By Stella McKay-Moffat
This booklet is written with either measure and degree pupil midwives in brain. it really is cut up into sections, every one alphabetical. the 1st part includes many of the language of midwifery: phrases, abbreviations and definitions. the second one part comprises universal stipulations, methods, emergency occasions, and assisting details. 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: speedy Reference themes; 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: basic haemoglobin Composition; 3.2.1, 3.2.2: general grownup haemoglobins; 3.3: basic Fetal haemoglobin; 3.4.1, 3.4.2: Sickle cellphone 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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Extra resources for A Pocket Guide for Student Midwives
Tests should be safe, simple, quick and cheap, providing repeatable, valid results. Antenatal screening is offered to all pregnant women, but may lead to anxiety as well as reassurance. g. uk http://www. g. g. road accident Uterine rupture Ruptured vasa praevia (placental vessel in amniotic sac below presenting part) Predisposing or risk factors: History of miscarriage, abortion or caesarean section High parity and older age Cocaine use and smoking Hypertensive disorders Multiple pregnancy Domestic violence Management (see Figure 1, p.
External cephalic version (ECV) (NICE 2003) Persistent breech – decision on mode of delivery assisted by: (i) clinical judgement (ii) maternal wishes (iii) history (iv) fetal size, gestation, condition (US scan) (v) size, shape of pelvis (pelvimetry) Mode of delivery: (see Term Breech Trial below) Elective caesarean section common Spontaneous or assisted vaginal delivery – in urgent cases (see below) by a midwife (see EU Second Midwifery Directive 80/155/EEC in NMC 2004b) BREECH * 47 Management of labour: Generally in hospital – senior obstetric supervision If at home (mother’s informed choice) inform supervisor of midwives.
G. e. jaw flexion and shoulder traction encourages head flexion) Burns–Marshall manoeuvre When the hairline appears With a finger between the ankles keep the legs extended Take legs through 180° arc towards mother until mouth and nose appear at vulva Right hand guards perineum until head can be slowly delivered; ? clear airways Mauriceau–Smellie–Veit manoeuvre Straddle baby over the right arm, middle finger in baby’s mouth Other fingers either side over the cheeks Left hand over baby’s neck, middle finger splinting neck Other fingers over each shoulder Apply traction with right hand; push with left hand B R O W P R E S E N TAT I O N * 49 Head is slowly flexed When face free, deliver vault slowly Løvset’s manoeuvre Grasp baby by iliac crests Rotate body through half a circle with the back upwards Posterior shoulder to symphysis – shoulder and arm are freed Rotate body in reverse direction to release second shoulder and arm Following delivery of the head: Give syntometrine (unless contraindicated) Cut cord, wrap baby, show to mother / take to Resuscitaire Deliver placenta / membranes (see delivery technique (management of third stage of labour) below) Observe for perineal trauma Carry out maternal / neonatal observations Contemporaneous records Student activity: Discover if ECV is performed in your unit and observe procedure Note local policies re management of labour Review birth register – how many breech deliveries conducted by midwives?