Saunders (2012) states that the treatment of a breech delivery requires the paramedic team to work simultaneously and efficiently to perform several interventions. He states that the paramedic team should undertake a primary survey and introduce themselves to the patient on arrival. From the initial patient contact, the paramedics should begin providing reassurance to the patient and their family, both verbally and non-verbally (Saunders, 2012). Reassurance aims to reduce patient anxiety, create a rapport with the patient and encourage an environment of care, respect and understanding (Pincus et al., 2013). The paramedic team should complete a secondary survey, including vital signs and a complete patient history, particularly pregnancy relevant …show more content…
Ensure the delivery area is clean, out of public view to maintain the mother’s dignity, covered in absorbent material to prevent contamination of blood and faeces and drape in vaginal area appropriately with towelling (Bledsoe, Porter & Cherry, 2013). Paramedics should take a set of baseline vital signs, while simultaneously preparing the rest of the required equipment (Saunders, 2012). QAS (2014) suggests preparing a maternity kit, blankets, towels, oxygen and a resuscitation area. They state that once breech is suspected and due to the increased risk of asphyxia during delivery, the preparation for neonatal resuscitation should be a priority. If time permits the paramedic team will wear sterile gloves, gown and face shield or goggles (Bledsoe, Porter & Cherry, …show more content…
He also suggested drying the neonate and providing tactile stimulation to encourage breathing, and covering with a dry blanket to maintain warmth. If after thirty seconds of tactile stimulation, the neonate’s breathing is not sufficient, paramedics should follow protocol for newborn resuscitation, see appendix (L) (QAS, 2014; Saunders, 2012). If the neonate is breathing adequately, leave the newborn with the mother and encourage breastfeeding, which stimulates the nipple resulting in a release of oxytocin which promotes uterine contractions (Stables & Rankin,
Mphahlele, R. R. (2007). Caring for premature babies - a clinical guide for nurses. Professional Nursing Today, 11(1), 40-46.
Neonatal nursing is a field of nursing designed especially for both newborns and infants up to 28 days old. The term neonatal comes from neo, "new", and natal, "pertaining to birth or origin”. Neonatal nurses are a vital part of the neonatal care team. These are trained professionals who concentrate on ensuring that the newborn infants under their care are able to survive whatever potential life threatening event they encounter. They treat infants that are born with a variety of life threatening issues that include instances of prematurity, congenital birth defects, surgery related problems, cardiac malformations, severe burns, or acute infection. Neonatal care in hospitals was always done by the nursing staff but it did not officially become a specialized medical field until well into 1960s. This was due to the numerous advancements in both medical care training and related technology that allowed for the improved treatment and survival rate of premature babies. According to the March of Dimes, one of every thirteen babies born in the United States annually suffers from low birth weight. This is a leading cause in 65% of infant deaths. Therefore, nurses play a very important role in providing round the clock care for these infants, those born with birth defects or other life threatening illness. In addition, these nurses also tend to healthy babies while their mothers recover from the birthing process. Prior to the advent of this specialized nursing field at risk newborn infants were mostly cared for by obstetricians and midwives who had limited resources to help them survive (Meeks 3).
Certainly, every nurse carries their own duties and responsibilities. As well as neonatal nurse practitioner, in cooperation with other health care professional, are responsible for diagnosing and managing the care of new-borns with significant health problems. In addition, they also provide a safe, comfortable and therapeu...
...e health care clinician to more comfortably assist in the delivery. However, it is important for nurse manager(s) on labor and delivery units to educate their floor nurses on the benefits of utilizing upright birthing positions during the second stage of labor and then to fully inform their patients on these positions, whether or not she had asked for information regarding upright birthing positions, and implement their use when possible. Careful evaluation of the change on the unit will provide the nurse manager(s) with appropriate feedback regarding the effectiveness of the change. All in all, upright delivery positions yield more optimal outcomes than supine delivery positions for both the mother and the baby and the nurses should be appropriately educated to give their patients an informed choice and advocate for and support the patient in her final decision.
