... I shall discuss the midwives role in identifying risk factors specific to the woman in their care and consider ways that we can retain elements of a natural birth, despite having a high risk pregnancy. ... It is important for the midwife to be aware of risk factors that may occur in conjunction with gestational diabetes. ... There is also a risk of the baby being large for dates due to
On abdominal palpation, the fundal height was identified by Leila’s community midwife to be large for dates and an ultrasound scan on referral confirmed polyhydramnios, which is the presence of excessive amniotic fluid (Coad, 2001). ...
I was excited about the prospect of caring for someone I had followed closely during their pregnancy and I was aware that Leila was very keen to have as natural a birth as possible. ... Due to excess amniotic fluid, there is a higher risk that during the procedure the presenting part may be preceded by the umbilical cord resulting in cord prolapse, or that a malposition may present. In order to reduce this risk, the consultant requested that fundal pressure was exerted by the midwife during rupture of the membranes to ensure that the cephalic presenting part was well applied to the cervix to prevent the above complications.
Leila and I had discussed the risk factors involved with the procedure prior to her admission and she had also discussed the procedure with her consultant and felt happy about the situation. ... When using this method of induction, it is the midwives responsibility to be aware of risk factors that may occur such as a hypertonic uterus or fetal distress. ... Leila was very keen to have a natural birth, but unfortunately had been induced in both her labours. ... We discussed the birth plan and Leila gave her consent for syntometrine for 3rd stage and vitamin k in the form of an intramuscular injection for her baby. ... With polyhydramnios, there is a risk of post partum haemorrhage due to the extensive stretching of the uterus, so I was vigilant in checking the estimated blood loss, which was minimal. ...
This essay has considered the midwives role in being aware of risk factors relating to a specific complication.
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