By Helen Baston; Jennifer Hall
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A midwife’s memoir of residing unfastened and of course opposed to all odds
In her first, hugely praised memoir, Patricia Harman informed us the tales sufferers introduced into her examination room, and her personal tale of suffering to assist ladies as a nurse-midwife in scientific perform together with her husband, an OB/GYN, in Appalachia. during this new ebook, Patsy reaches again to inform us how she first realized to bring infants, and digs even deeper all the way down to let us know of her younger experiments with residing an absolutely sustainable and average life.
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Additional resources for Antenatal
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.