In my previous role as a Licensed vocational nurse, I worked in the outpatient setting, Perinatology, where there are high-risk pregnant patients. The patient I helped take care of, was early in her pregnancy, approximately 29 weeks, and was a patient who had been seen in this clinical office
They are responsible for the total care of the mother and unborn fetus. They provide care to women during labor and childbirth. There are three stages of delivery: antepartum, intrapartum, and postpartum phases. During the antepartum phase, the nurse provides support and pain control during labor, monitors the fetal heart rate and contraction pattern, and the mother’s vital signs and progress. The nurse assists with inducing labor as needed, monitors the mother and fetus for complications. During the intrapartum phase, the nurse assists with vaginal deliveries and cesarean sections. During the last phase of postpartum care, the (L&D) nurse assists and monitors the mother and baby after delivery. The nurse assesses the newborn with the APGAR(Appearance, Pulse, Grimace, Activity, Respiration) score and monitors the mother and baby for complications by assessing vital signs and doing physical assessments. During this phase, the nurse is also responsible for providing education and support to the mother with breastfeeding, pain control, and newborn care after
...o find a balance between interventional and non-interventional birth. With this being said, I also understand that there are strict policies and protocols set in place, which I must abide to as a healthcare provider, in any birth setting. Unfortunately, these guidelines can be abused. Christiane Northrup, MD, a well recognized and respected obstetrician-gynecologist has gone as far as to tell her own daughters that they should not give birth in a hospital setting, with the safest place being home (Block, 2007, p. xxiii). Although I am not entirely against hospital births, I am a firm believe that normal, healthy pregnancies should be fully permissible to all midwives. However, high-risk pregnancies and births must remain the responsibility of skilled obstetricians. My heart’s desire is to do what is ultimately in the best interest of the mother, and her unborn child.
When a woman delivers in a hospital, she will do so either by vaginal delivery or Caesarean section (commonly referred to as a “C-section”). A Caesarean is considered major surgery, where the baby is delivered via abdominal incision. C-section deliveries are becoming increasingly common, from 5% of deliveries in 1970 to more than a quarter of all deliveries in 2002 (Landon, 2004). Although vaginal delivery is the natural method, Caesareans are sometimes necessary when the mother or baby cannot tolerate the stresses of labor and vaginal delivery, but the procedure is not without serious risks for complications. I began to wonder during my labor and delivery clinical rotation why it seemed to be common knowledge that women who had
The hospital room holds all the usual scenery: rooms lining featureless walls, carts full of foreign devices and competent looking nurses ready to help whatever the need be. The side rails of the bed smell of plastic. The room is enveloped with the smell of plastic. A large bed protrudes from the wall. It moves from one stage to the next, with the labor, so that when you come to the "bearing" down stage, the stirrups can be put in place. The side rails of the bed provide more comfort than the hand of your coach, during each contraction. The mattress of the bed is truly uncomfortable for a woman in so much pain. The eager faces of your friends and family staring at your half naked body seem to be acceptabl...
The version of childbirth that we’re used to is propagated by television and movies. A woman, huge with child, is rushed to the hospital when her water breaks. She is ushered into a delivery room and her husband hovers helplessly as nurses hook her up to IVs and monitors. The woman writhes in pain and demands relief from the painful contractions. Narcotic drugs are administered through her IV to dull the pain, or an epidural is inserted into the woman’s spine so that she cannot feel anything below her waist. When the baby is ready to be born, the doctor arrives dressed in surgical garb. The husband, nurses and doctor become a cheerleading squad, urging the woman to, “Push!” Moments later, a pink, screaming newborn is lifted up for the world to see. Variations on this theme include the cesarean section, where the woman is wheeled to the operating room where her doctors remove the baby through an incision in her abdomen.
There are two ways a child can come into this world, and that is through vaginal delivery or cesarean section. No matter the method, there are trained professionals there to introduce a newborn into the world. Labor and Delivery nurses are very important to not only the afterbirth of a newborn. They are also responsible for taking care of the mother before.
Joseph Lee describes childbirth as a pathologic process that damages both mothers and babies “often and much.” He said that if birth were properly viewed as a destructive pathology rather than as a normal function, “the midwife would be impossible even of mention.” In the first issue of the American Journal of Obstetrics and Gynecology, DeLee proposed a sequence of interventions designed to save women from the ‘evils natural to labor.” The interventions included routine use of sedatives, ether, episiotomies, and forceps. (Put Citation)
I believe that if you asked a group of people to list off issues regarding an emergency department then they would say long wait times throughout the process and being moved around to different areas of the emergency department. From what I have heard the long waits can be associated with waiting to get back to a room, waiting to see a nurse, waiting to see a doctor, waiting to go to radiology or lab, waiting on results, waiting to be discharged, or waiting to be admitted. All of these things in my opinion add up to one main problem, which is patient flow through an emergency department. In my opinion being able to have a controlled patient flow allows for improved wait times and decreased chaos for patients. So there are a few things
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
A neonatologist has many tasks and responsibilities before, during, and after the birth of an at-risk newborn. If there is reason to believe there are going to be complications with a birth that would cause negative side effects for the infant, a neonatologist will be brought in to help. In these high-risk situations, a team effort is required and the neonatologist takes the lead position. The neonatologist will be responsible for advising the parents on what to expect during and after labor. After the infant is born, the neonatologist has to find a method to properly care for the baby. Because most premature babies have a low birth-weight, their lungs need to be supported and they need to be kept warm. During this whole process, the neonatologist interacts with the parents to keep them updated on their baby’s condition (Weaver, 2009).