A Pocket Guide for Student Midwives by Stella McKay-Moffat

By Stella McKay-Moffat

This e-book is written with either measure and degree scholar midwives in brain. it really is cut up into sections, each one alphabetical. the 1st part comprises a number of the language of midwifery: phrases, abbreviations and definitions. the second one part includes universal stipulations, tactics, emergency occasions, 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: common haemoglobin Composition; 3.2.1, 3.2.2: basic grownup haemoglobins; 3.3: common Fetal haemoglobin; 3.4.1, 3.4.2: Sickle telephone 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 varieties

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AMNIOCENTESIS ( NOT A MIDWIFE’S PROCEDURE) * 27 If a child is placed with an Adoption Agency but is not adopted after one year the natural parents can apply to resume control, but the Court has to be satisfied that the child will be looked after properly. If the parent does not want to resume control – then the LA looks after the child. The new Act emphasises avoiding delay and the agencies involved in the adoption have to: (i) draw up a timetable of events (ii) provide directions to ensure the timetable is adhered to.

G. pickles and citric fruit / juices (iii) large quantities of chocolate (iv) some fruit and vegetables Effects seem to appear 6–48 hours after maternal consumption. Alcohol levels in milk = maternal plasma levels – therefore minimal intake advised Tobacco chemicals and metabolites present in milk if mother actively / passively smokes. 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.

The new Act emphasises avoiding delay and the agencies involved in the adoption have to: (i) draw up a timetable of events (ii) provide directions to ensure the timetable is adhered to. The Act ‘tightens up’ loopholes so that children do not get lost in the system and are not moved from one carer to another unnecessarily. Amniocentesis (not a midwife’s procedure) Aim: Aseptic removal of liquor sample for investigation Reassure mother / allay fears Prevent Rhesus incompatibility Preparation: Explain procedure to woman / partner Obtain consent Ultrasound room ready Ensure client privacy / safety Trolley prepared: (i) correct pack (ii) needles and syringes (iii) sample bottles (iv) local anaesthetic (v) dressings / plastic spray (vi) cleansing solution (vii) necessary request forms Observations of mother / fetus prior to procedure Action: Assist doctor with equipment preparation Reassure mother, act as advocate prn Assist doctor with procedure prn Observe mother / fetus following procedure Keep accurate records Give IM anti-D immunoglobulin 250 IU if Rhesus negative / status unknown Escort to ward / couch for rest / observation Inform woman of signs / symptoms of miscarriage and action to take if present 28 * ANAEMIA Student activity: List indications for performing amniocentesis Anaemia A deficiency in the quality or quantity of the red blood cells (rbc) (erythrocytes), and therefore in the oxygen-carrying capacity of the blood.

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