stuck feeling” Tortuguero expedition. www.philsheldon.wordpress.com Guettler FV, et al. Magnetic resonance imaging of the active second stage of labour: Proof of principle Eur Radiol 2012;22:2020-2026 Epidemiology Epidemiology • Significant variability across the world • Dramatically decreased in last decades • Birth trauma in 3% of all live births • Accounts for less than 2% of neonatal deaths • Even when the injuries are benign, birth trauma may result in significant anxiety for a family Disability adjusted life year (DALY): Measure of overall disease burden expressed as number of years lost due to ill-health, disability or early death Reichard R.
    [Show full text]
  • Alphabetical Index to Diseases and Nature of Injury for Use with Perinatal Conditions (P00-P96)
    Subset of alphabetical index to diseases and nature of injury for use with perinatal conditions (P00-P96) SUBSET OF ALPHABETICAL INDEX TO DISEASES AND NATURE OF INJURY FOR USE WITH PERINATAL CONDITIONS (P00-P96) Conditions arising in the perinatal period Conditions arising—continued - abnormal, abnormality—continued Note - Conditions arising in the perinatal - - fetus, fetal period, even though death or morbidity occurs - - - causing disproportion later, should, as far as possible, be coded to - - - - affecting fetus or newborn P03.1 chapter XVI, which takes precedence over - - forces of labor chapters containing codes for diseases by - - - affecting fetus or newborn P03.6 their anatomical site. - - labor NEC - - - affecting fetus or newborn P03.6 These exclude: - - membranes (fetal) Congenital malformations, deformations - - - affecting fetus or newborn P02.9 and chromosomal abnormalities - - - specified type NEC, affecting fetus or (Q00-Q99) newborn P02.8 Endocrine, nutritional and metabolic - - organs or tissues of maternal pelvis diseases (E00-E99) - - - in pregnancy or childbirth Injury, poisoning and certain other - - - - affecting fetus or newborn P03.8 consequences of external causes (S00-T99) - - - - causing obstructed labor Neoplasms (C00-D48) - - - - - affecting fetus or newborn P03.1 Tetanus neonatorum (A33) - - parturition - - - affecting fetus or newborn P03.9 - ablatio, ablation - - presentation (fetus) (see also Presentation, - - placentae (see also Abruptio placentae) fetal, abnormal) - - - affecting fetus or newborn P02.1
    [Show full text]
  • Policy - Birth in Water
    POLICY - BIRTH IN WATER This Policy has been developed to give guidance to registered midwives and medical staff when caring for women who make an informed choice to birth in water. Midwives and medical staff facilitating water immersion for birth are responsible for ensuring that the information given to the woman is accurate and up to date. Ideally this information should be given early in pregnancy. There is a need to continue to consider the evidence from research, for the use of the bath for birth, and utilise it to inform practice. PREAMBLE Water birth is a practice women request from time to time. The woman’s wishes with regard to childbirth should be respected where safety/clinical guidelines allow. It is the duty of health professionals to accommodate the autonomy of pregnant women, which is protected by law and jurisprudence, in as safe a manner as possible for both mother and baby. While there are no adequately powered randomised controlled trials to provide an evidence base for water births, strong opinions exist among providers for, and against, the practice (Woodward and Kelly 2004; Keirse 2005). Those in favour advocate advantages to the birth process, those against raise issues of fetal safety. A water birth should only be undertaken at the woman’s specific request. A woman will be supported to birth in water if she fits the criteria for a low risk, singleton pregnancy at term and the midwife/doctor is confident and competent to assist. Moreover, the woman must have given signed consent. If the midwife/doctor does not feel comfortable with facilitating a water birth, it is her/his responsibility to inform the woman and attempt to find a midwife/doctor to take over her care.
    [Show full text]