By Stella McKay-Moffat
This booklet is written with either measure and degree scholar midwives in brain. it really is break up into sections, every one alphabetical. the 1st part includes a number of the language of midwifery: phrases, abbreviations and definitions. the second one part includes universal stipulations, tactics, emergency events, and assisting info. in regards to the authors; Foreword by way of Dame Lorna Muirhead, DBE, President of the Royal collage of Midwives 1997-2004; Preface; part 1: The Language of Midwifery; part 2: quickly Reference issues; Figures: Flow/action charts; 1.1, 1.2, 1.3: supply of occipito-posterior place; 2.1, 2.2, 2.3: supply of face presentation; 3.1: general haemoglobin Composition; 3.2.1, 3.2.2: general grownup haemoglobins; 3.3: basic Fetal haemoglobin; 3.4.1, 3.4.2: Sickle mobilephone haemoglobins; 3.5.1, 3.5.2: Alpha thalassaemia; 3.6.1, 3.6.2: Beta thalassaemia; four: Heel prick websites; 5.1 to 5.9: Placenta forms
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Extra info for A Pocket Guide for Student Midwives
Separation of the (bones of the) symphysis pubis joint SRM or SROM – spontaneous rupture of membranes Status eclampticus – repeated eclamptic convulsions without resting phase between – life-threatening – may lead to fetal / maternal death (see eclampsia in Section 2) Status epilepticus – serious condition – repeated epileptic convulsions without resting phase between – ? life-threatening to the woman during pregnancy – considered less harmful to the fetus than eclamptic fits (see epilepsy in Section 2) Stillbirth – the complete expulsion of a baby >24 weeks which does not breathe, cry or show any other signs of life (see intrauterine death and Stillbirth and Neonatal Death Society in Section 2) Subinvolution – uterus does not involute at the expected rate following delivery – ?
G. ) / BP recording device working Client in suitable position Action: Expose arm / palpate antecubital fossa for pulse Position sphyg. e. e. ) Electric sphyg. g. , not established cervix <4 cm dilated high presenting part complications 36 * A U G M E N TAT I O N / A C C E L E R AT I O N O F L A B O U R Advantages of ARM ? shortens labour (no consensus in research) liquor observation FSE application ? closer application of cervix to head may increase dilatation and stimulate prostaglandin release Disadvantages of ARM stress and anxiety during procedure cervical / vaginal wall trauma fetal hypoxia from cord compression / prolapse fetal bradycardia due to fall in placental perfusion / head compression maternal shock if sudden large drainage discomfort from draining liquor caput / cephalhaematoma formation excess moulding increased frequency / strength of contractions increased pain / less able to cope / more analgesia increased risk of intrauterine infection maternal / neonatal infection woman may feel a lack of control / decreased satisfaction Possible advantages of intact membranes labour not committed even pressure on fetus during contractions less risk of infection ?
BREASTFEEDING * 43 Drugs: The mother should inform her doctor or pharmacist before taking any medication. This following list is not exhaustive, but includes drugs that are in common use. g. combined oral contraceptive tetracycline vitamins A and D in high doses anti-cancer drugs Caution antidepressants (high doses) antihistamines co-trimoxazole (Septrin) antibiotics antimalarials corticosteroids (high doses) phenobarbitone Safe antacids and bulk laxatives antibiotics – cephalosporins (Ceporex) erythromycin, nystatin, penicillins anticoagulants – heparin, warfarin ergometrine insulin metronidazole (Flagyl) (normal doses) paracetamol progesterone-only contraceptives vitamins B and C, folic acid vitamins A and D (normal doses) Complications: Information, encouragement and practical tips aid the overcoming of difficulties / continuation of breastfeeding Nipples: Solutions: non-protractile (flat) or inverted – manual or electronic breast pump may likely to make fi xing difficult draw nipple out sufficiently to enable baby to fi x soft nipple shield (sterilised); but this may reduce stimulation / milk transfer express milk using pump (see above) and cup / spoon feed sore / cracked, commonly owing rest nipple – express milk and cup feed to incorrect fi xing (NB if nipple change in mother’s/baby’s position – bleeding baby may vomit blood correct fixing soft nipple shield as above 44 * BREASTFEEDING (mother’s) following a feed); caution: thrush (Candida) may develop in nipple, increasing pain Engorgement: (a) temporary vascular engorgement due to increased blood supply in days 2–4 – breasts feel uniformly tender / painful, enlarged and possibly hot; ?
A Pocket Guide for Student Midwives by Stella McKay-Moffat