Download Antenatal by Helen Baston; Jennifer Hall PDF

By Helen Baston; Jennifer Hall

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46 Drug dependency Pregnant drug users have a range of social, emotional and physical needs that require expert attention. This vulnerable group of women requires individualized care. The Confidential Enquiry into Maternal Deaths 1997–1999 (CEMD 2001) identified 11 deaths from accidental drug overdose. There were two deaths attributed to overdose of street drugs in the triennium 2003–2005, and 11% of all the women who died had a problem with substance abuse (Lewis 2007). There are many more women who do not die as a result of their drug dependency but who remain vulnerable because of their chaotic domestic circumstances.

For example, women who have had a previous low birthweight baby should be closely monitored and offered serial ultrasound scans to identify potential sub-optimum growth in the pregnancy. Being aware of previous events such as emergency caesarean birth, premature labour, antepartum or postpartum haemorrhage, previous small or large baby, preeclampsia and gestational diabetes will enable the midwife to plan appropriate and individualized antenatal care. 1 outlines the significance of each aspect of the woman’s health history in terms of her pregnancy and birth.

Is a home booking appropriate in these circumstances? 4. What systems are in place to offer choice to women regarding where the booking interview takes place? 5. What advice and information might the midwife offer Mary? 6. How do you feel about termination of pregnancy in these circumstances? Scenario 2 Jessica is 6 weeks pregnant and keen to have a home birth. She makes an appointment directly with the midwife to discuss how to go about this. Practice point Further questions specific to Scenario 2 include: 1.

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